What is the role of amiodarone in the treatment of atrial flutter (AFL)?

Updated: Nov 18, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

Amiodarone is effective and is associated with a low proarrhythmic risk, but it may adversely affect multiple organs, including the skin, liver, lungs, and thyroid. Sotalol and dofetilide can prolong the QT interval and be proarrhythmic and thus should be initiated in the inpatient setting. [14]


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