[The acute treatment of supraventricular tachycardia with endovenous amiodarone].

Abstract:

:In the present study we evaluated 35 patients of both sexes, aged 21-84, with newly occurring supraventricular tachyarrhythmias, 19 atrial fibrillation (AF), 6 atrial flutter (FL) and 10 paroxysmal supraventricular tachycardias (PSVT). They were treated with a single amiodarone infusion up to two hours after the restoration of a stable sinus rhythm or to a maximus dose of 2,400 mg (in 24 hours). Plasma amiodarone concentration and QTc were measured at the restoration of sinus rhythm and twelve hours after the amiodarone withdrawal. Amiodarone infusion restored a stable sinus rhythm in all 10 patients of the PSVT group (100%), in 5 of the FL group (83%) and in 16 of the AF group (84%). The average dose needed to stop PSVT was lesser than for AF and FL (M + SE: 473.3 +/- 36.88 vs 1842.1 + 259.6 vs 1548.8 +/- 345.5 mg; p less than 0.001). The average plasma amiodarone concentration at the restoration of sinus rhythm was 2450.4 +/- 175.9 SE ng/ml in all the tachyarrhythmias as a whole without any statistically significant difference among PSVT, FL and AF. Moreover no correlation exists between plasma amiodarone concentrations and the amount of amiodarone infused. QTc showed a statistically significant transient lengthening at the restoration of sinus rhythm, but not twelve hours after amiodarone withdrawal. In conclusion, a single dose of amiodarone is effective and safe in all newly occurring supraventricular tachyarrhythmias, without any important side effect and with a high therapeutic index in pharmacologic cardioversion as alternative treatment to cardioversion.

journal_name

Minerva Cardioangiol

authors

Veglio F,Vietti Ramus G,Marchisio U,Bonino ML,Burzio P,Bigo P,Leopaldi D,Ricco G

subject

Has Abstract

pub_date

1991-03-01 00:00:00

pages

87-95

issue

3

eissn

0026-4725

issn

1827-1618

journal_volume

39

pub_type

杂志文章
  • Contrast echocardiography: mechanism of action, safety and clinical applications.

    abstract::Since its initial description by Gramiak and Shah in 1968, contrast echocardiography has become an established practice world-wide. Microbubbles have the unique property of being pure intravascular tracers. The basic rationale behind bubble imaging is the characteristic responses to ultrasound power that results in en...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Soliman OI,De Jong N,Van Der Zwaan HB,Galema TW,Vletter WB,Van Dalen BM,Schinkel AF,Ten Cate FJ,Geleijnse ML

    更新日期:2010-06-01 00:00:00

  • [Clinical experience in patients with chronic peripheral obliterating arteriopathy: defibrotide versus definite molecular weight heparan sulfate (MW 7500-15000 dalton)].

    abstract::In a controlled study of 100 patients, mean age 65 years old, suffering from chronic peripheral obliterative arterial disease, Leriche's stage II, were randomised in two groups treated respectively with defibrotide (400 mg bid) or heparan-sulfate (40 mg bid) by the oral route for a period of 6 months. At basal and aft...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Michelini S,Micci A,Failla A,Grechi G,Iantaffi A

    更新日期:1996-01-01 00:00:00

  • [Inflammation, atherosclerosis and acute coronary syndromes].

    abstract::Inflammatory mechanisms play a pivotal role in the atherosclerotic process. At the base of atherogenesis there are complex interactions between macrophages, T lymphocytes and smooth muscle cells. A growing body of experimental evidences suggest that inflammation is involved in the pathogenesis of acute coronary syndro...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Biasucci LM,Santamaria M,Liuzzo G

    更新日期:2002-10-01 00:00:00

  • [Botallo's duct with pulmonary hypertension in the adult].

    abstract::A patent ductus arteriosus in adults is a rare eventuality. After correct diagnosis, an accurate evaluation of pulmonary vascular resistances is necessary with, in case of normality, a straightforward indication to surgery, because the evolution of the disease cannot be predicted. In case of pulmonary hypertension irr...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Gherli T,Porcu A,Alamanni F,Marongiu G,Sale MA,Padua G,Cossu ML,Bacciu PP

    更新日期:1991-09-01 00:00:00

  • Isolated femoral profundoplasty using endarterectomised superficial femoral artery for limb salvage in the elderly.

    abstract:BACKGROUND:The deep femoral artery provides the primary blood supply to the thigh, and in addition serves as the major collateral channel for bypassing the obstructed superficial femoral artery. The purpose of isolated profundoplasty is to relieve a significant stenosis and improve perfusion of the ischaemic leg. METH...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Witz M,Shnacker A,Lehmann JM

    更新日期:2000-12-01 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

  • [Introduction of definite molecular weight heparan sulfate in a protocol of prevention of deep venous thrombosis in prosthetic orthopedic surgery].

    abstract::Use of definite molecular weight heparan sulphate in a protocol for the prevention of deep venous thrombosis in the total joint replacement surgery. The authors propose a working protocol for the prevention of deep venous thrombosis in prosthetic orthopaedic surgery. It requires that integration of pharmacological, an...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Mandò M,Margiacchi GP,Alioto R,Ferri L,Bernardoni F,Alberti G,Teti A,Simone LD,Bardelli M

    更新日期:1996-09-01 00:00:00

  • An update on contrast echocardiography.

    abstract::Ultrasound contrast agents, used with contrast-specific imaging techniques, have an established role for diagnostic cardiovascular imaging in the echocardiography laboratory. The advent of tissue harmonic imaging, albeit a significant advancement in ultrasound technology, still fail to produce diagnostically useful im...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Chelliah R,Senior R

    更新日期:2009-08-01 00:00:00

  • [Cardiac malformations with septal defects. Apropos of a case of biloculate heart with transposition and aortic atresia].

    abstract::The Authors describe a case of uniatrial univentricular heart with a right transposition and atresia of the aorta. This case forms part of an autoptic series of 74 congenital cardiopathies with defects of the septal system: monometameric (52 cases), polymetameric (22 cases), and limited (66 cases) or broad DIA, DIV or...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Aliperta A,Turco D,Caterino R,Aliperta M

    更新日期:1991-01-01 00:00:00

  • [Physiopathology of venous stasis at the microcirculation level].

    abstract::The division of the venous circulation in to two sectors, one constituted by the superficial and deep venous trunks (macrocirculation) and the other by the capillaries and precapillary venules (microcirculation), is surely schematical but aids the comprehension of many hemodynamic effects connected to hampered venous ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Miani S,Boneschi M,La Penna A,Giordanengo F

    更新日期:1992-11-01 00:00:00

  • [The peak of creatine phosphokinase level in the acute phase of myocardial infarction in patients with and without ischemic precedents].

    abstract::Two hundred and one patients admitted to Coronary Care Unit with documented acute myocardial infarction, whose chest pain had occurred within 12 hours of hospital admission non thrombolised, were studied. The peak of creatine kinase (CK) was examined and compared between patients without previous manifestations of myo...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Trappolini M,Matteoli S,Curione M,Chillotti FM,Coppola A,Puletti M

    更新日期:1995-03-01 00:00:00

  • What drug must be used to avoid the most common hypertensive complications?

    abstract::After recalling that cardiovascular complications represent the most frequent cause of mortality and morbidity in hypertensive patients, the author describes the main mechanism responsible for increased plasma level concentrations of Angiotensin in this syndrome. He subsequently illustrates the effects of ACE-inhibito...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Cacciapuoti F

    更新日期:2001-10-01 00:00:00

  • [Intestinal infarction after ruptured aneurysm of the abdominal aorta. Clinical contribution].

    abstract::Acute mesenteric ischemia is a severe complication after aortic reconstructive surgery for AAA repair. This ischemic event, due to a poor intestinal perfusion especially in ruptured AAA in consequence of the hypotension and the hypovolemic shock, shows different clinical manifestations such as delayed canalization, is...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Giordanengo F,Boneschi M,Vandone PG,Erba M

    更新日期:1995-10-01 00:00:00

  • [Hypertensive emergency during large vessel surgery].

    abstract::The effectiveness of a new alpha-blocking agent with additional mechanism of action was evaluated during intraoperative hypertensive crises. Urapidil was administered both in bolus form and as a continuous infusion in order to compare the two routes of delivery. During the study systolic, diastolic, mean pressure and ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Pagani C,Selva S,Meloni G,Loguercio G,Cristofori GB

    更新日期:1990-07-01 00:00:00

  • Biomarkers in acute coronary syndrome and percutaneous coronary intervention.

    abstract::The universal definition of myocardial infarction has proved how important the role of biomarkers in the assessment of acute coronary syndrome (ACS) has become. As a result, management of patients with ACS today is more specific and personalized than ever, but there is still a lot of room for improvement. Unmet needs ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Searle J,Danne O,Müller C,Mockel M

    更新日期:2011-06-01 00:00:00

  • [Cardiovascular disease in early collagen diseases].

    abstract:AIM:The purpose of this paper was to verify whether there is any sign of involvement of the cardiovascular system in the early stages of collagen diseases. METHODS:Seventeen patients (10 female and 7 male, average age 41.35 +/- 9.85 years) (group A) recruited at the Ambulatory of Internal Medicine for suspected collag...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Manes MT,Guzzo D,Rizzo M,Balsano M,Serafini O,Russo F,Venneri N

    更新日期:2006-02-01 00:00:00

  • Significance of elevated cardiac troponin after percutaneous coronary interventions.

    abstract::Assays for cardiac troponin have become a standard for the diagnosis of myocardial damage. Due to their high sensitivity, minor myocardial injury can be frequently detected following percutaneous coronary interventions (PCI). Minor elevations in cardiac enzymes after apparently successful PCI are rather common and eve...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Lavi S,Gruberg L

    更新日期:2003-10-01 00:00:00

  • 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

  • Statins in primary prevention: impact on mortality. A meta-analysis study.

    abstract:INTRODUCTION:An evaluation of the effects of statins on total mortality in the context of primary prevention was carried out, by means of the analysis of data taken from major clinical trials published in the literature. EVIDENCE ACQUISITION:Published systematic reviews were used to identify relevant clinical trials, ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,meta分析,评审

    doi:10.23736/S0026-4725.17.04323-7

    authors: Nunes JP

    更新日期:2017-10-01 00:00:00

  • Left ventricular hypertrophy and diastolic dysfunction in alcohol-associated hypertension.

    abstract::In order to assess left ventricular structure and diastolic function, 50 hypertensive male subjects, 25 with and 25 without a history of alcohol abuse, and 20 normotensive male controls underwent Doppler echocardiographic examination followed by ambulatory blood pressure monitoring for 24 hours. Left ventricular mass ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Melina D,Colivicchi F,Melina G,Pristipino C

    更新日期:1993-07-01 00:00:00

  • [Thrombosis of the right atrial appendage. The two-dimensional echocardiographic aspect and the autopsy finding].

    abstract::We report the case of an 80-year-old man affected by hypertensive cardiomyopathy and already admitted to our Division for recurrent episodes of heart failure. He was eventually hospitalized for septic shock secondary to disseminated pneumonia with concomitant left pleural effusion. At 2D-echo examination, a highly ech...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Oneglia C,Sabatini T,Ghizzoni G,Simoncelli U,Gardini A,Guerini A,Rusconi C

    更新日期:1992-10-01 00:00:00

  • Accelerated in-stent restenosis after bare-metal stenting of a myocardial bridge and successful treatment with drug-eluting stenting.

    abstract::Stenting of symptomatic myocardial bridges is a therapeutic option with documented good short-term outcome. However, limited data on the long term outcome of myocardial bridge stenting has shown a higher restenosis rate comparing to stenting of de novo atherosclerotic lesions. Drug-eluting stenting of de novo atherosc...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Ziakas A,Gavrilidis S,Parisiadou A,Parxaridis G

    更新日期:2007-12-01 00:00:00

  • [Pseudonecrosis waves: simulation of myocardial necrosis by retrograde P wave].

    abstract::The Authors describe a case of a patient showing, during an episode of chest pain, an ecg-pattern of wide and tall "Q" wave simulating inferior myocardial infarction. In fact, a further ecg recorded during sinus rhythm denotes that the "Q" wave was a retrograde P wave generated by a nodal rhythm. The other known cause...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Cento D,Migliorato A,Cavalli G,Arrigo F

    更新日期:1991-11-01 00:00:00

  • B-type natriuretic peptide. Guided vs. conventional care in outpatients with chronic heart failure: a retrospective study.

    abstract:AIM:It is not known whether therapy assisted by determinations of serum B-type natriuretic peptide (BNP) may improve the outcome for outpatients with chronic heart failure (CHF). METHODS:A retrospective case-control study was carried out, enrolling patients with acutely decompensated heart failure (ADHF) who were foll...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: De Vecchis R,Esposito C,Di Biase G,Ariano C

    更新日期:2013-08-01 00:00:00

  • [Bacterial endocarditis in pregnancy. Description of 2 cases and review of the literature].

    abstract::Bacterial endocarditis in pregnancy is uncommon. We described two cases: the first case of endocarditis, caused by staphylococcus epidermidis (at the 35th week of pregnancy) was complicated by severe aortic valvular insufficiency; the second case, endocarditis caused by streptococcus alpha hemolytic (at the 32nd week ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Zamprogno R,Neri G,Alitto F,Moro E,Sandri R

    更新日期:1990-03-01 00:00:00

  • [Ambulatory blood pressure monitoring. Clinical use. Is this the right time?].

    abstract::Despite some technical limits ambulatory blood pressure monitoring must be considered as a careful instrument for blood pressure measurement. After demonstration of its sensibility and specificity in experimental trials, the use of blood pressure monitoring has been extended to clinical evaluation. The recent Consensu...

    journal_title:Minerva cardioangiologica

    pub_type: 社论

    doi:

    authors: Bignotti M,Lamponi M

    更新日期:1996-10-01 00:00:00

  • How to use the C-reactive protein in cardiac disease?

    abstract::Inflammation is an important contributor to atherothrombosis. The C-reactive protein (CRP) is not only an excellent biomarker of inflammation, but it is also a direct participant in atherogenesis. CRP consistently predicts new coronary events, including myocardial infarction and death, in patients with ischemic heart ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Ursella S,Mazzone M,Portale G,Testa A,Pignataro G,Covino M,Fenici P,Gasbarrini GB,Gentiloni Silveri N

    更新日期:2005-02-01 00:00:00

  • Left ventricular global longitudinal strain assessment in patients with Takotsubo Cardiomyopathy: a call for an echocardiography-based classification.

    abstract:BACKGROUND:Takotsubo Cardiomyopathy (TTC) is classified into 4 types dependent on anatomical area affected identified on gross visual assessment. We have sought to understand if it is feasible and advantageous to use left ventricular global longitudinal strain (LVGLS), LV segmental longitudinal strain and right ventric...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.20.05386-4

    authors: Reddin G,Forrestal BJ,Garcia-Garcia HM,Medvedofsky D,Singh M,Asch FM,Ribeiro HB,Campos CM

    更新日期:2021-01-11 00:00:00

  • Stem cells in cardiac repair in an inflammatory microenvironment.

    abstract::Despite advances in clinical interventions, drug therapy and preventative strategies for cardiovascular disease, heart disease remains the number one cause of death in the United States. A major cause of heart failure leading to death is myocardial ischemic disease. Terminal heart failure can be salvaged in some cases...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Rameshwar P,Qiu H,Vatner SF

    更新日期:2010-02-01 00:00:00

  • Early evaluation of coronary microcirculation by echocardiography with contrast medium in patients with acute myocardial infarction treated with primary percutaneous transluminal coronary angioplasty.

    abstract:AIM:In about 30% of patients with ST elevated myocardial infarction (STEMI), in which a TIMI 3 flow is obtained in the infarct related artery (IRA) after primary percutaneous transluminal coronary angioplasty (PTCA), it's not possible to obtain a good perfusion of coronary microcirculation (no reflow). Aim of the study...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Guiducci V,Fioroni S,Giacometti P,Manari A,Gaddi O

    更新日期:2005-06-01 00:00:00