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Comparison of intravenous ibutilide vs. propafenone for rapid termination of recent onset atrial fibrillation.

Abstract：

:This study was to evaluate the efficacy and safety of ibutilide and propafenone given intravenously in converting recent onset atrial fibrillation (AF). Eighty-two consecutive patients with AF (onset in 2 h to 90 days) were randomly assigned to receive two 10-min infusions, 10 min apart, of either ibutilide (1 mg) or propafenone (70 mg). The treatment was considered successful if sinus rhythm occurred within 90 min after the beginning of infusion. Ibutilide had a significantly higher rate of cardioversion than propafenone (70.73 vs. 48.78%, p = 0.043). The patients with shorter AF duration or smaller left atrium diameter had a higher success rate. Nonsustained monomorphic ventricular tachycardia was the most serious adverse effect of ibutilide in 9.76% of patients, and hypotension and heart pause were the major serious adverse events in 17.07% of patients treated with propafenone. Ibutilide is more effective than intravenous propafenone for the cardioversion of recent onset AF, and the adverse effects are rare and transient.

journal_name

Int J Clin Pract

journal_title

International journal of clinical practice

authors

Zhang N,Guo JH,Zhang HCh,Li XB,Zhang P,Xn Y

doi

10.1111/j.1368-5031.2005.00705.x

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

1395-400

issue

12

eissn

1368-5031

issn

1742-1241

pii

IJCP705

journal_volume

59

pub_type

杂志文章,随机对照试验

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