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September 1, 2002Clinical CardiologyOpen Access

Cardioversion of atrial fibrillation with ibutilide: When is it most effective?

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Key result

Ibutilide converted atrial fibrillation in 55% of patients, with higher success in those with coronary artery disease (77% vs 46%, p=0.005) and without mitral valve disease or enlarged left atrium.

Why the study?

What are the clinical and echocardiographic predictors of successful cardioversion of atrial fibrillation with ibutilide?

Population

101 patients with recent onset atrial fibrillation (≥ 24 h duration)

Design

Cohort

Authors

MDMithilesh K. DasIndiana University – Purdue University IndianapolisKCKuruvilla M. CheriparambilNewYork–Presbyterian HospitalABAshwini BediNewYork–Presbyterian Brooklyn Methodist Hospital

Discussion

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Implication

Ibutilide may succeed more often in CAD without mitral valve disease; leaves open prospective validation before guiding selection.

Study Design

Type

Observational (n=101)

Structured PICO

What are the clinical and echocardiographic predictors of successful cardioversion of atrial fibrillation with ibutilide?

P
Population
101 patients with recent onset atrial fibrillation (> 24 h) who received ibutilide, evaluated to determine clinical and echocardiographic predictors of successful cardioversion.
E
Exposure
Ibutilide
O
Outcome
Conversion to sinus rhythmsurrogate

Ibutilide is most effective for cardioversion of atrial fibrillation in patients with coronary artery disease and those without mitral valve disease or markedly enlarged left atrium.

Cite This Study

Das et al. (2002) conducted an observational in Atrial fibrillation (n=101). Ibutilide was evaluated on Conversion to sinus rhythm. Ibutilide converted atrial fibrillation in 55% of patients, with higher success in those with coronary artery disease (77% vs 46%, p=0.005) and without mitral valve disease or enlarged left atrium.

synapsesocial.com/papers/6a6a780326cff2e2f6f40d61https://doi.org/10.1002/clc.4960250904

Topics

Persistent AF managementAtrial fibrillationEchocardiographyAnticoagulation in AFAF ablation outcomes
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ibutilide, a Methanesulfonanilide Antiarrhythmic, Is a Potent Blocker of the Rapidly Activating Delayed Rectifier K + Current (I Kr ) in AT-1 Cells1995 · 192 citations
  2. 2Facilitating Transthoracic Cardioversion of Atrial Fibrillation with Ibutilide Pretreatment1999 · 359 citations
  3. 3Atrial Fibrillation in the Elderly1996 · 31 citations
  4. 4Rhythm Management in Atrial Fibrillation—with a Primary Emphasis on Pharmacological Therapy: Part 21998 · 57 citations