Key result
Lidocaine use in acute myocardial infarction should be limited to patients with very frequent and complex ventricular arrhythmias due to serious side effects and narrow preventive efficacy.
Why the study?
Should lidocaine be used prophylactically or selectively for the prevention of malignant ventricular arrhythmias in the early phase of acute myocardial infarction?
Population
Patients in the early phase of acute myocardial infarction
Design
Review
Authors
Loading...
Supports restricting lidocaine to frequent complex arrhythmias in AMI; leaves open need for contemporary RCTs.
Should lidocaine be used prophylactically or selectively for the prevention of malignant ventricular arrhythmias in the early phase of acute myocardial infarction?
Lidocaine use in acute myocardial infarction should be restricted to selective treatment of frequent and complex ventricular arrhythmias rather than routine prophylactic administration due to side effects and limited efficacy.
Zehender et al. (1990) conducted a review in Acute myocardial infarction. Lidocaine was evaluated. Lidocaine use in acute myocardial infarction should be limited to patients with very frequent and complex ventricular arrhythmias due to serious side effects and narrow preventive efficacy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: