[Verapamil in the cardioversion of atrial fibrillation. Clinical study].

Abstract:

BACKGROUND:Prolonged periods of atrial fibrillation (AF) or high frequency atrial pacing lead to a significant shortening of atrial refractory periods. This time-dependent electric remodelling is reduced significantly by the administration of verapamil. METHODS:The present series consists of 24 patients all suffering from atrial fibrillation (33% acute AF and 66% chronic recurrent AF) admitted to our Cardiology Department (Rome University). Group G1 (13 patients) received i.v. verapamil (50 mg in 500 cc saline solution at 40 ml/hr). Group G2 (11 patients) received amiodarone i.v. (300 mg in bolus form followed by the infusion of 900 mg in 500 cc 5% glucosate solution, 33 ml/hr for 6 hours and subsequently 18 ml/hr). All patients received non-fractionated heparin i.v. at the same time. RESULTS:No statistically significant difference was observed in the percentage of pharmacological cardioversions in the two groups: G1=61% vs G2=54% p=0.94). The patients who were not cardioverted pharmacologically were done so electrically (external DC shock). CONCLUSIONS:Albeit in this small population of patients verapamil proved to possess anti-arrhythmic effects on a par with that of standard amiodarone antiarrhythmic treatment. This antiarrhythmic potential of verapamil should be demonstrated in a broader randomised study.

journal_name

Minerva Cardioangiol

authors

Martinelli MM,Dragagna G,Vitali A,Fedele F

keywords:

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

49-53

issue

1

eissn

0026-4725

issn

1827-1618

journal_volume

51

pub_type

临床试验,杂志文章
  • Assessment of left ventricular systolic dysfunction by tissue Doppler imaging to detect subclinical cardiomyopathy early after anthracycline therapy.

    abstract:AIM:Anthracycline (ANT) chemotherapy for breast cancer, while associated with high response rates, is fraught by risks of irreversible cardiotoxicity. Unfortunately means to detect such cardiotoxicity early on and at a sublinical stage are lacking. We evaluated the role of systolic tissue Doppler imaging (TDI) in appra...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Lotrionte M,Palazzoni G,Natali R,Comerci G,Abbate A,Loperfido F,Biondi-Zoccai G

    更新日期:2007-12-01 00:00:00

  • [The role of the echo-dipyridamole test in the differential diagnosis of chest pain].

    abstract::We have verified the utility of echo-dipyridamole test in the diagnosis of chest pain of unsure origin, especially in patients who cannot be quickly submitted to exercise stress test because of permanent abnormalities at basal ECG or because of clinical reasons. 17 patients with chest pain, abnormalities at basal ECG ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Piccone U,Potenza S,Pala M,Bongarzoni A,Regalia F

    更新日期:1993-10-01 00:00:00

  • Left main coronary artery disease: when and how to perform PCI?

    abstract::Left main coronary artery (LMCA) disease has been reported in up to 10% of all patients with coronary artery disease (CAD) and in the majority of cases are associated with severe three-vessel CAD. Among patients with chronic coronary syndrome revascularization of significant LMCA disease improves prognosis, while ther...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.20.05198-1

    authors: Chiarito M,Mehilli J

    更新日期:2020-10-01 00:00:00

  • [Iatrogenic torsade de pointes induced by thioridazine].

    abstract::Torsade de pointes is a form of polymorphous ventricular tachycardia in which the polarity of the QRS complex exhibits phasic alterations in both axis. Traditionally, torsade de pointes has been described in association with a congenital or acquired (including drug and metabolic) causes of QT prolongation. Clinical ou...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Paoloni P,Ciliberti D,Blasi N,Capone P

    更新日期:1992-06-01 00:00:00

  • Impact of arterial hypertension and its management strategies on cognitive function and dementia: a comprehensive umbrella review.

    abstract:INTRODUCTION:Cognitive decline and dementia recognize multiple risk factors and pathophysiological mechanisms, often involved simultaneously with complex interactions. Several studies have shown that both arterial hypertension and hypotension are associated with a greater risk of cognitive decline and dementia, but cli...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.20.05452-3

    authors: Antonazzo B,Marano G,Romagnoli E,Ronzoni S,Frati G,Sani G,Janiri L,Mazza M

    更新日期:2020-12-01 00:00:00

  • What's up on stented valves.

    abstract::Aortic valve bioprostheses are commonly implanted in the current era - also in younger patients - as they may obviate the need for anticoagulation while providing better hemodynamic performance and a more favorable quality of life. The steady increase in the use of biological valves has prompted the development of sev...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Santarpino G,Kalisnik JM,Fischlein T,Pfeiffer S

    更新日期:2016-04-20 00:00:00

  • Oesophageal electrical cardioversion of atrial fibrillation.

    abstract::Atrial fibrillation is the most common cardiac arrhythmia and the most frequent cause of hospitalization and utilization expense among all heart diseases. Taking into account persistent atrial fibrillation we know that, in order to cardiovert persistent atrial fibrillation, external direct current cardioversion is the...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Santini L,Forleo GB,Santini M,Romeo F

    更新日期:2004-04-01 00:00:00

  • Ischemic stroke with cardiac involvement in aortic thromboembolism.

    abstract::An aortic thrombus may be detected by using transesophageal echocardiography after an embolic event. Clinical features are variable and may include cardiac and neurologic symptoms, such as the stroke. We report a case of a woman with an acute ischemic stroke, a myocardial infarction and a free floating aortic thrombus...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Colombo GM,Albi F,Salvini P,Sacco T,Cicchinelli M

    更新日期:2006-12-01 00:00:00

  • [Effects of antihypertensive treatment on carotid vascular changes].

    abstract::The carotid artery is one of the most important sites in the progression of atherosclerotic lesions. Atherosclerosis is known to be determined by a variety of factors, among which arterial hypertension is one of the most important. Blood pressure control by antihypertensive treatment is thus of great benefit in manage...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Pompeo F,De Luca N,Marchegiano R,Gisonni P,Iovino G,D'Auria F,Del Mastro L,Simonelli P,Trimarco B

    更新日期:1994-11-01 00:00:00

  • Clinical outcomes of dialysis patients after implantation of DES: meta analysis and systematic review of literature.

    abstract:AIM:Studies on percutaneous transluminal cardiac angioplasty (PTCA) in patients with end stage renal disease (ESRD) on hemodialysis have suggested high rates of procedural complications and restenosis. Bare metal stent percutaneous coronary intervention (PCI) has significantly reduced restenosis and subsequent target l...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,meta分析,评审

    doi:

    authors: Athappan G,Ponniah T

    更新日期:2009-06-01 00:00:00

  • [Clinical course and incidence of post-thrombophlebitic syndrome after profound asymptomatic deep vein thrombosis. Results of a transverse epidemiologic study].

    abstract:UNLABELLED:Currently, there are not reliable data on the incidence and prevalence of post-phlebitic syndrome (PTS) after an episode of asymptomatic postoperative deep vein thrombosis (DVT). In order to evaluate the epidemiology and the clinical course of PTS in patients who were submitted to hip and knee replacement, w...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Siragusa S,Beltrametti C,Barone M,Piovella F

    更新日期:1997-03-01 00:00:00

  • Alternative incision sutureless aortic valve replacement: propensity matched comparison between partial sternotomy and right anterior minithoracotomy.

    abstract:BACKGROUND:Sutureless aortic valve prostheses have the potential to augment the adoption of alternative incision approaches for aortic valve replacement (AVR). Still, we lack the evidence on which surgical approach is best associated with sutureless AVR. METHODS:Data on 483 patients undergoing sutureless small incisio...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.17.04568-6

    authors: Gilmanov D,Solinas M,Santarpino G,Farneti PA,Murzi M,Fischlein T,Pfeiffer S

    更新日期:2018-04-01 00:00:00

  • [Dissolution of a right cardiac migrant thromboembolus in pulmonary embolism after treatment with rt-PA. Report of a successfully treated case].

    abstract::We report the clinical, echocardiographic and therapeutic aspect of one case of right cardiac migrant thromboembolus in pulmonary embolism. Medical therapy consisted of tissue plasminogen activator (rt-PA, 100 mg/3h). Progressive reduction of thromboembolus until its disappearance was observed by echo 2D after this th...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Minutiello L

    更新日期:1993-01-01 00:00:00

  • [Early effects of cigarette smoking in hypertensive and normotensive subjects. An ambulatory blood pressure and thermographic study].

