Goldschlager Nora, Epstein Andrew E, Naccarelli Gerald V, Olshansky Brian, Singh Bramah, Collard Harold R, Murphy Elizabeth
University of California, San Francisco, California, USA.
Heart Rhythm. 2007 Sep;4(9):1250-9. doi: 10.1016/j.hrthm.2007.07.020. Epub 2007 Jul 20.
Amiodarone is commonly used to treat supraventricular and ventricular arrhythmias in various inpatient and outpatient settings. Over- and under-use of amiodarone is common, and data regarding patterns of use are sparse and largely anecdotal. Because of adverse drug reactions, proper use is essential to deriving optimal benefits from the drug with the least risk. This guide updates an earlier version published in 2000, reviews indications for use of amiodarone and recommends strategies to minimize adverse effects. The recommendations included herein are based on the best available data and the collective experience of the member of the writing committee.
胺碘酮常用于治疗各种住院和门诊环境中的室上性和室性心律失常。胺碘酮的过度使用和使用不足很常见,而且关于使用模式的数据稀少且大多为轶事性的。由于药物不良反应,正确使用对于以最小风险从药物中获得最佳益处至关重要。本指南更新了2000年发布的早期版本,回顾了胺碘酮的使用指征并推荐了将不良反应降至最低的策略。本文包含的建议基于现有最佳数据以及写作委员会成员的集体经验。