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albuterol and Atrial Fibrillation

albuterol has been researched along with Atrial Fibrillation in 8 studies

Albuterol: A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol.
albuterol : A member of the class of phenylethanolamines that is 4-(2-amino-1-hydroxyethyl)-2-(hydroxymethyl)phenol having a tert-butyl group attached to the nirogen atom. It acts as a beta-adrenergic agonist used in the treatment of asthma and chronic obstructive pulmonary disease (COPD).

Atrial Fibrillation: Abnormal cardiac rhythm that is characterized by rapid, uncoordinated firing of electrical impulses in the upper chambers of the heart (HEART ATRIA). In such case, blood cannot be effectively pumped into the lower chambers of the heart (HEART VENTRICLES). It is caused by abnormal impulse generation.

Research Excerpts

ExcerptRelevanceReference
"Albuterol used with a spacer device which induced atrial fibrillation is described."7.68Albuterol and spacer-induced atrial fibrillation. ( Breeden, CC; Safirstein, BH, 1990)
" We discuss a case report of albuterol used with a spacer device that induced atrial fibrillation."3.68Spacer-induced atrial fibrillation. ( Breeden, CC; Safirstein, BH, 1990)
"Albuterol used with a spacer device which induced atrial fibrillation is described."3.68Albuterol and spacer-induced atrial fibrillation. ( Breeden, CC; Safirstein, BH, 1990)
"In conclusion, in this large cohort of COPD patients with no or stable cardiac comorbidities, a high proportion ( approximately 40%) of patients were observed to have atrial tachycardia before treatment, which increased by 2%-5% with LABA treatment."2.73Arrhythmias in patients with chronic obstructive pulmonary disease (COPD): occurrence frequency and the effect of treatment with the inhaled long-acting beta2-agonists arformoterol and salmeterol. ( Baumgartner, RA; Cheng, H; Grogan, DR; Hanrahan, JP; Morganroth, J; Wilson, A; Zimetbaum, PJ, 2008)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (37.50)18.2507
2000's2 (25.00)29.6817
2010's3 (37.50)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Krishnamoorthy, S1
Khoo, CW1
Lim, HS1
Lip, GY1
Ambrus, DB1
Benjamin, EJ1
Bajwa, EK1
Hibbert, KA1
Walkey, AJ1
Hanrahan, JP1
Grogan, DR1
Baumgartner, RA1
Wilson, A1
Cheng, H1
Zimetbaum, PJ1
Morganroth, J1
Patanè, S1
Marte, F1
La Rosa, FC1
Rocca, R1
Deriaz-Chessex, S1
Carron, P1
Gachoud, D1
Fournier, Y1
Donzé, J1
Monti, M1
Achtari Jeanneret, L1
Rossier, A1
Moix, PA1
Barras-Moret, AC1
Wilson, P1
Banasiak, W1
Telichowski, C1
Molenda, W1
Breeden, CC2
Safirstein, BH2

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Prospective, Randomized, Multicenter Trial of Aerosolized Albuterol Versus Placebo in Acute Lung Injury[NCT00434993]Phase 2/Phase 3282 participants (Actual)Interventional2007-08-31Terminated (stopped due to Stopped for futility by DSMB)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Hospital Mortality to Day 60 in the Subset of Participants With ARDS

Difference in the main outcome mortality to study day 60 was calculated for the subset of patients with ARDS (defined as a PaO2/FiO2 ratio of less than or equal to 200) prior to randomization. P/F ratio is an index of the effectiveness of arterial oxygenation that corresponds to the ratio of partial pressure of arterial O2 to the fraction of inspired O2. (NCT00434993)
Timeframe: Determined 60 days after a subject entered the study

Interventionpercentage of participants who died (Number)
Albuterol24.5
Placebo16.3

Hospital Mortality up to Day 60 in Subjects With Baseline Shock

Difference in the main outcome hospital mortality to study day 60 was calculated for the subset of patients who were in shock at the time of randomization. Shock was defined as mean arterial pressure<60 or the need for vasopressors (except dopamine <6 ug/kg/min). (NCT00434993)
Timeframe: Determined 60 days after a subject entered the study

