Treatment of Arrhythmias in the Wolff-Parkinson-White Syndrome

Forester, Donald

doi:10.1378/chest.75.6.745a

Chest

1979

DOI: 10.1378/chest.75.6.745a

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Treatment of Arrhythmias in the Wolff-Parkinson-White Syndrome

Donald Forester

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1987

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Disopyramide

Brogden¹,

Todd²

1987

Drugs

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Disopyramide is a widely used class IA antiarrhythmic drug with a pharmacological profile of action similar to that of quinidine and procainamide. Over the past 10 years disopyramide has demonstrated its efficacy in ventricular and atrial arrhythmias. In therapeutic trials, usually involving small numbers of patients, the efficacy of disopyramide was comparable with that of mexiletine, perhexiline, tocainide, propafenone or prajmalium. Recent comparisons with quinidine have confirmed the similar efficacy and better tolerability of disopyramide. The suggestion from initial studies that disopyramide may be less effective than amiodarone or flecainide requires further investigation. In addition, studies have failed to demonstrate that the early administration of disopyramide after acute myocardial infarction decreases important arrhythmias or early mortality. Thus, disopyramide is now well established as an effective antiarrhythmic drug in ventricular and supraventricular arrhythmias although its role in therapy relative to that of recently introduced antiarrhythmic agents is not clear.

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Disopyramide

Brogden¹,

Todd²

1987

Drugs

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Treatment of Arrhythmias in the Wolff-Parkinson-White Syndrome

Cited by 1 publication

References 5 publications

Disopyramide

Disopyramide

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