Key result
Antiarrhythmic treatment with Class IA agents using an electrophysiologic-guided approach may provide a safe and low-cost alternative to implantable defibrillators in selected cases.
Why the study?
Does antiarrhythmic treatment with Class IA agents provide a safe alternative to implantable defibrillators in patients with idiopathic ventricular fibrillation?
Does antiarrhythmic treatment with Class IA agents provide a safe alternative to implantable defibrillators in patients with idiopathic ventricular fibrillation?
Electrophysiologic-guided therapy with Class IA antiarrhythmic agents may offer a safe and low-cost alternative to implantable defibrillators in selected patients with idiopathic ventricular fibrillation.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for electrophysiologic-guided Class IA therapy in idiopathic VF; leaves open randomized trials versus ICDs.
Idiopathic ventricular fibrillation is a relatively rare cause of lethal arrhythmia, which has gained increased recognition during the last decade. Several therapeutic approaches have been adopted worldwide. The present review discusses these various approaches. Implantation of an automatic defibrillator is the most commonly recommended mode of therapy for patients with idiopathic ventricular fibrillation. Our own results, however, suggest that antiarrhythmic treatment with Class IA agents using an electrophysiologic‐guided approach is possible and may provide a safe and low‐cost alternative to implantable defibrillators in selected cases.
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Belhassen et al. (1998) conducted a review in Idiopathic ventricular fibrillation. Antiarrhythmic treatment with Class IA agents vs. Implantable defibrillators was evaluated. Antiarrhythmic treatment with Class IA agents using an electrophysiologic-guided approach may provide a safe and low-cost alternative to implantable defibrillators in selected cases.
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