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January 1, 1987Archives of Internal Medicine

Amiodarone pulmonary toxicity. Clinical, radiologic, and pathologic correlations

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Why the study?

What are the clinical, radiologic, and pathologic features that distinguish amiodarone pulmonary toxicity from non-toxic amiodarone use?

Population

20 patients taking amiodarone, including 15 with amiodarone pulmonary toxicity and 5 without evidence of…

Comparison

Amiodarone therapy with subsequent pulmonary… vs Amiodarone therapy without pulmonary toxicity

Design

Case-control

Authors

JKJohn I. KennedyUniversity of Alabama at Birmingham

Discussion

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Implication

Pathologic features alone cannot confirm amiodarone pulmonary toxicity; leaves open need for validated multimodal criteria in prospective studies.

Structured PICO

What are the clinical, radiologic, and pathologic features that distinguish amiodarone pulmonary toxicity from non-toxic amiodarone use?

P
Population
20 patients taking amiodarone, including 15 with amiodarone pulmonary toxicity and 5 without evidence of toxic effect.
I
Intervention
Amiodarone therapy with subsequent pulmonary toxicity
C
Comparator
Amiodarone therapy without pulmonary toxicity
O
Outcome
Clinical, radiologic, and pathologic features of amiodarone pulmonary toxicitysafety

Pathologic findings such as foamy macrophages and lamellated inclusions are seen in both toxic and non-toxic amiodarone patients, meaning they cannot reliably diagnose amiodarone pulmonary toxicity on their own.

Cite This Study

John I. Kennedy (1987) studied this question.

synapsesocial.com/papers/6a7e2168e99e489715ae8e04https://doi.org/10.1001/archinte.147.1.50
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Also Consider

Synapse has enriched 4 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. 2Side effects of long-term amiodarone therapy.1983 · 359 citations
  3. 3Amiodarone Pulmonary Toxicity1982 · 312 citations
  4. 4Effect of amiodarone on serum triiodothyronine, reverse triiodothyronine, thyroxin, and thyrotropin. A drug influencing peripheral metabolism of thyroid hormones.1976 · 312 citations