Page last updated: 2024-10-22

amiodarone and Rheumatic Heart Disease

amiodarone has been researched along with Rheumatic Heart Disease in 21 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.

Rheumatic Heart Disease: Cardiac manifestation of systemic rheumatological conditions, such as RHEUMATIC FEVER. Rheumatic heart disease can involve any part the heart, most often the HEART VALVES and the ENDOCARDIUM.

Research Excerpts

ExcerptRelevanceReference
"To compare the efficacy of combined amiodarone and irbesartan use versus amiodarone alone on maintaining sinus rhythm in rheumatic heart disease patients with persistent atrial fibrillation (AF) post valve replacement and cardioversion."9.14[Comparison of amiodarone plus irbesartan regimen versus amiodarone alone on maintaining sinus rhythm in rheumatic heart disease patients with persistent atrial fibrillation post valve replacement and cardioversion]. ( Chen, LJ; Deng, XJ; Ding, P; Li, L; Yuan, YQ; Zhang, H, 2009)
"Amiodarone, used in conjunction with percutaneous balloon mitral commissurotomy, can safely convert rheumatic atrial fibrillation in 38% of patients compared with 0% in those without it."9.10Conversion of rheumatic atrial fibrillation by amiodarone after percutaneous balloon mitral commissurotomy. ( Hsueh, CW; Lai, HC; Lee, WL; Liu, TJ; Ting, CT; Wang, KY, 2003)
"We studied inotropic reaction of isolated myocardium of patients with heart failure induced by ischemic and rheumatic cardiac involvement after periods of rest at the background of amiodarone."7.74[Comparative assessment of inotropic reaction of isolated myocardium of patients with ischemic and rheumatic heart disease after short-term periods of rest at the background of amiodarone]. ( Afanas'ev, SA; Evtushenko, AV; Kondrat'eva, DS; Popov, SV; Shipulin, VM, 2008)
"Low-dose amiodarone was safe and effective in restoring and maintaining SR in patients with AF and rheumatic heart disease."7.71Management of persistent atrial fibrillation following balloon mitral valvotomy: safety and efficacy of low-dose amiodarone. ( Kapoor, A; Kumar, S; Pandey, CM; Singh, RK; Sinha, N, 2002)
"Thirty consecutive patients with chronic rheumatic atrial fibrillation (AF) > or = 3 months after successful mitral valve surgery and left atrial diameter < or = 60 mm were treated with oral amiodarone."7.68Effectiveness of amiodarone and electrical cardioversion for chronic rheumatic atrial fibrillation after mitral valve surgery. ( Essop, MR; Röthlisberger, C; Sareli, P; Skoularigis, J; Skudicky, D; Wisenbaugh, T, 1993)
"To compare the efficacy of combined amiodarone and irbesartan use versus amiodarone alone on maintaining sinus rhythm in rheumatic heart disease patients with persistent atrial fibrillation (AF) post valve replacement and cardioversion."5.14[Comparison of amiodarone plus irbesartan regimen versus amiodarone alone on maintaining sinus rhythm in rheumatic heart disease patients with persistent atrial fibrillation post valve replacement and cardioversion]. ( Chen, LJ; Deng, XJ; Ding, P; Li, L; Yuan, YQ; Zhang, H, 2009)
"We prospectively studied 144 patients with chronic rheumatic atrial fibrillation in a double-blind protocol in which rhythm control (group I), comprising 48 patients each with amiodarone (group Ia) and placebo (group Ib), were compared with each other and with patients in a ventricular rate control group (group II) in which the effects by diltiazem were determined (n = 48, open-label)."5.11Control of heart rate versus rhythm in rheumatic atrial fibrillation: a randomized study. ( Goyal, V; Gupta, A; Karnad, D; Kulkarni, H; Lokhandwala, Y; Naik, A; Singh, BN; Vora, A, 2004)
"Amiodarone, used in conjunction with percutaneous balloon mitral commissurotomy, can safely convert rheumatic atrial fibrillation in 38% of patients compared with 0% in those without it."5.10Conversion of rheumatic atrial fibrillation by amiodarone after percutaneous balloon mitral commissurotomy. ( Hsueh, CW; Lai, HC; Lee, WL; Liu, TJ; Ting, CT; Wang, KY, 2003)
"We studied inotropic reaction of isolated myocardium of patients with heart failure induced by ischemic and rheumatic cardiac involvement after periods of rest at the background of amiodarone."3.74[Comparative assessment of inotropic reaction of isolated myocardium of patients with ischemic and rheumatic heart disease after short-term periods of rest at the background of amiodarone]. ( Afanas'ev, SA; Evtushenko, AV; Kondrat'eva, DS; Popov, SV; Shipulin, VM, 2008)
"Low-dose amiodarone was safe and effective in restoring and maintaining SR in patients with AF and rheumatic heart disease."3.71Management of persistent atrial fibrillation following balloon mitral valvotomy: safety and efficacy of low-dose amiodarone. ( Kapoor, A; Kumar, S; Pandey, CM; Singh, RK; Sinha, N, 2002)
"Thirty consecutive patients with chronic rheumatic atrial fibrillation (AF) > or = 3 months after successful mitral valve surgery and left atrial diameter < or = 60 mm were treated with oral amiodarone."3.68Effectiveness of amiodarone and electrical cardioversion for chronic rheumatic atrial fibrillation after mitral valve surgery. ( Essop, MR; Röthlisberger, C; Sareli, P; Skoularigis, J; Skudicky, D; Wisenbaugh, T, 1993)
"The authors suggest a new method of choice of the drug (quinidine or cordarone) for the maintenance antiarrhythmic therapy after sinus rhythm recovery in patients with permanent atrial fibrillation, in patients with rheumatic heart disease and coronary heart disease."3.68[A method of choosing maintenance anti-arrhythmia therapy after sinus rhythm restoration in patients with a permanent form of atrial fibrillation]. ( Alekseevskaia, MA; Maevskaia, IV; Nedostup, AV, 1991)
"And amiodarone was given from the third day before the surgery and lasted for 3 months thereafter."2.72[The clinical study of circumferential ablation around orifice of pulmonary vein by radiofrequency energy with chronic atrial fibrillation undergoing rheumatic valvular heart surgery]. ( Bai, BJ; Du, RY; Wang, CG; Wang, JZ; Xin, LP; Zhong, ZH, 2006)
"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 (21)

