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amiodarone and Mitral Valve Insufficiency

amiodarone has been researched along with Mitral Valve Insufficiency in 19 studies

Amiodarone: An antianginal and class III antiarrhythmic drug. It increases the duration of ventricular and atrial muscle action by inhibiting POTASSIUM CHANNELS and VOLTAGE-GATED SODIUM CHANNELS. There is a resulting decrease in heart rate and in vascular resistance.
amiodarone : A member of the class of 1-benzofurans that is 1-benzofuran substituted by a butyl group at position 2 and a 4-[2-(diethylamino)ethoxy]-3,5-diiodobenzoyl group at position 3. It is a cardiovascular drug used for the treatment of cardiac dysrhythmias.

Mitral Valve Insufficiency: Backflow of blood from the LEFT VENTRICLE into the LEFT ATRIUM due to imperfect closure of the MITRAL VALVE. This can lead to mitral valve regurgitation.

Research Excerpts

ExcerptRelevanceReference
"A long Q-T interval syndrome is described, followed by "torsade de pointe" and by irriducible ventricular fibrillation that is ascribed to a badly conducted therapy with amiodarone, in a patient affected by mitral valve disease, microcitaemia and hemolitic intercurrent moderate jaundice."3.66["T'orsade de pointe" and amiodarone (author's transl)]. ( Guerricchio, G; Scandiffio, T; Veglia, L, 1978)
"The amiodarone dosage was lowered to 200 mg/day in the sixth postoperative week."2.71Effects of late regain of sinus rhythm on pulmonary artery pressure and functional status in patients with mitral valve replacement surgery and atrial fibrillation. ( Demircioglu, F; Ersel, F; Gölbasi, I; Kabukcu, M; Yanik, E, 2004)
"Twenty-five patients with persistent atrial fibrillation underwent internal defibrillation, using biphasic R wave synchronous shocks between two catheters in the high right atrium and the coronary sinus."2.69Limited internal shocks for atrial fibrillation refractory to external cardioversion. ( Adam, JF; Blommaert, D; De Roy, L; Jamart, J; Mucumbitsi, J, 1999)
"They include progressive and acute mitral insufficiency, infective endocarditis, arrhythmias, motor or sensitive neurological complications, and sudden death."2.36[Idiopathic mitral valve prolapse]. ( Barbato, G; Martelli, M; Saponaro, A, 1983)
"Amiodarone (200 mg/day) was continuously administered after DC shock to maintain SR."1.32Simultaneous double external DC shock technique for refractory atrial fibrillation in concomitant heart disease. ( Demircioglu, F; Ersel-Tüzüner, F; Kabukcu, M; Minareci, K; Yanik, E, 2004)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19903 (15.79)18.7374
1990's3 (15.79)18.2507
2000's10 (52.63)29.6817
2010's2 (10.53)24.3611
2020's1 (5.26)2.80

Authors

AuthorsStudies
Arunachalam, K1
Maan, A1
Chu, A1
Maimone, S1
Filomia, R1
Saitta, C1
Raimondo, G1
Squadrito, G1
Onorati, F1
Rubino, AS1
Mariscalco, G1
Serraino, F1
Sala, A1
Renzulli, A1
Ulus, T1
Nadir, A1
Birdane, A1
Ata, N1
MacFadyen, RJ1
Palmer, TJ1
Hisamuddin, K1
Rankin, JS1
Orozco, RE1
Addai, TR1
Rodgers, TL1
Tuttle, RH1
Shaw, LK1
Glower, DD1
Kabukcu, M2
Yanik, E2
Demircioglu, F2
Gölbasi, I1
Ersel, F1
Minareci, K1
Ersel-Tüzüner, F1
Abreu Filho, CA1
Lisboa, LA1
Dallan, LA1
Spina, GS1
Grinberg, M1
Scanavacca, M1
Sosa, EA1
Ramires, JA1
Oliveira, SA1
Chockalingam, A1
Tejwani, L1
Aggarwal, K1
Dellsperger, KC1
Berdajs, D1
Schurr, UP1
Wagner, A1
Seifert, B1
Turina, MI1
Genoni, M1
Martelli, M1
Barbato, G1
Saponaro, A1
Vitolo, E1
Tronci, M1
Larovere, MT1
Rumolo, R1
Morabito, A1
Tascón, JC1
Albarrán, A1
Andreu, J1
Alonso, M1
Blommaert, D1
De Roy, L1
Adam, JF1
Jamart, J1
Mucumbitsi, J1
Kaufmann, R1
Grönefeld, GC1
Li, YG1
Bogun, F1
Hohnloser, SH1
Nägele, H1
Schomburg, R1
Petersen, B1
Rödiger, W1
Veglia, L1
Scandiffio, T1
Guerricchio, G1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Double Sequence External Defibrillation: A Randomized Controlled Trial in Patients With Atrial Fibrillation Refractory to DC Cardioversion[NCT03827915]100 participants (Anticipated)Interventional2019-01-21Recruiting
Tailored Treatment of Permanent Atrial Fibrillation - TTOP-AF[NCT00514735]Phase 3210 participants (Actual)Interventional2007-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Acute Efficacy

