Abstract
Amiodarone is a benzofuran derivative with class 3 antiarrhythmic properties and an antianginal effect. It was originally used as an antianginal agent and is still used for this indication, especially in France. Its main use today is for treatment of arrhythmias. Amiodarone is effective in termination and prevention of almost all types of supraventricular and ventricular arrhythmias. The antiarrhythmic effect of amiodarone is associated with prolongation of the QT interval. Amiodarone is also a potent coronary and systemic vasodilator. Amiodarone differs from all other antiarrhythmic agents in its structure. It also produces several specific adverse effects such as impairment of thyroid function, ocular microdeposits, skin lesions, and pulmonary toxicity.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Waxman HL, et al: Amiodarone for control of sustained ventricular tachyarrhythmia: clinical and electrophysiologic effects in 51 patients. Am J Cardiol 50:1066, 1982.
Touboul P, et al: Bases electrophysiologiques del’action antiarrhythmique de l’amiodarone chez l’homme. Arch Mal Coeur 69:845, 1976.
Saksena S, et al: Clinical efficacy and electropharmacology of continuous intravenous amiodarone infusion and chronic oral amiodarone in refractory ventricular tachycardia. Am J Cardiol 54:347, 1984.
Finerman WB, et al: Electrophysiologic effects of chronic amiodarone therapy in patients with ventricular arrhythmia. Am Heart J 104:987, 1982.
Alboni P, et al: Effects of amiodarone on supraventricular tachycardia involving bypass tracts. Am J Cardiol 53:93, 1984.
Feld GK, et al: Electrophysiologic basis for the suppression by amiodarone of orthodromic supraventricular tachycardias complicating pre-excitation syndromes. J Am Coll Cardiol 3:1298, 1984.
Marcus FI, et al: Clinical pharmacology and therapeutic applications of the antiarrhythmic agent, amiodarone. Am Heart J 101:480, 1981.
Shenasa M, et al: Effect of amiodarone on conduction and refractoriness of the His-Purkinje system in the human heart. J Am Coll Cardiol 4:105, 1984.
Kennedy EE, Batsford WP: Amiodarone-induced intra His block. J Am Coll Cardiol 4:192
Rosenbaum MB, et al: Clinical efficacy of amiodarone as an antiarrhythmic agent. Am J Cardiol 38:934, 1976.
Grayboys TB, et al: Efficacy of amiodarone for refractory supraventricular tachyarrhymias. Am Heart J 106:870, 1983.
Wheeler PJ, et al: Amiodarone in the treatment of refractory supraventricular and ventricular arrhythmias. Postgrad Med J 55:1, 1979.
Rowland E, Krikler DM: Electrophysiological assessment of amiodarone in treatment of resistant supraventricular arrhythmias. Br Heart J 44:82, 1980.
Santos AL, et al: Conversion of atrial fibrillation to sinus rhythm with amiodarone. Acta Med Port 1:15, 1979.
Martin A: A comparison on amiodarone and disopyramide in the long-term control of elderly patients with paroxysmal atrial fibrillation and atrial flutter. An abstract submitted to the international symposium cardiovascular pharmacotherapy, Geneva, 1985.
Blomtröm P, et al: Amiodarone in atrial fibrillation. Acta Med Scand 216:517, 1984.
Peter T, et al: Evaluation of amiodarone therapy in the treatment of drug-resistant cardiac arrhythmias: long-term follow-up. Am Heart J 106:943, 1983.
Kaski JC, et al: Long-term management of sustained, recurrent, symptomatic ventricular tachycardia with amiodarone. Circulation 64:273, 1981.
Podrid PH, Lown B: Amiodarone therapy in symptomatic, sustained refractor atrial and ventricular tachyarrhythmias. Am Heart J 101:374, 1981.
Heger JJ, et al: Amiodarone: clinical efficacy and electrophysiology during long-term therapy for recurrent ventricular tachycardia or ventricular fibrillation. N Engl J Med 305:539, 1981.
Nademanee K, et al: Amiodarone in refractory life-threatening ventricular arrhythmias. Ann Intern Med 95:577, 1983.
Morady F, et al: Intravenous amiodarone in the acute treatment of recurrent symptomatic ventricular tachycardia. Am J Cardiol 51:157, 1983.
Chiale PA, et al: Efficacy of amiodarone during long-term treatment of malignant ventricular arrhythmias in patients with chronic chagasic myocarditis. Am Heart J 107:656, 1984.
Mostow ND, et al: Amiodarone: intravenous loading for rapid suppression of complex ventricular arrhythmias. J Am Coll Cardiol 4:97, 1984.
Sugrue DD, et al: Effect of amiodarone on left ventricular ejection and filling in hypertrophic cardiomyopathy as assessed by radionuclide angiography. Am J Cardiol 54:1054, 1984.
Trobaugh GB, et al: Effect of amiodarone on ventricular function as measured by gated radionuclide angiography. Am J Cardiol 54:1263, 1984.
