Cardioversion of atrial fibrillation with ibutilide: When is it most effective?
نویسندگان
چکیده
منابع مشابه
Chemical cardioversion of atrial fibrillation or flutter with ibutilide in patients receiving amiodarone therapy.
BACKGROUND Ibutilide is a class III drug that is used for the cardioversion of atrial arrhythmias, but it can cause torsade de pointes. Amiodarone also prolongs the QT interval but rarely causes torsade de pointes. There are no studies in which the concomitant use of the 2 agents was examined. The purpose of the present study was to assess the efficacy and safety of cardioversion with combinati...
متن کاملSafety and efficacy of ibutilide in cardioversion of atrial flutter and fibrillation.
This article reviews the safety and efficacy of ibutilide for use in patients with atrial fibrillation and flutter. Ibutilide, a class III antiarrhythmic agent, is primarily used for conversion of atrial flutter and fibrillation and is a good alternative to electrical cardioversion. Ibutilide has a conversion rate of up to 75% to 80% in recent-onset atrial fibrillation and flutter; the conversi...
متن کاملFlecainide versus ibutilide for immediate cardioversion of atrial fibrillation of recent onset.
AIMS This study compared the efficacy and safety of intravenous flecainide and ibutilide for immediate cardioversion of atrial fibrillation (AF). METHODS AND RESULTS We conducted a prospective, randomised trial, including 207 patients with AF of recent onset (< or = 48 h). Flecainide was given over 20 min at a dose of 2 mg/kg body weight (maximum 200 mg), ibutilide was infused at a dose of 1 ...
متن کاملIbutilide for the Cardioversion of Paroxysmal Atrial Fibrillation during Radiofrequency Ablation of Supraventricular Tachycardias
Direct current electrical cardioversion (DC-ECV) is the preferred treatment for the termination of paroxysmal atrial fibrillation (AF) that occurs during radiofrequency ablation (RFA) of supraventricular tachycardias (SVT). Intravenous Ibutilide may be an alternative option in this setting. Thirty-four out of 386 patients who underwent SVT-RFA presented paroxysmal AF during the procedure and we...
متن کاملchemical cardioversion of atrial fibrillation with calcium gluconate
background calcium infusion is used as a pre-treatment before calcium channel blockers to prevent hypotension. occasional cardioversion with calcium gluconate infusion is seen in patients with paroxysmal supraventricular tachycardia. several mechanisms have been suggested for mechanism. herein we report a case presenting with atrial fibrillation but cardioverted with calcium gluconate infusion,...
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ژورنال
عنوان ژورنال: Clinical Cardiology
سال: 2002
ISSN: 0160-9289,1932-8737
DOI: 10.1002/clc.4960250904