"A treatment success/failure up to the conclusion of the procedure for each subject in Ablation Management. A subject was considered successfully treated if the following were true:~Medtronic ablation catheters were used to achieve procedure success.~All accessible pulmonary veins were isolated.~At least 50% reduction of complex fractionated atrial electrograms mapped and ablated with Medtronic ablation catheters.~Sinus rhythm was achieved upon leaving the electrophysiology lab (±cardioversion)." (NCT00514735)
Timeframe: Procedure conclusion

Interventionpercentage of participants (Mean)
Ablation Management92.8

Acute Safety

The primary endpoint for acute safety was a success/failure variable calculated for each subject in Ablation Management at the 7 day post-procedure time point. Any subject with at least one adverse event adjudicated by the Data Safety Monitoring Board as both serious and either probably or definitely procedure and/or device-related occurring within 7 days of the ablation procedure was considered an acute safety failure, regardless of whether the event occurred following the index or retreatment ablation procedure. (NCT00514735)
Timeframe: 7 days

Interventionpercentage of participants (Mean)
Ablation Management12.3

Chronic Effectiveness

"The chronic efficacy endpoint was a treatment success/failure measure for each subject computed at 6 months. Treatment success included:~A 90% reduction in clinically significant atrial fibrillation from baseline to the 6 month time point based on a Holter recording. Clinically significant atrial fibrillation was defined as sustained atrial fibrillation lasting more than 10 minutes.~The subject was off all antiarrhythmic drugs at 6 months (Ablation Management arm only)~The Investigator judged all procedures to be acutely successful (Ablation Management arm only)." (NCT00514735)
Timeframe: 6 months

Interventionpercentage of participants with success (Number)
Ablation Management56
Medical Management26

Chronic Safety

The primary endpoint for chronic safety was a success/failure variable calculated for each subject at 6 months. Any subject that had at least one adverse event that met designated seriousness and relatedness criteria for the particular treatment group as adjudicated by the Data Safety Monitoring Board was considered a chronic safety failure. Adverse events in Ablation Management that were acute (≤7 days) were not included in the chronic safety primary endpoint. Given the disparity in the length of time at risk between treatment arms,the Chronic Safety endpoint was not statistically powered. (NCT00514735)
Timeframe: 6 months

Interventionparticipants (Number)
Ablation Management9
Medical Management3

Improved Quality of Life Over 6 Months Compared to Baseline.

