Can sotalol cause heart failure?

As a medical professional with expertise in pharmacology, I can provide you with information regarding the relationship between sotalol and heart failure. Sotalol is a medication that belongs to a class of drugs known as beta-blockers. It is primarily used to treat life-threatening abnormal heart rhythms, such as ventricular tachycardia and ventricular fibrillation. However, like all medications, sotalol can have side effects and there is a potential for it to cause or worsen heart failure, particularly in patients with pre-existing heart conditions. Sotalol works by blocking the action of adrenaline on the heart, which can slow the heart rate and decrease the force of heart contractions. In some individuals, this can lead to a decrease in the heart's ability to pump blood effectively, which is a characteristic of heart failure. The risk of developing heart failure while on sotalol is higher in patients who already have heart failure or have a history of heart failure, as well as in those with certain other heart problems. It is important for patients taking sotalol to be closely monitored by their healthcare provider, especially during the initial stages of treatment and any dose adjustments. Patients should report any signs of heart failure, such as shortness of breath, swelling in the legs or ankles, or fatigue, to their doctor immediately. In summary, while sotalol can be a beneficial medication for certain patients with heart rhythm disorders, it is crucial to be aware of the potential for heart failure as a side effect. Regular medical check-ups and open communication with healthcare providers are essential for managing the risks associated with sotalol use.

Like other antiarrhythmic agents, sotalol can cause new or worsening ventricular arrhythmias (for example, ventricular tachycardia or ventricular fibrillation). Sotalol may cause or worsen congestive heart failure, and it can block the symptoms of low blood glucose in diabetics.