    abstract:BACKGROUND:Among the acute effects of cigarette smoking there are an increase in the arterial blood pressure and a decrease in skin temperature. The aim of this study is to evaluate whether these effects are more evident in hypertensive subjects (HTS) than in normotensive (NTS) ones. METHODS:A monitored Ambulatory Blo...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Di Carlo A,Ippolito F

    更新日期:2003-08-01 00:00:00

  • Biomarkers in heart failure.

    abstract::The meaning of the term biomarker has been standardized by a working group of the National Institutes of Health as "a characteristic that is objectively measured and evaluated as an indicator of normal biological processes, pathogenic processes, or pharmacologic responses to a therapeutic intervention". The ability of...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Eleuteri E,Di Stefano A

    更新日期:2012-04-01 00:00:00

  • [Acute effects of propranolol and its association with nifedipine in aged patients with effort stable angina. Randomized double-blind crossover study, under placebo control].

    abstract::Calcium-antagonist and B-blockers are effective in improving exercise tolerance in patients with effort angina. We studied the short effects of oral administration of nifedipine (10 mg) and propranolol (80 mg) alone and in combination in 15 elderly patients with chronic exertional angina pectoris in a double-blind, ra...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Santamaria F,Sestito M,Lirato C,Di Palma A,De Rosa ML,Iannuzzi L,Pandolfi E,Cicatiello AM,Parlati S

    更新日期:1993-04-01 00:00:00

  • Abdominal aortic aneurysm associated with renal ectopia.

    abstract::This report describes a rare case of concurrent abdominal aortic aneurysm and bilateral renal ectopia. Preoperative work-up included intravenous pyelography and angiography to assess renal function, renal artery anatomy, and ureter position. Conventional surgery was performed without renal protection. No deterioration...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Bianco G,Micheletti E,Silvestri F,Laezza F,Platì S,Mauro G,Scotto Di Uccio A,De Donato G

    更新日期:2008-10-01 00:00:00

  • Gender, age and carotid plaque morphology.

    abstract:OBJECTIVES:To examine the relationship between patients gender, age and the development of different types of internal carotid artery plaque. DESIGN:Prospective open clinical study. METHODS:455 carotid duplex scans with a greater than 50% stenosis were analysed in terms of gender, age, degree of stenosis symptoms and...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Holdsworth RJ,Bryce JS,Harrison DK,McCollum PT

    更新日期:1997-07-01 00:00:00

  • PCI versus CABG versus medical therapy in 2006.

    abstract::The decision to offer patients with myocardial ischemia a coronary artery bypass graft (CABG) surgery has been largely determined by extent of coronary artery disease (CAD) and left ventricular function, since the early 1970's. Based upon subset analyses, and long-term follow-up, of three moderate-sized trials of stab...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Morrison D

    更新日期:2006-10-01 00:00:00

  • [Incidence of the most frequent complications in hypertensive patients].

    abstract::The incidence of district (cardiac, cerebral, renal) and systemic vascular complications was studied in a population of 3992 hypertensive in-patients during the period from 1984 to 1988. The total number of male hypertensive patients was always higher (2355) than that of female hypertensive patients (1637). From the a...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Nami R,Carletti F,Panza F,Buracchi P,Martinelli M,Pavese G,Gennari C

    更新日期:1990-11-01 00:00:00

  • [Distribution and correlation of uric acid with classic cardiovascular risk factors in an adult population in Campania. VIP project data].

    abstract:BACKGROUND:The aim of this study was to correlate uric acid levels with the classic cardiovascular risk factors in an adult population in Campania. METHODS:The following parameters were assessed in the study population (600 men and 600 women) aged between 25-74 years old, subdivided into 5 age groups (25-34, 35-44, 45...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Capuano V,Bambacaro A,Lanzara C,Fortunato I,D'Arminio T,Del Regno B,D'Antonio V

    更新日期:2001-08-01 00:00:00

  • Bioresorbable scaffolds: talking about a new interventional revolution [corrected].

    abstract::After the introduction of coronary balloon angioplasty, bare-metal, and drug-eluting stents, fully bioresorbable scaffolds (BRS) could be the fourth revolution in interventional cardiology. The BRS technology shares the advantages of metallic stents regarding acute gain and prevention of acute vessel occlusion by prov...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Hassell ME,Grundeken MJ,Delewi R,Wykrzykowska JJ,Piek JJ

