Overview and meta-analysis of randomised trials of amiodarone in chronic heart failure

被引:31
作者
Piepoli, M [1 ]
Villani, GQ
Ponikowski, P
Wright, A
Flather, MD
Coats, AJS
机构
[1] Royal Brompton Hosp, Dept Cardiac Med, London SW3 6LY, England
[2] Royal Brompton Hosp, Clin Trials & Evaluat Unit, London SW3 6LY, England
[3] Gen Hosp, Dept Cardiol, Piacenza, Italy
关键词
amiodarone; antiarrhythmic drugs; chronic heart failure; meta-analysis;
D O I
10.1016/S0167-5273(98)00184-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Unlike other antiarrhythmic class I drugs, amiodarone showed in preliminary studies, benefits also in patients with left ventricular dysfunction. These positive results have induced the development of large randomised controlled studies: their results are reviewed and the controversial points are discussed. In a mete-analysis of randomised controlled trials the use of amiodarone in heart failure was associated with an approximate 20 to 25% reduction in deaths. However, amiodarone was also associated with a 120 to 124% increase in side effects. (C) 1998 Elsevier Science Ireland Ltd.
引用
收藏
页码:1 / 10
页数:10
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