Therapy

Alternatives include

• sotalol ^a
• procainamide (a bolus of 10 mg per kg at a rate of 100 mg per minute) ^a

Why?

• Sotalol ^a or procainamide ^a is more effective than lidocaine at terminating VT

Sotalol or procainamide stop ventricular tachycardia better than lidocaine

Patient	Treatment	Comparison	Outcome	CER	RRR (95% CI)	NNT (95% CI)
VT a	sotalol	lidocaine	termination of arrhythmia at 15 minutes	18%	-51% (-80% to -22%)	2 (1 to 5)
monomorphic VT a	procainamide	lidocaine	termination of arrhythmia at 15 minutes	21%	-57% (-88% to -29%)	2 (1 to 3)