ROLE OF INTRAVENOUS AMIODARONE IN ACUTE ONSET ATRIAL FIBRILLATION

Authors

  • Rehman Saeed
  • Muhammad Faheem
  • Zahid Aslam Awan
  • Kashif Altaf
  • Sher Bahadar Khan

DOI:

https://doi.org/10.47144/phj.v51i4.1607

Abstract

Objective: The aim of the study was to evaluate the role of intravenousamiodarone in acute onset atrial fibrillation in patients with structurally normalhearts.

Methodology: This cross sectional was conducted in Cardiology Department,Hayatabad Medical Complex Peshawar from 1st April 2005 to 31st March 2006.All adult patients with acute onset atrial fibrillation and with no rheumatic orcongenital valvular heart disease were included in the study. Role of intravenousamiodarone was defined as whether it caused sinus rhythm conversion orventricular rate control. Transthoracic echocardiography was performed toexclude any structural heart disease. Haemodynamically stable patients withatrial fibrillation of less than 48 hours were treated with intravenous amiodarone.Decision regarding sinus rhythm conversion or otherwise was done at 24 hours.Patients with no response were to switch over to other option like electricalcardioversion.

Results: A total of 75 patients with acute onset atrial fibrillation were studied.There were 62 male with male to female ratio 4.7: 1. Majority of the patients i.e 42(57.34%) were of age 55 years or above. Common clinical presentation waspalpitation (100%), while 62(82.66%) patients had chest pain and 62(82.66%)had dyspnoea. Commonly observed risk factors were hypertension in 63patients (84%), coronary artery disease in 48 patients (65.33%) and diabetesmellitus in 12 patients (16%). Sinus rhythm conversion was observed in 58patients (77.33%) while 17 patients (22.66%) were noted to have achieved onlyrate control.

Conclusion: Amiodarone is effective in sinus rhythm conversion in acute onsetatrial fibrillation in haemodynamically stable patients with no structural cardiacabnormality.

Key Words: Atrial fibrillation, Amiodarone, Rhytm

Downloads

Download data is not yet available.

Downloads

How to Cite

1.
Saeed R, Faheem M, Awan ZA, Altaf K, Khan SB. ROLE OF INTRAVENOUS AMIODARONE IN ACUTE ONSET ATRIAL FIBRILLATION. Pak Heart J [Internet]. 2019Feb.27 [cited 2024Nov.24];51(4). Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/1607

Issue

Vol. 51 No. 4 (2018): Pakistan Heart Journal

Section

Original Article

License

When an article is accepted for publication in the print format, the author will be required to transfer exclusive copyright to the PHJ and retain the rights to use and share their published article with others. However, re-submission of the full article or any part for publication by a third party would require prior permission of the PHJ.

Online publication will allow the author to retain the copyright and share the article under the agreement described in the licensing rights with creative commons, with appropriate attribution to PHJ. Creative Commons attribution license CC BY 4.0 is applied to articles published in PHJ https://creativecommons.org/licenses/by/4.0/