Challenging the superiority of amiodarone for rate control in Wolff-Parkinson-White and atrial fibrillation

被引:0
|
作者
Sharis M. Simonian
Shahram Lotfipour
Christopher Wall
Mark I. Langdorf
机构
[1] University of California,Department of Emergency Medicine
[2] Irvine School of Medicine,Emergency Ultrasound
[3] University of California,undefined
[4] Irvine School of Medicine,undefined
[5] Hennepin County Medical Center,undefined
来源
关键词
Amiodarone; Procainamide; Wolff-Parkinson-White (WPW); Atrial fibrillation;
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摘要
The objective of this review is to explore and challenge the superiority of amiodarone for rate control in Wolff-Parkinson-White syndrome and concomitant atrial fibrillation (WPW-AF). The current recommendation for pharmacological treatment of this condition is amiodarone. A review of the past 25 years of literature finds several studies that identify a small risk of ventricular fibrillation secondary to amiodarone administration for rate control in WPW-AF. Additionally, the literature supports the safe and effective use of procainamide for rate control in WPW-AF. This review concludes that amiodarone is not superior to procainamide in rate control for WPW-AF, and may be dangerous.
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页码:421 / 426
页数:5
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