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Cardiology Research and Practice
Volume 2011 (2011), Article ID 270143, 5 pages
http://dx.doi.org/10.4061/2011/270143
Research Article

Ibutilide for the Cardioversion of Paroxysmal Atrial Fibrillation during Radiofrequency Ablation of Supraventricular Tachycardias

First Cardiology Department, AHEPA Hospital, Aristotle University of Thessaloniki, 546 21 Thessaloniki, Greece

Received 25 November 2010; Accepted 27 March 2011

Academic Editor: Alawi A. Alsheikh-Ali

Copyright © 2011 Kostas Polymeropoulos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Direct current electrical cardioversion (DC-ECV) is the preferred treatment for the termination of paroxysmal atrial fibrillation (AF) that occurs during radiofrequency ablation (RFA) of supraventricular tachycardias (SVT). Intravenous Ibutilide may be an alternative option in this setting. Thirty-four out of 386 patients who underwent SVT-RFA presented paroxysmal AF during the procedure and were randomized into receiving ibutilide or DC-ECV. Ibutilide infusion successfully cardioverted 16 out of 17 patients (94%) within 1 7 . 3 7 ± 7 . 8 7  min. DC-ECV was successful in all patients (100%) within 1 7 . 2 9 ± 3 . 0 4  min. Efficacy and total time to cardioversion did not differ between the study groups. No adverse events were observed. RFA was successfully performed in 16 patients (94%) in the ibutilide arm and in all patients (100%) in the DC-ECV arm, p = NS. In conclusion, ibutilide is a safe and effective alternative treatment for restoring sinus rhythm in cases of paroxysmal AF complicating SVT-RFA.