Interventionpercentage of participants who died (Number)
Albuterol36.8
Placebo27.3

Mortality Prior to Hospital Discharge With Unassisted Breathing to Day 60

Success for this efficacy variable was defined as being alive on study day 60 or having been discharged alive off mechanical ventilation from the study hospital (or subsequent hospital) to the subject's original place of residence. Those subjects alive in hospital at day 60 were considered to have survived. (NCT00434993)
Timeframe: Determined 60 days after a subject entered the study

Interventionpercentage of participants who died (Number)
Albuterol23.0
Placebo17.7

Mortality Prior to Hospital Discharge With Unassisted Breathing to Day 90

Success for this efficacy variable was defined as being alive on study day 90 or having been discharged alive off mechanical ventilation from the study hospital (or subsequent hospital) to the subject's original place of residence. Those participants who still remained in the hospital at 90 days after randomization were considered to have survived. (NCT00434993)
Timeframe: Determined 90 days after a subject entered the study

Interventionpercentage of participants who died (Number)
Albuterol24.3
Placebo18.5

Number of ICU-free Days at 28 Days After Randomization

ICU (intensive care unit)-free days was defined as the number of days a subject was out of the ICU during study hospitalization from date of randomization up to study day 28. All incidences of ICU admission and discharge during the study hospitalization were captured. Any portion of a calendar day that a subject was in the ICU was counted as an ICU day. (NCT00434993)
Timeframe: Determined 28 days after a subject entered the study

Interventiondays (Mean)
Albuterol13.5
Placebo16.2

Number of Organ Failure-free Days at Day 28 Following Randomization

Subjects were followed for development of organ failures from date of randomization to hospital discharge or study day 28, whichever was first. Organ failure was defined as present on any calendar day when the most abnormal vital signs or clinically available lab value met the definition of clinically significant organ failure according to the Brussels Organ Failure Table. Each day a patient was alive and free of a given clinically significant organ failure was scored as a failure-free day. The worst value for a calendar day was captured (lowest systolic BP, platelet count and highest creatinine and bilirubin values). Specific definitions of organ failure were: cardiovascular-systolic BP less than or equal to 90 mmHg or on a vasopressor; coagulation-platelet count less than or equal to 80 x 1000/mm3; Renal-creatinine less than or equal to 2.0 mg/dL; Hepatic-bilirubin less than or equal to 2.0 mg/dL. (NCT00434993)
Timeframe: Daily from baseline to study day 28

Interventiondays (Mean)
Albuterol14.2
Placebo15.9

Number of Ventilator Free Days (VFD)

Ventilator-free days (VFDs) is defined as the number of days from randomization to Day 28 after achieving unassisted breathing for patients who maintained unassisted breathing for at least two consecutive calendar days. If a patient achieved unassisted breathing, subsequently required additional assisted breathing, and once again achieved unassisted breathing, we counted only the VFDs after beginning the final period of unassisted breathing. Patients who died before Day 28 were assigned zero VFDs. (NCT00434993)
Timeframe: Determined 28 days after a subject entered the study

Interventiondays (Mean)
Albuterol14.4
Placebo16.6

Ventilator Free Days to Day 28 in the Subset of Participants With ARDS

Difference in the main outcome Ventilator Free Days to study day 28 was calculated for the subset of patients with ARDS (defined as a PaO2/FiO2 ratio of less than or equal to 200). P/F ratio is an index of the effectiveness of arterial oxygenation that corresponds to the ratio of partial pressure of arterial O2 to the fraction of inspired O2. VFD to Day 28 is defined as the number of days from the end of ventilation to day 28 in patients who maintained unassisted breathing for at least two consecutive calendar days. Patients who died before day 28 were assigned a VFD count of zero. If a patient returned to assisted breathing, subsequently required assisted breathing, and once again achieved unassisted breathing, only the VFDs after beginning the final period of unassisted breathing were counted. An increase in the number of VFDs was considered a positive result. (NCT00434993)
Timeframe: Determined 28 days after a subject entered the study

