Atrial Fibrillation
Conditions
Keywords
Atrial fibrillation, amiodarone
Brief summary
Patients undergoing lung resection due to pulmonary cancer can be compromised in their postoperative period due to atrial fibrillation. A retrospective analysis performed at our institution indicates that 30 % of the population develope atrial fibrillation in the postoperative period. Amiodarone is known to diminish the occurence of postoperative atrial fibrillation after heart surgery, why this drug is chosen as a prophylactic agent for the mentioned population. Amiodarone is administrated twice a day for 5 days at a dose of 600 mg oral treatment after an initial loading bolus og 300 mg intravenously.
Interventions
intravenous bolus of 300 mg oral treatment og 600 mg twice a day for five days
Sponsors
Study design
Eligibility
Inclusion criteria
* Resection of the lung due to confirmed diagnosis of cancer pulmones. * Elective operation (scheduled operation for at least one day) * Ready to be randomized * Patient must be at least 18 at time of operation
Exclusion criteria
* Former operation of the lung * Former heart surgery * Bradycardia below 40 beats/ min * Hypotension with systolic blood pressure below 80 mmHg * AV-blockage of any degree or sick sinus node * QTc interval above 440 ms for men or above 460 ms for women * Paroxysmal, persistent or permanent atrial fibrillation or flutter * Former atrial fibrillation or flutter for more than a month. * Pregnant or positive pregnancy test * Breastfeeding * ALAT of more than twice the normal over limit * Treatment with monoamineoxidase inhibitors (MAOI) * Allergy to one or more components in amiodarone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Free of atrial fibrillation | 31082009 |
Secondary
| Measure | Time frame |
|---|---|
| Cost-benefit analysis of amiodarone prophylactic | 31082009 |
Countries
Denmark