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For example, the discharge summary may list a calcium channel blocker that is not included in any of the other discharge medication sources (e.

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The clinical use of these drugs for AF is guided first by the risk of toxicity and then by efficacy ().

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Because they are reported voluntarily from a population of unknown size, estimates of frequency cannot be made.

Do not take this medicine if you have been told by your healthcare provider to not have sexual activity because of certain health problems, especially heart problems.

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Factors such as reduced creatinine clearance, gender (female) and larger doses increase the risk of TdP.

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The following adverse experiences were reported at a frequency of 1% or greater in clinical trials and were considered to be probably related to the use of butorphanol.

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Radiofrequency ablation of atrial fibrillation in patients with mechanical mitral valve prostheses safety, feasibility, electrophysiologic findings, and outcomes.

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The safety of the most widely used antiarrhythmic agent for this group of patients, quinidine, has been called into question.

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SOTALOL (Sotalol hydrochloride) is indicated for the treatment of documented ventricular arrhythmias, such as sustained ventricular tachycardia, that in the judgment of the physician are life-threatening.

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Therefore, RF ablation is an option only if antiarrhythmic drugs fail in patients with persistent AF who remain severely symptomatic despite adequate ventricular rate control.

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The direct thrombin inhibitor dabigatran and the factor Xa inhibitor rivaroxaban are not recommended in patients with AF and end-stage CKD or on dialysis because of the lack of evidence from clinical trials regarding the balance of risks and benefits.

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ECG, ophthalmological examination, pulmonary function tests, chest x ray, thyroid function tests, and laboratory results (electrolytes, renal and liver function tests) carried out.

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Nonetheless, sotalol should be used with particular caution if the QT c is greater than 500 msec on-therapy and serious consideration should be given to reducing the dose or discontinuing therapy when the QT c exceeds 550 msec.

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Please refer to Appendix C in the full version of the original guideline document for full details on the study design of studies selected for each review question.

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Even with medications, there is a chance of another episode of atrial fibrillation.

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Patients in whom qualifying arrhythmias had occurred while they were receiving amiodarone at a daily dose of less than 300 mg were treated with a loading dose of 400 mg twice daily for 2 weeks, which was followed by 400 mg per day for 1 week and 300 mg per day thereafter.

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Tell your doctor if you are breast-feeding a baby.

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Another study, a meta-analysis involving more than 1000 patients, found that major bleeding complications were generally less critical and more manageable in patients being treated with dabigatran than in those on warfarin therapy.

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The main considerations specific to each recommendation are outlined in the "Recommendations and link to evidence" sections within each chapter.

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The results of the trial further suggested that switching to antiarrhythmic drugs may give the AF time to worsen.

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