Amiodarone acts by
- Correcting the rhythm to sinus .
- Controls ventricular rate alone
- Does both ?
Answer is 3
How can it correct the rhythm alone ? If the rhythm is corrected , rate will automatically be controlled, unless Amiodarone converts AF into Sinus tachycardia which is very unlikely !
Of course Amidarone is not a magic drug .The success rate of Amiodarone restoring sinus rhythm is far . . . far less . . . than our expectations ! . It fails to convert to sinus rhythm in a significant chunk *. Interestingly , it may still control the ventricular response by its beta blocking action .
*Our estimate is , the failure rate Amiodarone is between 30-40% or even higher , as bulk of AF we witness is due to Rheumatic heart disease.
hi
im bobby from Indonesia
im very interested in reading ur point of view on cardiology in ur blog
im supposed if i could put ur essay in my departement website?
*of course with ur name and ur blog adress bellow it.
im sure our students and collegues would appreciate it well
sincerely yours
Hi Bobby
Thank you for your comments . You are free to use the materials whichever way you want as long it is used for educational purposes.
bye
Dr Venkatesan
Chennai