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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1997-5-27
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pubmed:abstractText |
Ninety-eight patients, who developed atrial fibrillation/flutter after coronary artery bypass grafting within 1-6 days after surgery, were included into a double-blind, placebo-controlled, randomized trial to assess the efficacy and safety of dofetilide. Patients were randomly allocated to dofetilide 4 micrograms/kg i.v. (n = 33), dofetilide 8 micrograms/kg i.v. (n = 32) or placebo (n = 33) given intravenously over 15 min at a constant infusion rate. Responders were defined as patients who converted to sinus rhythm at any time during the initial 3 h after the start of the infusion. The conversion rates were 24% (8/33) on placebo, 36% (12/33) on dofetilide 4 micrograms/kg, and 44% (14/32) on dofetilide 8 micrograms/kg. The P-values (two-tailed) were 0.27 for dofetilide 4 micrograms/kg vs. placebo, 0.11 for dofetilide 8 micrograms/kg vs. placebo, and 0.10 for dose-response relationship. Short episodes of aberrant ventricular conduction and ventricular tachycardia were seen separately in three subjects after dofetilide 8 micrograms/kg. No episodes of torsades de pointes were noted. No negative inotropic effect was noted. In conclusion, dofetilide was well tolerated, but the effects on atrial fibrillation/flutter did not attain statistical significance, possibly due to the high placebo conversion rate.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0167-5273
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
31
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pubmed:volume |
58
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
135-40
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9049678-Aged,
pubmed-meshheading:9049678-Anti-Arrhythmia Agents,
pubmed-meshheading:9049678-Atrial Fibrillation,
pubmed-meshheading:9049678-Atrial Flutter,
pubmed-meshheading:9049678-Confidence Intervals,
pubmed-meshheading:9049678-Coronary Artery Bypass,
pubmed-meshheading:9049678-Double-Blind Method,
pubmed-meshheading:9049678-Female,
pubmed-meshheading:9049678-Humans,
pubmed-meshheading:9049678-Male,
pubmed-meshheading:9049678-Middle Aged,
pubmed-meshheading:9049678-Phenethylamines,
pubmed-meshheading:9049678-Placebo Effect,
pubmed-meshheading:9049678-Postoperative Complications,
pubmed-meshheading:9049678-Sample Size,
pubmed-meshheading:9049678-Sulfonamides,
pubmed-meshheading:9049678-Treatment Outcome
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pubmed:year |
1997
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pubmed:articleTitle |
Efficacy and safety of dofetilide, a new class III antiarrhythmic agent, in acute termination of atrial fibrillation or flutter after coronary artery bypass surgery. Dofetilide Post-CABG Study Group.
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pubmed:affiliation |
Department of Cardiology, Skejby Sygehus, University Hospital, Aarhus, Denmark.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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