    更新日期:2013-04-01 00:00:00

  • [Increase in blood potassium and subsequent normalization: effects on the electrocardiogram. Case report].

    abstract::Significant variations in the ECG have been observed in a female aged 77 with heart failure and chronic atrial fibrillation during an occasional increase in blood potassium followed by normalization. The major phenomena observed during hyperkalemia, due to a severe dehydration, were a transient sinus rhythm with atrio...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Cecchetti G,Arlotti M,Cecchetti V

    更新日期:1989-09-01 00:00:00

  • The Ultimaster® coronary stent system: state of the art.

    abstract::Percutaneous coronary intervention (PCI) has been a mainstay in the management of coronary artery disease since its introduction in the late 1970s. Bare-metal stent (BMS) and then first- and second-generation drug-eluting stents (DES) have enhanced the results of PCI by improving early results and reducing the risk of...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Longo G,La Manna A,Capodanno D,Tamburino C

    更新日期:2015-06-01 00:00:00

  • Myocardial protection by warm blood cardioplegia. A 31P nuclear magnetic resonance spectroscopy study of an isolated perfused rat heart.

    abstract:OBJECTIVE:A study of the protective efficiency imparted by intermittent warm blood cardioplegia (WBCP) using perfused rat heart model. METHODS:Hemodynamic parameters were monitored simultaneously with metabolic changes in high-energy phosphates using 31P-NMR spectroscopy. Following 30 min perfusion with Krebs-Henselei...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Berman E,Chandra M,Olivson A,Uretzky G,Borman JB,Atlan H,Schwalb H

    更新日期:1995-05-01 00:00:00

  • [Relationship between late ventricular potentials and ventricular arrhythmias in patients in chronic dialysis treatment].

    abstract:BACKGROUND:Arrhythmias are frequent pathology in patients with chronic hemodialysis. We evaluated whether a relatively new technique, signal averaging, could be useful in predicting the development of complex arrhythmias in these patients. METHODS:Thirty-three patients, 18 male and 15 female, subjected to thrice weekl...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Pomini G,Salvo P,Torchiarella C,Lucangeli A,Ruffatti A,Naso A,Gribaldo R

    更新日期:1997-04-01 00:00:00

  • [Morphologic aspects of late degradation in arterial prosthetic reconstruction].

    abstract::Fragments of synthetic prostheses in knitted Dacron velour implanted years previously have been examined. Macrophages were found which fragment elements of the prostheses. It is concluded that synthetic knitted velour prostheses are biodegradable. ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Matturri L,Tardito E

    更新日期:1990-06-01 00:00:00

  • Emerging oral anticoagulants for stroke prevention in patients with non-valvular atrial fibrillation.

    abstract::In patients with atrial fibrillation (AF) warfarin has been the mainstay therapy for stroke prevention. In recent randomized clinical trials (RCTs) oral direct thrombin inhibitor (Dabigatran) and factor Xa inhibitors (Rivaroxaban and Apixaban) challenged the efficacy and safety benchmarks set by warfarin. These drugs ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Destephan C,Waller AH,Patel RJ,Dhruvakumar S,Mazza V,Gerula C,Maher J,Kaluski E

    更新日期:2012-08-01 00:00:00

  • [Thrombo-embolic risk evaluation in patients with atrial fibrillation. Role of echocardiography].

    abstract::Atrial fibrillation (AF) is the most common observed cardiac arrhythmia and is the most frequent condition associated with thromboembolic events in patients with or without mitral valve disease. The source of cardiac emboli is the left atrium, the left atrial appendage or, less frequently, the left ventricle. Emboli m...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Carerj S,Micari A,Di Rosa S,Pugliatti P,Cerrito M,Zito C,Coglitore S,Luzza F,Arrigo F

    更新日期:2003-06-01 00:00:00

  • The prevalence of masked hypertension in a group of young healthy soldiers.

    abstract:BACKGROUND:To assess the prevalence of masked hypertension (MH) in young Saudi National Guard soldiers based on 24h ambulatory blood pressure monitoring (ABPM). METHODS:A prospective study of 196 soldiers, aged between 21-50 years, without a history of hypertension or antihypertensive medication use. Each participant ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.20.05288-3

    authors: Abuosa AM,Kinsara AJ,Elshiekh AH,Abrar MB

    更新日期:2020-06-10 00:00:00