A Comparison of Verapamil and Digoxin for Heart Rate Control in Atrial Fibrillation

Purpose: Atrial fibrillation (AF) is one of the most common types of sustained dysrhythmia and there are some disagreements about its treatment. The goals of AF treatment include the control of ventricular rate, the establishment of sinus rhythm and the prevention of thromboembolic events. In this s...

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Main Authors: Mohammad Afzali Moghadam, Maryam Fadaie Dashti, Kavous Shahsavarinia, Ata Mahmoodpoor, Kazem Jamali
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2012-08-01
Series:Advanced Pharmaceutical Bulletin
Subjects:
Online Access:http://journals.tbzmed.ac.ir/PDF/APB/Manuscript/APB-2-201.pdf
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author Mohammad Afzali Moghadam
Maryam Fadaie Dashti
Kavous Shahsavarinia
Ata Mahmoodpoor
Kazem Jamali
author_facet Mohammad Afzali Moghadam
Maryam Fadaie Dashti
Kavous Shahsavarinia
Ata Mahmoodpoor
Kazem Jamali
author_sort Mohammad Afzali Moghadam
collection DOAJ
description Purpose: Atrial fibrillation (AF) is one of the most common types of sustained dysrhythmia and there are some disagreements about its treatment. The goals of AF treatment include the control of ventricular rate, the establishment of sinus rhythm and the prevention of thromboembolic events. In this study, the effect of verapamil was compared to digoxin on heart rate control in patients with AF. Methods:This descriptive study was conducted in an emergency department (ED) in Iran. Sixty patients with a new onset AF and rapid ventricular response receiving digoxin or verapamil were included and observed. Results:Two thirty-patient groups receiving verapamil or digoxin were evaluated. The heart rate was significantly decreased in both groups (p = 0.002); however, the cardioversion was not noticed in both of them. The best rate control in verapamil and digoxin groups was observed after 5.9 mg (46.7%) and 0.6 mg (36.7%), respectively. Conclusion: Administration of verapamil in comparison with digoxin has no difference to control the heart rate in AF patients. It should be taken into consideration that prospective randomized studies should be conducted to identify the efficacy and select the best of these two drugs to treat AF patients.
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spelling doaj.art-51a0f5bf55254d5b9e6d2fa2871c278b2022-12-22T03:21:57ZengTabriz University of Medical SciencesAdvanced Pharmaceutical Bulletin2228-58812251-73082012-08-0122201205A Comparison of Verapamil and Digoxin for Heart Rate Control in Atrial FibrillationMohammad Afzali MoghadamMaryam Fadaie DashtiKavous ShahsavariniaAta MahmoodpoorKazem JamaliPurpose: Atrial fibrillation (AF) is one of the most common types of sustained dysrhythmia and there are some disagreements about its treatment. The goals of AF treatment include the control of ventricular rate, the establishment of sinus rhythm and the prevention of thromboembolic events. In this study, the effect of verapamil was compared to digoxin on heart rate control in patients with AF. Methods:This descriptive study was conducted in an emergency department (ED) in Iran. Sixty patients with a new onset AF and rapid ventricular response receiving digoxin or verapamil were included and observed. Results:Two thirty-patient groups receiving verapamil or digoxin were evaluated. The heart rate was significantly decreased in both groups (p = 0.002); however, the cardioversion was not noticed in both of them. The best rate control in verapamil and digoxin groups was observed after 5.9 mg (46.7%) and 0.6 mg (36.7%), respectively. Conclusion: Administration of verapamil in comparison with digoxin has no difference to control the heart rate in AF patients. It should be taken into consideration that prospective randomized studies should be conducted to identify the efficacy and select the best of these two drugs to treat AF patients.http://journals.tbzmed.ac.ir/PDF/APB/Manuscript/APB-2-201.pdfDigoxinVerapamilTreatmentAtrial fibrillation
spellingShingle Mohammad Afzali Moghadam
Maryam Fadaie Dashti
Kavous Shahsavarinia
Ata Mahmoodpoor
Kazem Jamali
A Comparison of Verapamil and Digoxin for Heart Rate Control in Atrial Fibrillation
Advanced Pharmaceutical Bulletin
Digoxin
Verapamil
Treatment
Atrial fibrillation
title A Comparison of Verapamil and Digoxin for Heart Rate Control in Atrial Fibrillation
title_full A Comparison of Verapamil and Digoxin for Heart Rate Control in Atrial Fibrillation
title_fullStr A Comparison of Verapamil and Digoxin for Heart Rate Control in Atrial Fibrillation
title_full_unstemmed A Comparison of Verapamil and Digoxin for Heart Rate Control in Atrial Fibrillation
title_short A Comparison of Verapamil and Digoxin for Heart Rate Control in Atrial Fibrillation
title_sort comparison of verapamil and digoxin for heart rate control in atrial fibrillation
topic Digoxin
Verapamil
Treatment
Atrial fibrillation
url http://journals.tbzmed.ac.ir/PDF/APB/Manuscript/APB-2-201.pdf
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