Abstract
Intravenous Procainamide and Oral Flecainide are often used for cardioversion of Paroxysmal Atrial Fibrillation (AF). Hypertensive patients may have problems ofproarrythmias with these agents and Intravenous Amiodarone may be an effective safer alternative. The utility of Intravenous Amiodarone in such group of patients in the Himalayan kingdom of Nepal has never been assessed.
Highlights
Intravenous Procainamide and Oral Flecainide are often used for cardioversion of Paroxysmal Atrial Fibrillation (AF)
76 patients with hypertension and non-valvular Atrial Fibrillation lasting for more than 24 hours were admitted for pharmacological cardioversion
Patients with valvular heart disease, cor-pulmonale, acute coronary event, left ventricular ejection fraction of less than 40%, and AF with slow ventricular rate were excluded
Summary
Intravenous Procainamide and Oral Flecainide are often used for cardioversion of Paroxysmal Atrial Fibrillation (AF). Hypertensive patients may have problems of proarrythmias with these agents and Intravenous Amiodarone may be an effective safer alternative. The utility of Intravenous Amiodarone in such group of patients in the Himalayan kingdom of Nepal has never been assessed
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