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January 1, 1984CirculationOpen Access

A comparison of the electrophysiologic effects of intravenous and oral amiodarone in the same patient.

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Why the study?

Do intravenous and oral amiodarone have the same electrophysiologic effects in patients with Wolff-Parkinson-White syndrome or ventricular tachycardia?

Population

12 patients (nine with Wolff-Parkinson-White syndrome and three with ventricular tachycardia)

Comparison

Intravenous amiodarone vs Oral amiodarone in the same patient

Design

Case_series

Authors

HWH. J. J. WellensMaastricht UniversityPBPedro BrugadaElectrophysiologyHAHoshiar AbdollahQueen's University

Discussion

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Implication

IV and oral amiodarone warrant distinct EP consideration; case report leaves open route-specific trials in WPW/VT.

Structured PICO

Do intravenous and oral amiodarone have the same electrophysiologic effects in patients with Wolff-Parkinson-White syndrome or ventricular tachycardia?

P
Population
12 patients (nine with Wolff-Parkinson-White syndrome and three with ventricular tachycardia)
I
Intervention
Intravenous amiodarone (5 mg/kg body weight in 1 min)
C
Comparator
Oral amiodarone (total dose 9800 to 11,200 mg) in the same patient
O
Outcome
Electrophysiologic effects measured by programmed stimulation of the heart (including effective refractory periods, AH interval, HV interval, and tachycardia rate)surrogate

Intravenous and oral amiodarone exhibit distinct electrophysiologic profiles in the same patients, suggesting differences in mechanism possibly due to cumulative effects or active metabolites.

Cite This Study

Wellens et al. (1984) studied this question.

synapsesocial.com/papers/699fea8452ece5d8a8069218https://doi.org/10.1161/01.cir.69.1.120
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Efficacy of i.v. amiodarone in converting rapid atrial fibrillation and flutter to sinus rhythm in intensive care patients1983 · 93 citations
  2. 2Amiodarone in Refractory Life-Threatening Ventricular Arrhythmias1983 · 183 citations
  3. 3Amiodarone in the Management of Patients with Ventricular Tachycardia and Ventricular Fibrillation1983 · 60 citations
  4. 4Amiodarone1981 · 574 citations
  5. 5Electrophysiological assessment of amiodarone in treatment of resistant supraventricular arrhythmias.1980 · 96 citations