Ibutilide for the cardioversion of paroxysmal atrial fibrillation during radiofrequency ablation of supraventricular tachycardias

Direct current electrical cardioversion (DC-ECV) is the preferred treatment for the termination of paroxysmal atrial fibrillation (AF) that occurs during radiofrequency ablation (RFA) of supraventricular tachycardias (SVT). Intravenous Ibutilide may be an alternative option in this setting. Thirty-f...

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Main Authors: Vassilikos, V, Polymeropoulos, K, Mantziari, L, Paraskevaidis, S, Karamitsos, T, Mochlas, S, Parcharidis, G, Louridas, G, Styliadis, I
Format: Journal article
Language:English
Published: 2011
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author Vassilikos, V
Polymeropoulos, K
Mantziari, L
Paraskevaidis, S
Karamitsos, T
Mochlas, S
Parcharidis, G
Louridas, G
Styliadis, I
author_facet Vassilikos, V
Polymeropoulos, K
Mantziari, L
Paraskevaidis, S
Karamitsos, T
Mochlas, S
Parcharidis, G
Louridas, G
Styliadis, I
author_sort Vassilikos, V
collection OXFORD
description Direct current electrical cardioversion (DC-ECV) is the preferred treatment for the termination of paroxysmal atrial fibrillation (AF) that occurs during radiofrequency ablation (RFA) of supraventricular tachycardias (SVT). Intravenous Ibutilide may be an alternative option in this setting. Thirty-four out of 386 patients who underwent SVT-RFA presented paroxysmal AF during the procedure and were randomized into receiving ibutilide or DC-ECV. Ibutilide infusion successfully cardioverted 16 out of 17 patients (94) within 17.37 ± 7.87 min. DC-ECV was successful in all patients (100) within 17.29 ± 3.04 min. Efficacy and total time to cardioversion did not differ between the study groups. No adverse events were observed. RFA was successfully performed in 16 patients (94) in the ibutilide arm and in all patients (100) in the DC-ECV arm, p = NS. In conclusion, ibutilide is a safe and effective alternative treatment for restoring sinus rhythm in cases of paroxysmal AF complicating SVT-RFA. Copyright © 2011 Kostas Polymeropoulos et al.
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spelling oxford-uuid:f747c361-f861-4b2c-bd8c-7c857666f5af2022-03-27T12:41:33ZIbutilide for the cardioversion of paroxysmal atrial fibrillation during radiofrequency ablation of supraventricular tachycardiasJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f747c361-f861-4b2c-bd8c-7c857666f5afEnglishSymplectic Elements at Oxford2011Vassilikos, VPolymeropoulos, KMantziari, LParaskevaidis, SKaramitsos, TMochlas, SParcharidis, GLouridas, GStyliadis, IDirect current electrical cardioversion (DC-ECV) is the preferred treatment for the termination of paroxysmal atrial fibrillation (AF) that occurs during radiofrequency ablation (RFA) of supraventricular tachycardias (SVT). Intravenous Ibutilide may be an alternative option in this setting. Thirty-four out of 386 patients who underwent SVT-RFA presented paroxysmal AF during the procedure and were randomized into receiving ibutilide or DC-ECV. Ibutilide infusion successfully cardioverted 16 out of 17 patients (94) within 17.37 ± 7.87 min. DC-ECV was successful in all patients (100) within 17.29 ± 3.04 min. Efficacy and total time to cardioversion did not differ between the study groups. No adverse events were observed. RFA was successfully performed in 16 patients (94) in the ibutilide arm and in all patients (100) in the DC-ECV arm, p = NS. In conclusion, ibutilide is a safe and effective alternative treatment for restoring sinus rhythm in cases of paroxysmal AF complicating SVT-RFA. Copyright © 2011 Kostas Polymeropoulos et al.
spellingShingle Vassilikos, V
Polymeropoulos, K
Mantziari, L
Paraskevaidis, S
Karamitsos, T
Mochlas, S
Parcharidis, G
Louridas, G
Styliadis, I
Ibutilide for the cardioversion of paroxysmal atrial fibrillation during radiofrequency ablation of supraventricular tachycardias
title Ibutilide for the cardioversion of paroxysmal atrial fibrillation during radiofrequency ablation of supraventricular tachycardias
title_full Ibutilide for the cardioversion of paroxysmal atrial fibrillation during radiofrequency ablation of supraventricular tachycardias
title_fullStr Ibutilide for the cardioversion of paroxysmal atrial fibrillation during radiofrequency ablation of supraventricular tachycardias
title_full_unstemmed Ibutilide for the cardioversion of paroxysmal atrial fibrillation during radiofrequency ablation of supraventricular tachycardias
title_short Ibutilide for the cardioversion of paroxysmal atrial fibrillation during radiofrequency ablation of supraventricular tachycardias
title_sort ibutilide for the cardioversion of paroxysmal atrial fibrillation during radiofrequency ablation of supraventricular tachycardias
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