Amiodarone for the treatment and prevention of ventricular fibrillation and ventricular tachycardia

Hugo Van Herendael, Paul DorianDivision of Cardiology, St. Michael’s Hospital, University of Toronto, Toronto, CanadaAbstract: Amiodarone has emerged as the leading antiarrhythmic therapy for termination and prevention of ventricular arrhythmia in different clinical settings because of...

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Main Authors: Hugo Van Herendael, Paul Dorian
Format: Article
Language:English
Published: Dove Medical Press 2010-06-01
Series:Vascular Health and Risk Management
Online Access:http://www.dovepress.com/amiodarone-for-the-treatment-and-prevention-of-ventricular-fibrillatio-a4640
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author Hugo Van Herendael
Paul Dorian
author_facet Hugo Van Herendael
Paul Dorian
author_sort Hugo Van Herendael
collection DOAJ
description Hugo Van Herendael, Paul DorianDivision of Cardiology, St. Michael’s Hospital, University of Toronto, Toronto, CanadaAbstract: Amiodarone has emerged as the leading antiarrhythmic therapy for termination and prevention of ventricular arrhythmia in different clinical settings because of its proven efficacy and safety. In patients with shock refractory out-of-hospital cardiac arrest and hemodynamically destabilizing ventricular arrhythmia, amiodarone is the most effective drug available to assist in resuscitation. Although the superiority of the transvenous implantable cardioverter defibrillator (ICD) over amiodarone has been well established in the preventive treatment of patients at high risk of life-threatening ventricular arrhythmias, amiodarone (if used with a beta-blocker) is the most effective antiarrhythmic drug to prevent ICD shocks and treat electrical storm. Both the pharmacokinetics and the electrophysiologic profile of amiodarone are complex, and its optimal and safe use requires careful patient surveillance with respect to potential adverse effects.Keywords: amiodarone, ventricular fibrillation, unstable ventricular tachycardia
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spelling doaj.art-06bdac4a80b64a5ba264023c053e3c552022-12-22T03:27:08ZengDove Medical PressVascular Health and Risk Management1176-63441178-20482010-06-012010default465472Amiodarone for the treatment and prevention of ventricular fibrillation and ventricular tachycardiaHugo Van HerendaelPaul DorianHugo Van Herendael, Paul DorianDivision of Cardiology, St. Michael’s Hospital, University of Toronto, Toronto, CanadaAbstract: Amiodarone has emerged as the leading antiarrhythmic therapy for termination and prevention of ventricular arrhythmia in different clinical settings because of its proven efficacy and safety. In patients with shock refractory out-of-hospital cardiac arrest and hemodynamically destabilizing ventricular arrhythmia, amiodarone is the most effective drug available to assist in resuscitation. Although the superiority of the transvenous implantable cardioverter defibrillator (ICD) over amiodarone has been well established in the preventive treatment of patients at high risk of life-threatening ventricular arrhythmias, amiodarone (if used with a beta-blocker) is the most effective antiarrhythmic drug to prevent ICD shocks and treat electrical storm. Both the pharmacokinetics and the electrophysiologic profile of amiodarone are complex, and its optimal and safe use requires careful patient surveillance with respect to potential adverse effects.Keywords: amiodarone, ventricular fibrillation, unstable ventricular tachycardiahttp://www.dovepress.com/amiodarone-for-the-treatment-and-prevention-of-ventricular-fibrillatio-a4640
spellingShingle Hugo Van Herendael
Paul Dorian
Amiodarone for the treatment and prevention of ventricular fibrillation and ventricular tachycardia
Vascular Health and Risk Management
title Amiodarone for the treatment and prevention of ventricular fibrillation and ventricular tachycardia
title_full Amiodarone for the treatment and prevention of ventricular fibrillation and ventricular tachycardia
title_fullStr Amiodarone for the treatment and prevention of ventricular fibrillation and ventricular tachycardia
title_full_unstemmed Amiodarone for the treatment and prevention of ventricular fibrillation and ventricular tachycardia
title_short Amiodarone for the treatment and prevention of ventricular fibrillation and ventricular tachycardia
title_sort amiodarone for the treatment and prevention of ventricular fibrillation and ventricular tachycardia
url http://www.dovepress.com/amiodarone-for-the-treatment-and-prevention-of-ventricular-fibrillatio-a4640
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