Can amiodarone prevent sudden cardiac death in patients with hemodynamically tolerated sustained ventricular tachycardia and coronary artery disease?

被引：1
作者：
Arya, A [1 ]
Haghjoo, M [1 ]
Ali Sadr-Ameli, M [1 ]
机构：
[1] Rajaie Cardiovasc Med Ctr, Dept Pacemaker & Electrophysiol, Tehran 1996911151, Iran
来源：
CARDIOVASCULAR DRUGS AND THERAPY | 2005年 / 19卷 / 03期
关键词：
coronary artery disease; ventricular tachycardia; implantable defibrillators; amiodarone; sudden cardiac death; secondary prevention;
D O I：
10.1007/s10557-005-2502-8
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
One of the most important challenges in today's cardiology is prevention of sudden cardiac death in high risk patients with coronary artery disease (CAD). Sustained hemodynamically tolerated ventricular tachycardia (HTVT) comprises up to 30% of all cases of monomorphic ventricular tachycardia in patients with CAD. While there is a consensus on treatment of hemodynamically unstable sustained ventricular tachycardia in patients with CAD, some controversies regarding the proper treatment of HTVT exist. We re-examined existing clinical evidence, controversies and current guidelines on the treatment of HTVT in patients with CAD and demonstrated that compared to implantable cardioverter-defibrillator, amiodarone is not an acceptable therapeutic option in patients with ischemic heart disease who suffer from HTVT.
引用
收藏
页码：219 / 226
页数：8
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