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Atrial fibrillation

Prevalence
Causes
Clinical features
Investigations
Therapy
Prevention
Prognosis
Therapy

Chronic atrial fibrillation

Alternatives to amiodarone include disopyramide  a

Why?

  • Disopyramide maintains sinus rhythm better than placebo following DC cardioversion, but adverse effects are common  a

Disopyramide is better than placebo at maintaining sinus rhythm following cardioversion

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
chronic AF a disopyramide placebo sinus rhythm
at 1 year
30% 79%
(7% to 200%)
4 (2 to 23)
      adverse effects
at 1 year
17% -270%
(-610% to -88%)
-2 (-4 to -2)

Expiry date: February 2003
Levels of Evidence used in grading these guides

Authors   CM   Ball , N   Shenker
Reviewer   R G   Hart
CAT Writers   CM   Ball , N   Shenker , CJ   Wotton