Interventiondays (Mean)
Albuterol14.5
Placebo16.8

Ventilator Free Days to Day 28 in the Subset of Patients With Baseline Shock

Difference in the main outcome Ventilator Free Days to study day 28 was calculated for the subset of patients who were in shock at the time of randomization. Shock was defined as mean arterial pressure<60 or the need for vasopressors (except dopamine <6 ug/kg/min). (NCT00434993)
Timeframe: Determined 28 days after a subject entered the study

Interventiondays (Mean)
Albuterol10.0
Placebo13.9

Plasma Levels of IL-6 and IL-8 on Study Day 3

Biologic end-points were selected that would provide mechanistic insight into how albuterol improved lung function. Concentrations of two proinflammatory cytokines, interleukin 6 and 8 (IL-6 and IL-8), were measured. Plasma was collected and cytokine levels were measured at baseline and 3 days after randomization. IL-6 and IL-8 levels were normalized using log transformation. Wilcoxon's test was used to compare mean log-transformed interleukin levels per day and a mixed-effects model was fit to compare the slopes. (NCT00434993)
Timeframe: Measured at baseline and 3 days after randomization

,
Interventionpg/ml (Log Mean)
IL6IL8
Albuterol1.91.7
Placebo1.81.7

Trials

1 trial available for albuterol and Atrial Fibrillation

ArticleYear
Arrhythmias in patients with chronic obstructive pulmonary disease (COPD): occurrence frequency and the effect of treatment with the inhaled long-acting beta2-agonists arformoterol and salmeterol.
    Medicine, 2008, Volume: 87, Issue:6

    Topics: Administration, Inhalation; Adrenergic beta-2 Receptor Agonists; Adrenergic beta-Agonists; Aged; Alb

2008

Other Studies

7 other studies available for albuterol and Atrial Fibrillation

ArticleYear
Predictive value of atrial high-rate episodes for arterial stiffness and endothelial dysfunction in dual-chamber pacemaker patients.
    European journal of clinical investigation, 2014, Volume: 44, Issue:1

    Topics: Adrenergic beta-2 Receptor Agonists; Aged; Aged, 80 and over; Albuterol; Algorithms; Atrial Fibrilla

2014
Risk factors and outcomes associated with new-onset atrial fibrillation during acute respiratory distress syndrome.
    Journal of critical care, 2015, Volume: 30, Issue:5

    Topics: Aged; Albuterol; Atrial Fibrillation; Biomarkers; Bronchodilator Agents; Female; Hospital Mortality;

2015
Atrial fibrillation associated with chocolate intake abuse and chronic salbutamol inhalation abuse.
    International journal of cardiology, 2010, Nov-19, Volume: 145, Issue:2

    Topics: Administration, Inhalation; Albuterol; Atrial Fibrillation; Cacao; Eating; Female; Humans; Young Adu

2010
[Highlights 2007 in hospital-based internal medicine: the point of view from the chief residents].
    Revue medicale suisse, 2008, Jan-30, Volume: 4, Issue:142

    Topics: Accidental Falls; Aged; Albuterol; Anemia; Anticoagulants; Antidiuretic Hormone Receptor Antagonists

2008
[Effect of salbutamol on heart rate in patients with atrial fibrillation].
    Polskie Archiwum Medycyny Wewnetrznej, 1992, Volume: 87, Issue:2

    Topics: Aged; Albuterol; Atrial Fibrillation; Female; Heart Rate; Humans; Lung Diseases, Obstructive; Male;

1992
Spacer-induced atrial fibrillation.
    New Jersey medicine : the journal of the Medical Society of New Jersey, 1990, Volume: 87, Issue:2

    Topics: Administration, Inhalation; Adult; Albuterol; Asthma; Atrial Fibrillation; Humans; Male; Time Factor

1990
Albuterol and spacer-induced atrial fibrillation.
    Chest, 1990, Volume: 98, Issue:3

    Topics: Adult; Albuterol; Asthma; Atrial Fibrillation; Electrocardiography; Humans; Male; Nebulizers and Vap

1990