The SF-36 questionnaire was administered to subjects at baseline, 1, 3 and 6 month visits. The SF-36 is a multi-purpose, short-form health survey with only 36 questions. It yields an 8-scale profile of functional health and well-being scores as well as psychometrically-based Physical Component Score and Mental Component Score. The possible range for Physical Component Score and Mental Component Score is 0 to 100. The higher score, the better quality of life. (NCT00514735)
Timeframe: 6 months

,
InterventionScores on a scale (Mean)
Physical Component Score at BaselinePhysical Component Score at 1 MonthPhysical Component Score at 3 MonthsPhysical Component Score at 6 MonthsMental Component Score at BaselineMental Component Score at 1 MonthMental Component Score at 3 MonthsMental Component Score at 6 Months
Ablation Management42.5445.6148.3049.1247.1951.5353.4253.45
Medical Management42.2643.0543.9944.9847.9948.9648.9750.06

Improvement in Atrial Fibrillation (AF) Symptom Severity Scores Over 6 Months Compared to Baseline.

The severity of subject's atrial fibrillation related symptoms on a scale from 1 (no symptoms) to 5 (most severe). The symptoms included palpitations, fatigue, shortness of breath, lightheadedness or dizziness, and lack of energy during exertion or exercise. The scores were tabulated at the 1, 3 and 6 month follow-up visits. Scores could range from 5 to 25, indicating a spectrum of subject status from asymptomatic to severely symptomatic. (NCT00514735)
Timeframe: 6 months

,
InterventionAF Symptom Severity Score (Mean)
Measurement at BaselineMeasurement at 1 MonthMeasurement at 3 MonthsMeasurement at 6 Months
Ablation Management12.388.957.567.58
Medical Management12.729.9010.039.84

Improvement of Left Atrial Size at 6 Months Compared to Baseline.

Left atrial diameter (LAD), as measured by transthoracic echocardiogram (TTE) looking at the longitudinal long axis at baseline and at the 6 month follow-up visit in both the Ablation and Medical Management arms. (NCT00514735)
Timeframe: 6 months

,
Interventioncentimeters (Mean)
Measurement at BaselineMeasurement at 6 Months
Ablation Management4.54.4
Medical Management4.64.6

Improvement of Left Ventricular Ejection Fraction at 6 Months Compared to Baseline.

Left ventricular ejection fraction (LVEF), as measured by transthoracic echocardiogram at baseline and 6 months in both the Ablation and Medical Management arms. (NCT00514735)
Timeframe: 6 months

,
Interventionpercent (Mean)
Measurement at BaselineMeasurement at 6 Months
Ablation Management54.758.3
Medical Management54.957.0

Reviews

4 reviews available for amiodarone and Mitral Valve Insufficiency

ArticleYear
Atrial Fibrillation in Hypertrophic Cardiomyopathy: Evidence-based Review About Mechanism, Complications and Management.
    Critical pathways in cardiology, 2020, Volume: 19, Issue:2

    Topics: Adrenergic beta-Antagonists; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Cardiomyopathy

2020
Dynamic left ventricular outflow tract obstruction in acute myocardial infarction with shock: cause, effect, and coincidence.
    Circulation, 2007, Jul-31, Volume: 116, Issue:5

    Topics: Adrenergic beta-Antagonists; Aged; Algorithms; Amiodarone; Cardiac Catheterization; Diagnosis, Diffe

2007
[Idiopathic mitral valve prolapse].
    Minerva medica, 1983, Oct-27, Volume: 74, Issue:41

    Topics: Adrenergic beta-Antagonists; Amiodarone; Anticoagulants; Arrhythmias, Cardiac; Diagnosis, Differenti

1983
[Early surgical treatment of symptomatic hypertrophic obstructive myocardiopathy. Arguments against].
    Revista espanola de cardiologia, 1995, Volume: 48, Issue:4

    Topics: Adrenergic beta-Antagonists; Amiodarone; Cardiac Pacing, Artificial; Cardiomyopathy, Hypertrophic; D

1995

Trials

6 trials available for amiodarone and Mitral Valve Insufficiency

ArticleYear
Effects of late regain of sinus rhythm on pulmonary artery pressure and functional status in patients with mitral valve replacement surgery and atrial fibrillation.
    The Journal of heart valve disease, 2004, Volume: 13, Issue:6

    Topics: Adult; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Echocardiography, Doppler; Electric

2004
Effectiveness of the maze procedure using cooled-tip radiofrequency ablation in patients with permanent atrial fibrillation and rheumatic mitral valve disease.
    Circulation, 2005, Aug-30, Volume: 112, Issue:9 Suppl

