التفاصيل البيبلوغرافية
| العنوان: |
Safety and efficacy of intravenous diltiazem in atrial fibrillation or atrial flutter. |
| المؤلفون: |
Ellenbogen KA; Medical College of Virginia, Richmond 23298-0053., Dias VC, Cardello FP, Strauss WE, Simonton CA, Pollak SJ, Wood MA, Stambler BS |
| المصدر: |
The American journal of cardiology [Am J Cardiol] 1995 Jan 01; Vol. 75 (1), pp. 45-9. |
| نوع المنشور: |
Clinical Trial; Controlled Clinical Trial; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0207277 Publication Model: Print Cited Medium: Print ISSN: 0002-9149 (Print) Linking ISSN: 00029149 NLM ISO Abbreviation: Am J Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: New York, NY : Excerpta Medica |
| مواضيع طبية MeSH: |
Atrial Fibrillation/*drug therapy , Atrial Flutter/*drug therapy , Diltiazem/*administration & dosage, Acute Disease ; Aged ; Atrial Fibrillation/physiopathology ; Blood Pressure/drug effects ; Chronic Disease ; Diltiazem/adverse effects ; Diltiazem/therapeutic use ; Drug Monitoring ; Female ; Heart Rate/drug effects ; Humans ; Hypotension/chemically induced ; Infusions, Intravenous ; Injections, Intravenous ; Male ; Safety |
| مستخلص: |
This study examines the efficacy of various doses of intravenous diltiazem to control the ventricular response during atrial fibrillation or atrial flutter. Control of the ventricular response of patients with atrial fibrillation and a rapid ventricular response can provide patients with relief of symptoms and improve hemodynamics. Eighty-four consecutive patients with atrial fibrillation or atrial flutter, or both, received an intravenous bolus dose of diltiazem followed by a continuous infusion of diltiazem at 5, 10, and 15 mg/hour. The mean ventricular response and blood pressure were monitored. Overall, 94% of patients (79 of 84) responded to the bolus dose with a > 20% reduction in heart rate from baseline, a conversion to sinus rhythm, or a heart rate < 100 beats/min. Seventy-eight patients received the continuous infusion. After 10 hours of infusion, 47% of patients (confidence interval [CI]: 36%, 59%) had maintained response with the 5 mg/hour infusion, 68% (CI: 57%, 79%) maintained response after the infusion was titrated to 10 mg/hour, and 76% (CI: 66%, 85%) after titration from the 5 and 10 mg/hour infusion to the 15 mg/hour dose. For the 3 diltiazem infusions studied, mean (+/- SD) heart rate was reduced from a baseline value of 144 +/- 14 beats/min to 98 +/- 19, 107 +/- 25, 107 +/- 22, 101 +/- 22, 91 +/- 17, and 88 +/- 18 beats/min at infusion times 0, 1, 2, 4, 8, and 10 hours, respectively. By the end of the infusion, 18% of patients (14 of 78) had conversion to sinus rhythm.(ABSTRACT TRUNCATED AT 250 WORDS) |
| المشرفين على المادة: |
EE92BBP03H (Diltiazem) |
| تواريخ الأحداث: |
Date Created: 19950101 Date Completed: 19950123 Latest Revision: 20190622 |
| رمز التحديث: |
20240628 |
| DOI: |
10.1016/s0002-9149(99)80525-6 |
| PMID: |
7801862 |
| قاعدة البيانات: |
MEDLINE |
Full Text Finder