mjl1717
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Which one could initially be used in Atrial fibrillation. (I forgot)
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| mjl1717
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Guys Speed helps!! //// Ill answer my own q --Amiodarone!
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| rhdb
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i think adenosine is better choice becose amiadarone has no acute effets.
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| mjl1717
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Lets go guys!!.... This forum lacks energy.
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| fabrilosu
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In my knowledge the first choice for pharmacologic cardioversion should be Flecainide 300 mg p.o.+ beta blocker, second choice Propafenone 600mg p.o. and third choice Ibutilide 0.025 mg/kg iv with the patient monitored for 4 hrs because of the risk of trosades.
I checked out: Amiodarone has been shown to conver to synus rhythm only in 68 percent of cases vs. 60 percent with placebo at 24 h
I don't know about Adenosine
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| mjl1717
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adenosine can cause A. fib
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| Clozapine
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What I know is DOC for AF is B blocker b/c they decrease HR and promote conversion to sinus rythm and also long term anticoagulant therapy to reduce the risk of stroke.
Amiodarone - Yeah u can use it for all kind of atrial and ventricular arrythmia but it has got toxicities and drug interaction problems
Adenosine - i think it`s better for supraventricular / nodal arrythmias since it decreases nodal activity and increase AVN refractory period ....
b/w these two I`d go with amiodarone ... but its not the DOC .... for AF its better to give BB+ anticoagulant
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