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[Antiarrhythmic treatment after reduction of atrial fibrillation by external shock].
- Source :
-
Presse medicale (Paris, France : 1983) [Presse Med] 1993 Nov 20; Vol. 22 (36), pp. 1827-32. - Publication Year :
- 1993
-
Abstract
- Among the drugs recommended to prevent recurrences of atrial fibrillation after external electric shock, antiarrhythmic agents of classes Ia (quinidine, disopyramide), Ic (cibenzoline, flecainide, propafenone) and III (sotalol) seem to have the same effectiveness in maintaining the sinus rhythm in about 50 percent of the cases after 6 months and one year. Amiodarone, seldom used as first-line treatment, appears to be the most effective drug. The percentage of side-effects requiring discontinuation of treatment is the same for all drugs (about 10 percent). All these drugs have potential proarrhythmic effects. In case of recurrence electric shocks can be repeated in some special cases. The therapeutic strategy according to the clinical context (atrial fibrillation of vagal nerve or catecholergic origin, normal or altered left ventricular function) is discussed.
- Subjects :
- Amiodarone therapeutic use
Atrial Fibrillation prevention & control
Combined Modality Therapy
Disopyramide therapeutic use
Flecainide therapeutic use
Humans
Propafenone therapeutic use
Quinidine therapeutic use
Recurrence
Sotalol therapeutic use
Anti-Arrhythmia Agents therapeutic use
Atrial Fibrillation therapy
Electric Countershock methods
Subjects
Details
- Language :
- French
- ISSN :
- 0755-4982
- Volume :
- 22
- Issue :
- 36
- Database :
- MEDLINE
- Journal :
- Presse medicale (Paris, France : 1983)
- Publication Type :
- Academic Journal
- Accession number :
- 8309912