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J Am Coll Cardiol, 1999; 33:966-971
© 1999 by the American College of Cardiology Foundation
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Amiodarone versus propafenone for conversion of chronic atrial fibrillation: results of a randomized, controlled study

George E. Kochiadakis, MDa, Nikos E. Igoumenidis, MDa, Fragiskos I. Parthenakis, MDa, Gregory I. Chlouverakis, MSc, PhDa and Panos E. Vardas, MD, PhD, FESC, FACCa

a Cardiology Department, University Hospital of Heraklion, Heraklion, Crete, Greece



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Figure 1 The cumulative conversion progression to normal sinus rhythm (NSR) in the amiodarone and propafenone groups. It is clear that propafenone starts to convert earlier than amiodarone; none of our patients receiving this drug converted after more than 15 days. In contrast, amiodarone, while having a delayed onset of action (~=9 days), continued to cardiovert at a steady rate.

 


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Figure 2 The cumulative conversion progression to normal sinus rhythm (NSR) in the amiodarone and propafenone groups in relation to the significant predictors. It can be seen that patients with left atrial (LA) size ≤48 mm or duration of atrial fibrillation (AF) <3 months have a greater likelihood of converting within a shorter time. Furthermore, patients with left atrial size >48 mm or arrhythmia lasting >3 months start to convert late with both drugs.

 





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