TimeframeStudies, this research(%)All Research%
pre-19904 (19.05)18.7374
1990's3 (14.29)18.2507
2000's13 (61.90)29.6817
2010's1 (4.76)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Kondrat'eva, DS1
Afanas'ev, SA1
Evtushenko, AV1
Shipulin, VM1
Popov, SV1
Ding, P1
Li, L1
Zhang, H1
Chen, LJ1
Deng, XJ1
Yuan, YQ1
Maheshwari, M1
Mittal, SR1
Kapoor, A1
Kumar, S1
Singh, RK1
Pandey, CM1
Sinha, N1
Liu, TJ1
Hsueh, CW1
Lee, WL1
Lai, HC1
Wang, KY1
Ting, CT1
Wang, JZ2
Du, RY2
Ding, HX1
Bai, BJ2
Wang, G1
Cui, GF1
Zhong, ZH2
Vora, A2
Karnad, D1
Goyal, V1
Naik, A1
Gupta, A1
Lokhandwala, Y1
Kulkarni, H1
Singh, BN1
Lakhotia, R1
Basvaraj, S1
Kumar, M1
Dubey, B1
Mohanty, S1
Kumar, R1
Kabukcu, M1
Demircioglu, F1
Yanik, E1
Minareci, K1
Ersel-Tüzüner, F1
Abreu Filho, CA1
Lisboa, LA1
Dallan, LA1
Spina, GS1
Grinberg, M1
Scanavacca, M1
Sosa, EA1
Ramires, JA1
Oliveira, SA1
Xin, LP1
Wang, CG1
Shiga, T1
Guo, GB1
Hang, CL1
Chang, HW1
Wu, CJ1
Fang, CY1
Chen, CJ1
Martelli, M1
Barbato, G1
Saponaro, A1
Achilli, A1
Giacci, M1
Capezzuto, A1
De Luca, F1
Guerra, R1
Serra, N1
Skoularigis, J1
Röthlisberger, C1
Skudicky, D1
Essop, MR1
Wisenbaugh, T1
Sareli, P1
Tomcsányi, J1
Merkely, B1
Tenczer, J1
Papp, L1
Karlócai, K1
Greco, R1
Musto, B1
De Martino, U1
Marsico, F1
Nedostup, AV1
Alekseevskaia, MA1
Maevskaia, IV1
Huang, ZD1
Deng, HF1
Zhang, BX1

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

2 reviews available for amiodarone and Rheumatic Heart Disease

ArticleYear
Approach to management of atrial fibrillation in the Indian scenario.
    The Journal of the Association of Physicians of India, 2007, Volume: 55 Suppl

    Topics: Age Factors; Amiodarone; Angiotensin II Type 1 Receptor Blockers; Anti-Arrhythmia Agents; Anticoagul

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

Trials

6 trials available for amiodarone and Rheumatic Heart Disease

ArticleYear
[Comparison of amiodarone plus irbesartan regimen versus amiodarone alone on maintaining sinus rhythm in rheumatic heart disease patients with persistent atrial fibrillation post valve replacement and cardioversion].
    Zhonghua xin xue guan bing za zhi, 2009, Volume: 37, Issue:6

    Topics: Adult; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Biphenyl Compounds; Female; Humans;

2009
Conversion of rheumatic atrial fibrillation by amiodarone after percutaneous balloon mitral commissurotomy.
    The American journal of cardiology, 2003, Nov-15, Volume: 92, Issue:10

    Topics: Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Catheterization; Combined Modality Therapy;

2003
Control of heart rate versus rhythm in rheumatic atrial fibrillation: a randomized study.
    Journal of cardiovascular pharmacology and therapeutics, 2004, Volume: 9, Issue:2

