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(S)-Propafenone is the S-enantiomer of propafenone, a Class IC antiarrhythmic medication used to treat cardiac arrhythmias. It works by slowing the influx of sodium ions into cardiac muscle cells, decreasing their excitability. The S-enantiomer has equivalent sodium channel blocking potency to the R-enantiomer but is a more potent beta-adrenergic antagonist. Propafenone is primarily used to treat paroxysmal atrial fibrillation/flutter and life-threatening ventricular arrhythmias such as sustained ventricular tachycardia in patients without structural heart disease.
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