Antiarrhythmic medications have been available for nearly 100 years and remain a mainstay in the management of atrial fibrillation (AF)
Ibutilide is a useful antiarrhythmic agent for pharmacological cardioversion of AF in the ICU
Up-titrate PO dose if HR>110 after 2 hours from Titrate accordingly for goal heart rate average < 80 bpm in AFIB and sinus rhythm > 50 Calcium Channel Blockers Once daily if extended release (ER) Amiodarone IV Dosing 150mg bolus then 1mg/minute x 6 hours and 0
25 mg per kg IV over 2 minutes: 2 to 7 minutes: 10 to 15 mg per hour IV or 120 to 360 mg orally every day in divided doses: Hypotension, heart block, heart failure: Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision
Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina)
Diltiazem (Cardizem) 15 to 20 mg IV over 2 minutes; may repeat in 15 minutes: 5 to 15 mg per hour by continuous IV infusion: Convenient; easy to titrate to heart rate goal: Verapamil (Calan, Isoptin) Atrial fibrillation (AF) is the most commonly treated cardiac arrhythmia
Cardizem CD, Cartia XT, Dilt-CD: 120-180 mg/day PO; titrate over 7-14 days; maintenance range usually 120-320 mg/day; not to exceed 480 mg/day
Diltiazem has an average rating of 6
If you have heart failure, talk with your doctor
Consensus guidelines suggest that most patients with AF can be safely managed in the emergency department without the need for hospital admission
To Diltiazem commonly causes dizziness, atrioventricular block, palpitations, gastrointestinal disorders (for example constipation, nausea, and dyspepsia), erythema, malaise, and fatigue
45% of reviewers reported a positive effect, while 32% reported a negative effect
Diltiazem extended-release (ER) is a calcium channel blocker
Precautions before Taking Diltiazem: Inform your doctor if you have: Experienced an allergic reaction to diltiazem
All forms of diltiazem are available as brand-name and lower-cost generic
9 out of 10 from a total of 176 reviews on Drugs
Patients: adults who received IV diltiazem for atrial fibrillation with a HR > 100 bpm Intervention: low dose (<0
DILTIAZEM (dil TYE a zem) treats high blood pressure and prevents chest pain (angina)