    Topics: Adult; Amiodarone; Atrial Fibrillation; Chronic Disease; Double-Blind Method; Female; Heart Rate; Hu

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
[The clinical study of circumferential ablation around orifice of pulmonary vein by radiofrequency energy with chronic atrial fibrillation undergoing rheumatic valvular heart surgery].
    Zhonghua wai ke za zhi [Chinese journal of surgery], 2006, Jul-15, Volume: 44, Issue:14

    Topics: Adult; Aged; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Catheter Ablation; Chronic Dis

2006
Prognostic predictors of sinus rhythm control by amiodarone and electrical cardioversion in patients undergoing percutaneous transluminal mitral valvuloplasty for rheumatic atrial fibrillation.
    Circulation journal : official journal of the Japanese Circulation Society, 2007, Volume: 71, Issue:7

    Topics: Adult; Amiodarone; Angioplasty, Balloon; Anti-Arrhythmia Agents; Atrial Fibrillation; Catheterizatio

2007

Other Studies

13 other studies available for amiodarone and Rheumatic Heart Disease

ArticleYear
[Comparative assessment of inotropic reaction of isolated myocardium of patients with ischemic and rheumatic heart disease after short-term periods of rest at the background of amiodarone].
    Kardiologiia, 2008, Volume: 48, Issue:10

    Topics: Amiodarone; Cardiotonic Agents; Female; Heart Failure; Humans; Male; Middle Aged; Myocardial Ischemi

2008
Wolff-Parkinson-White syndrome and rheumatic mitral stenosis--an uncommon association.
    The Journal of the Association of Physicians of India, 2010, Volume: 58

    Topics: Amiodarone; Anti-Arrhythmia Agents; Anticoagulants; Diuretics; Electrocardiography; Humans; Male; Mi

2010
Management of persistent atrial fibrillation following balloon mitral valvotomy: safety and efficacy of low-dose amiodarone.
    The Journal of heart valve disease, 2002, Volume: 11, Issue:6

    Topics: Adult; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Catheterization; Combined Modality T

2002
Limited posterior left atrial linear radiofrequency ablation for patients with chronic atrial fibrillation undergoing rheumatic valvular heart surgery.
    Chinese medical journal, 2004, Volume: 117, Issue:5

    Topics: Adult; Aged; Amiodarone; Atrial Fibrillation; Catheter Ablation; Chronic Disease; Female; Heart Atri

2004
Salvage application of secondary blood cardioplegia in intractable ventricular fibrillation.
    Journal of cardiothoracic and vascular anesthesia, 2004, Volume: 18, Issue:5

    Topics: Adult; Amiodarone; Anti-Arrhythmia Agents; Blood Gas Analysis; Cardiopulmonary Bypass; Dose-Response

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
Atrial fibrillation and rheumatic valvular heart disease: usefulness of very-low-dose amiodarone.
    Chinese medical journal, 2006, Dec-20, Volume: 119, Issue:24

    Topics: Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Heart Valve Diseases; Humans; Quality of Li

2006
[Digoxin-quinidine and digoxin-amiodarone interactions. Effects on blood levels of the cardioactive glycoside].
    Giornale italiano di cardiologia, 1981, Volume: 11, Issue:7

    Topics: Adult; Aged; Amiodarone; Benzofurans; Coronary Disease; Digoxin; Drug Interactions; Female; Heart Di

1981
Effectiveness of amiodarone and electrical cardioversion for chronic rheumatic atrial fibrillation after mitral valve surgery.
    The American journal of cardiology, 1993, Aug-15, Volume: 72, Issue:5

    Topics: Adult; Amiodarone; Atrial Fibrillation; Chronic Disease; Combined Modality Therapy; Electric Counter

1993
Early proarrhythmia during intravenous amiodarone treatment.
    Pacing and clinical electrophysiology : PACE, 1999, Volume: 22, Issue:6 Pt 1

    Topics: Adult; Amiodarone; Anti-Arrhythmia Agents; Atrial Fibrillation; Electrocardiography; Female; Heart F

1999
[Treatment of atrial flutter and fibrillation with amiodarone and digitalis].
    Giornale italiano di cardiologia, 1977, Volume: 7, Issue:7

    Topics: Adult; Aged; Amiodarone; Atrial Fibrillation; Atrial Flutter; Benzofurans; Digoxin; Female; Humans;

1977
[A method of choosing maintenance anti-arrhythmia therapy after sinus rhythm restoration in patients with a permanent form of atrial fibrillation].
    Terapevticheskii arkhiv, 1991, Volume: 63, Issue:9

    Topics: Amiodarone; Atrial Fibrillation; Coronary Disease; Electric Countershock; Heart Rate; Humans; Method

1991
[Postoperative therapeutic effect of amiodarone on the conversion of chronic atrial fibrillation in rheumatic heart disease].
    Zhonghua nei ke za zhi, 1987, Volume: 26, Issue:2

    Topics: Adult; Amiodarone; Atrial Fibrillation; Chronic Disease; Female; Heart Valve Diseases; Heart Valve P

1987