کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2032214 1542800 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Antazoline for termination of atrial fibrillation during the procedure of pulmonary veins isolation
ترجمه فارسی عنوان
آناستازول برای خاتمه فیبریلاسیون دهلیزی در طی روش جداسازی ورید ریوی
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی بیوشیمی، ژنتیک و زیست شناسی مولکولی (عمومی)
چکیده انگلیسی

PurposePulmonary vein isolation is a well established method of definite treatment of atrial fibrillation (AF). Periprocedural onset of AF usually terminates spontaneously within minutes, but not in all cases. Antazoline is an antihistaminic agent with antiarrhythmic properties. The aim of our retrospective study was to evaluate the efficacy of antazoline in termination of AF in patients undergoing pulmonary vein isolation.Materials and methodsConsecutive 141 patients who received antazoline to terminate AF during pulmonary vein isolation were analyzed. The antazoline was administered at the rate of 30–50 mg/min (max. 500 mg) after the circumferential ablation in the ostia of pulmonary veins and before confirmation of isolation. Success was defined as restoration of sinus rhythm within 20 min after antazoline infusion.ResultsThe efficacy of antazoline was 83.6% in paroxysmal and 31.1% in persistent AF patients. Clinical variables that were independently predictive of antazoline ineffectiveness were female (odds ratio [OR]: 4.35; 95% confidence interval [CI]: 1.26–14.3; p = 0.018) and AF at the beginning of procedure (OR 28.4; 95% CI 3.89–208.0; p = 0.001). Due to antazoline related side effects infusion was discontinued in 7 patients (5%).ConclusionsAntazoline seems to be safe agent in termination of AF in patients undergoing pulmonary vein isolation. We also observed satisfying efficacy, which needs to be proved in a randomized clinical trial.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Advances in Medical Sciences - Volume 60, Issue 2, September 2015, Pages 231–235
نویسندگان
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