Murphy M T, Wilkoff B L
Department of Cardiology, Cleveland Clinic, USA.
Cleve Clin J Med. 1998 Mar;65(3):159-66. doi: 10.3949/ccjm.65.3.159.
Amiodarone is a potent and versatile antiarrhythmic. Despite side effects involving the lungs, heart, thyroid, and other organs, it is effective in the treatment of refractory atrial and ventricular arrhythmias and it has unique safety in patients with coronary disease and left ventricular dysfunction. This review discusses the evolving indications for amiodarone and management of toxicities and drug interactions.
胺碘酮是一种强效且用途广泛的抗心律失常药物。尽管它会引发涉及肺部、心脏、甲状腺及其他器官的副作用,但它在治疗难治性房性和室性心律失常方面有效,并且在冠心病和左心室功能不全患者中具有独特的安全性。本文综述讨论了胺碘酮不断演变的适应证以及毒性和药物相互作用的管理。