Atrial Fibrillation
Conditions
Brief summary
The goal of this clinical trial is to compare in atrial fibrillation patient with rapid ventricular response. The main question it aims to answer are Effectiveness of Repeated Amiodarone dosing regimen versus standard dosing regimen in Atrial fibrillation patient with rapid ventricular response Participants will receive Amiodarone iv treatment with different regimen * Repeated dosing regimen * Standard dosing regimen
Interventions
Assess the effectiveness of repeated bolus dosing strategies of amiodarone.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age above 18 years old * Atrial fibrillation with rapid ventricular response patient (ventricular rate \> 110)
Exclusion criteria
* Baseline EKG Corrected QT interval (QTc) \< 500 msec * History of pulmonary fibrosis * History of Cirrhosis * Cardiac Index \<2.2 L/min/m2 or Cardiogenic shock * Unstable arrhythmia * Receive amiodarone within 3 months prior to present illness * Pregnancy * Amiodarone or Iodine allergy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate | 6-hours after receiving amiodarone bolus | Percentage of patients who have Atrial fibrillation with rapid ventricular response, the percentage of patients who have heart rate below 110 bpms at 6 hours after receiving a repeated amiodarone bolus and loading dose regimen to the percentage of patients who have heart rate below 110 bpms at 6 hour after a conventional amiodarone IV loading dose regimen |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Normal sinus rhythm at 24 hours | 24-hours after receiving amiodarone bolus | Percentage of patients who develop Atrial fibrillation with rapid ventricular response, the percentage of patients who have converted to sinus rhythm at 24-hours after receiving a repeated amiodarone bolus and loading dose regimen to the percentage of patients who have converted to sinus rhythm after a conventional amiodarone IV loading dose regimen |
| Heart rate | 24-hours after receiving amiodarone bolus | Percentage of patients who have Atrial fibrillation with rapid ventricular response, the percentage of patients who have heart rate below 110 bpms at 24 hours after receiving a repeated amiodarone bolus and loading dose regimen to the percentage of patients who have heart rate below 110 bpms at 6 hour after a conventional amiodarone IV loading dose regimen |
| Major adverse cardiovascular events | 30 days after receiving amiodarone bolus | Number of MACE \[MACE defined as acute myocardial infarction (AMI), stroke, or cardiovascular death\] |
| Phlebitis | 24-hours after receiving amiodarone bolus | Rate of phlebitis complication during amiodarone infusion |
| Changed in heart rate | 24-hours after receiving amiodarone bolus | Compare number of total heart rate induction in patients who received a repeated amiodarone bolus and loading dose regimen and a conventional amiodarone IV loading dose regimen at 24 hrs |
Countries
Thailand