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May 1, 1989Hepatology

Amiodarone hepatotoxicity: Prevalence and clinicopathologic correlations among 104 patients

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Why the study?

What is the prevalence and clinical presentation of amiodarone-related hepatic injury in patients receiving amiodarone?

Population

104 patients followed prospectively

Comparison

Amiodarone vs Literature reports (historical control)

Design

Cohort

Authors

JLJames H. LewisGeorgetown UniversityRRRichard C. RanardGeorgetown UniversityACAnthony C. CarusoAzienda Ospedale - Università Padova

Discussion

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Implication

Supports monitoring for amiodarone hepatotoxicity; leaves open optimal discontinuation thresholds amid competing cardiac risks.

Structured PICO

What is the prevalence and clinical presentation of amiodarone-related hepatic injury in patients receiving amiodarone?

P
Population
104 patients followed prospectively
I
Intervention
Amiodarone
C
Comparator
Literature reports (historical control)
O
Outcome
Prevalence of apparent amiodarone-related hepatic injury (asymptomatic elevation of serum aminotransferase levels and symptomatic hepatitis)safety

Amiodarone therapy is associated with asymptomatic aminotransferase elevation in about 25% of patients and symptomatic hepatitis in 3%, necessitating careful risk-benefit assessment before discontinuation given the competing risk of sudden cardiac death.

Cite This Study

Lewis et al. (1989) studied this question.

synapsesocial.com/papers/6a178ba25fdf2a7b88aa1f63https://doi.org/10.1002/hep.1840090504
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Steady-State Serum Amiodarone Concentrations: Relationships with Antiarrhythmic Efficacy and Toxicity1984 · 201 citations
  2. 2Amiodarone1987 · 413 citations
  3. 3A Peculiar Cutaneous Pigmentation from Cordarone2009 · 42 citations