    Topics: Adult; Aged; Amiodarone; Anti-Arrhythmia Agents; Anticoagulants; Atrial Fibrillation; Catheter Ablat

2005
Amiodarone versus quinidine in the prophylaxis of atrial fibrillation.
    Acta cardiologica, 1981, Volume: 36, Issue:6

    Topics: Adult; Amiodarone; Atrial Fibrillation; Benzofurans; Clinical Trials as Topic; Coronary Disease; Fem

1981
Limited internal shocks for atrial fibrillation refractory to external cardioversion.
    International journal of cardiology, 1999, Sep-30, Volume: 71, Issue:1

    Topics: Adult; Aged; Amiodarone; Analysis of Variance; Anti-Arrhythmia Agents; Atrial Fibrillation; Disease-

1999
Efficacy and safety of transvenous atrial cardioversion in patients with mitral valve disease and long-standing atrial fibrillation.
    Pacing and clinical electrophysiology : PACE, 2000, Volume: 23, Issue:11 Pt 2

    Topics: Administration, Oral; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Cardiac Catheterizati

2000
Dual chamber pacing in patients with severe heart failure on beta blocker and amiodarone treatment: preliminary results of a randomised study.
    Heart (British Cardiac Society), 2002, Volume: 87, Issue:6

    Topics: Adrenergic beta-Antagonists; Amiodarone; Anti-Arrhythmia Agents; Carbazoles; Cardiac Pacing, Artific

2002

Other Studies

9 other studies available for amiodarone and Mitral Valve Insufficiency

ArticleYear
Case Report: Atrial Fibrillation After Intravenous Administration of Iodinated Contrast Medium in a Patient With Hepatocellular Carcinoma.
    Medicine, 2015, Volume: 94, Issue:35

    Topics: Aged; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Benzamides; Carcinoma, Hepatocellular

2015
Results of atrial fibrillation ablation during mitral surgery in patients with poor electro-anatomical substrate.
    The Journal of heart valve disease, 2009, Volume: 18, Issue:6

    Topics: Ablation Techniques; Aged; Aged, 80 and over; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillatio

2009
Native mitral valve causing left ventricular outflow tract obstruction in an adult with Ebstein's anomaly.
    Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology, 2011, Volume: 11, Issue:7

    Topics: Adult; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Diagnosis, Differential; Ebstein Ano

2011
Rapidly fatal acute amiodarone hepatitis occurring in the context of multiple organ failure.
    International journal of cardiology, 2003, Volume: 91, Issue:2-3

    Topics: Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Cardiomyopathy, Dilated; Chemical and Drug

2003
Several new considerations in mitral valve repair.
    The Journal of heart valve disease, 2004, Volume: 13, Issue:3

    Topics: Aged; Amiodarone; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Cardiac Surgical Procedures; Chordae

2004
Simultaneous double external DC shock technique for refractory atrial fibrillation in concomitant heart disease.
    Japanese heart journal, 2004, Volume: 45, Issue:6

    Topics: Aged; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Cardiomyopathy, Dilated; Cardiomyopat

2004
Incidence and pathophysiology of atrioventricular block following mitral valve replacement and ring annuloplasty.
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2008, Volume: 34, Issue:1

    Topics: Adolescent; Adult; Aged; Amiodarone; Anti-Arrhythmia Agents; Arteries; Atrioventricular Block; Atrio

2008
[Atrial fibrillation treated with amidarone].
    Praxis, 1999, Dec-09, Volume: 88, Issue:50

    Topics: Amiodarone; Atrial Fibrillation; Heart Valve Prosthesis Implantation; Humans; Hyperthyroidism; Male;

1999
["T'orsade de pointe" and amiodarone (author's transl)].
    Giornale italiano di cardiologia, 1978, Volume: 8, Issue:9

    Topics: Amiodarone; Benzofurans; Female; Humans; Middle Aged; Mitral Valve Insufficiency; Syncope; Tachycard

1978