Charller R, et al: Pharmacology of amiodarone, an anti-anginal drug with a new biological profile. Arzneim Forsch 18:1408, 1968.
Riva E, et al: Pharmacokinetics of amiodarone in man. J Cardiovasc Pharmacol 4:264, 1982.
Anastasiou-Nana M, et al: Pharmacokinetics of amiodarone after intravenous and oral administration. Int J Clin Pharmacol Ther Toxicol 20:524, 1982.
Haffajee CI, et al: Clinical pharmacokinetics and efficacy of amiodarone for refractory tachyarrhythmias. Circulation 67:1347, 1983.
Kannan R, et al: Amiodarone kinetics after oral doses. Clin Pharmacol Ther 31:438, 1982.
Brochier M, et al: Effects benefiques de l’amiodarone sus l’état de mal syncopal de l’angor de Prinzmetal. Nouv Presse Med 6:1480, 1977.
Fogoros RN, et al: Amiodarone: clinical efficacy and toxicity in 96 patients with recurrent, drug-refractory arrhythmias. Circulation 68:88, 1983.
Rotmensch, HH: Discussion. Am Heart J 106:921, 1983.
Harris L, et al: Side effects of long-term amiodarone therapy. Circulation 67:45, 1983.
Ingram DV: Ocular effects in long-term amiodarone therapy. Am Heart J 106:902, 1982.
Sobol SM, Rakita L: Pneumonitis and pulmonary fibrosis associated with amiodarone treatment: a possible complication of a new antiarrhythmic drug. Circulation 65:819, 1982.
Heger JJ, et al: Relationships between amiodarone dosage, drug concentrations, and adverse side effects. Am Heart J 106:931, 1983.
Küdenchuk PJ, et al: Predicting risk of amiodarone pulmonary toxicity. AHA, 1983.
Dudognon P, et al: Neuropathic au chlorhydrate d’amiodarone: etude clinique et histopatho-logique d’une nouvelle lipidose medicamenteuse. Rev Neurol (Paris) 135:527, 1979.
Rotmensch HH, et al: Possible association of pneumonitis with amiodarone therapy [letter]. Am Heart J 100:412, 1980.
Rakita, L, et al: Amiodarone pulmonary toxicity. Am Heart J 106:906, 1983.
Marchlinski FE, et al: Amiodarone pulmonary toxicity. Ann Intern Med 97:839, 1982.
Zaher C, et al: Low-dose steroid therapy for prophylaxis of amiodarone-induced pulmonary infiltrates. N Engl J Med 308:779, 1983.
Stewart JR, et al: The relationship of serum amiodarone and reverse T3 levels to drug efficacy and side effects. J Am Coll Cardiol 3:606, 1984.
Harris L, et al: Side effects and possible contraindications of amiodarone use. Am Heart J 106:916, 1983.
Bekaert J, et al: Etude de l’effect de l’amiodarone sur la function thyroidienne. Coeur Med Intern 18:241, 1979.
Fidelle J, et al: L’amiodarone dans le traitment des troubles de rhythm cardiaque de l’enfant: a propos de 135 cas. Arch Mal Coeur 73:198, 1979.
Keren A, et al: Atypical ventricular tachycardia (torsade de pointes) induced by amiodarone. Chest 81:384, 1982.
Sclarovsky S, et al: Amiodarone-induced poylmorphous ventricular tachycardia. Am Heart J 105:6, 1983.
Guanggeng C, Urthaler F: Ventricular flutter during treatment with amiodarone. Brief Rep 609:1982.
Veglia L, et al: “Torsioni de punta” e amiodarone. G Ital Cardiol 8:1025, 1978.
Westveer DC, et al: Amiodarone-induced ventricular tachycardia. Ann Intern Med 97:561, 1982.
Moysey JO, et al: Amiodarone increases plasma digoxin concentrations. Br Med J 282:272, 1981.
Oetgen WJ: Amiodarone digoxin interaction: clinical and experimental observations. Circulation [Suppl 2] 66:1529, 1982.
Nademanee K, et al: Amiodarone-digoxin interaction: clinical significance, time course of development, potential pharmacokinetic mechanisms amd therapeutic implications. J Am Coll Cardiol 4:111, 1984.
Martinowitz U, et al: Interaction between warfarin sodium and amiodarone [letter]. N Engl J Med 304:671, 1981.
Hamer A, et al: The potentiation of warfarin anticoagulation by amiodarone. AHA, 1982.
Gore JM, et al: Interaction of amiodarone and diphenylhydantoin. Am J Cardiol 54:1145, 1984.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1988 Martinus Nijhoff Publishing, Boston
About this chapter
Cite this chapter
Schneeweiss, A., Schettler, G. (1988). Amiodarone. In: Cardiovascular Drug Therapy in the Elderly. Developments in Cardiovascular Medicine, vol 72. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2063-0_33
Download citation
DOI: https://doi.org/10.1007/978-1-4613-2063-0_33
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-9225-8
Online ISBN: 978-1-4613-2063-0
eBook Packages: Springer Book Archive