[Effects of amiodarone on atrio-ventricular and ventriculo-atrial conduction in the Wolff-Parkinson-White syndrome (author's transl)]

G Ital Cardiol. 1976 Sep-Oct;6(5):792-802.
[Article in Italian]

Abstract

In 10 patients with the Kent's bundle W.P.W. syndrome, the action of amiodarone (5 mg/kg i.v.) on conduction along the normal and anomalous pathways was studied. The drug actions were: 1) constant increase of the anomalous pathway E.R.P., in one case with antegrade functional block; 2) constant reduction of antegrade conduction velocity along the anomalous pathway, in one case with antegrade functional block; 3) reduction of retrograde conduction velocity along the anomalous pathway in 6 cases out of 8, including one with retrograde functional block; 4) constant increase of the A-V node E.R.P.; 5) reduction of sub Hisian A-V conduction velocity in 3 cases out of 7. Episodes of reciprocating tachycardia could be initiated by atrial electrostimulation in 5 patients before administration and in 3 following administration of the drug. In connection with the electrophysiological properties of the two atrio-ventricular pathways and on the mechanism of tachycardia, the use of this drug in prevention of the circus movement tachycardia in patients with the W.P.W. syndrome is discussed.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Amiodarone / therapeutic use*
  • Benzofurans / therapeutic use*
  • Bundle of His / physiopathology
  • Drug Evaluation
  • Electric Stimulation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Tachycardia, Paroxysmal / prevention & control
  • Wolff-Parkinson-White Syndrome* / physiopathology

Substances

  • Benzofurans
  • Amiodarone