Knowledge gaps . | Available evidence . | Feasibility of study . | Ongoing trials . |
---|---|---|---|
Role of combination of potassium and sodium channel blockers (amiodarone + propafenone/flecainid) in patients with ICD and frequent adequate interventions/arrhythmic storm | Observational | Moderate | None |
Safety of Class IC in combination with beta-blockers in patients with ICD and frequent adequate interventions/arrhythmic storm | Observational | Feasible | None |
Azimilide in patients with ICD and frequent adequate interventions/arrhythmic storm | RCT SHIELD, SHIELD-2 | Likely | None |
Underpowered | |||
Use of AAD during resuscitation for refractory VF/VT | Underpowered trials | Moderate | None |
Role of ranolazine (inhibitor of late INa) in preveng non-sustained VT and SCD in patients post-ACS | MERLIN-TIMI 36, post hoc analysis | Moderate | RAID trial (NCT NCT01215253) |
Targeted therapy with AAD for treatment of frequent ventricular ectopy | Observational | Likely | None |
Targeted AAD therapy for cardiac channelopathies | Observational | Moderate | None |
Role of late sodium current blockers (mexiletine, lidocaine) in preventing TdP by reducing drug-induced QTc prolongation | Healthy volunteers | Likely | None |
Knowledge gaps . | Available evidence . | Feasibility of study . | Ongoing trials . |
---|---|---|---|
Role of combination of potassium and sodium channel blockers (amiodarone + propafenone/flecainid) in patients with ICD and frequent adequate interventions/arrhythmic storm | Observational | Moderate | None |
Safety of Class IC in combination with beta-blockers in patients with ICD and frequent adequate interventions/arrhythmic storm | Observational | Feasible | None |
Azimilide in patients with ICD and frequent adequate interventions/arrhythmic storm | RCT SHIELD, SHIELD-2 | Likely | None |
Underpowered | |||
Use of AAD during resuscitation for refractory VF/VT | Underpowered trials | Moderate | None |
Role of ranolazine (inhibitor of late INa) in preveng non-sustained VT and SCD in patients post-ACS | MERLIN-TIMI 36, post hoc analysis | Moderate | RAID trial (NCT NCT01215253) |
Targeted therapy with AAD for treatment of frequent ventricular ectopy | Observational | Likely | None |
Targeted AAD therapy for cardiac channelopathies | Observational | Moderate | None |
Role of late sodium current blockers (mexiletine, lidocaine) in preventing TdP by reducing drug-induced QTc prolongation | Healthy volunteers | Likely | None |
AAD, antiarrhythmic drug; ACS, acute coronary syndrome; ICD, implantable cardioverter-defibrillator; SCD, sudden cardiac death; VF, ventricular fibrillation; VT, ventricular tachycardia.
Knowledge gaps . | Available evidence . | Feasibility of study . | Ongoing trials . |
---|---|---|---|
Role of combination of potassium and sodium channel blockers (amiodarone + propafenone/flecainid) in patients with ICD and frequent adequate interventions/arrhythmic storm | Observational | Moderate | None |
Safety of Class IC in combination with beta-blockers in patients with ICD and frequent adequate interventions/arrhythmic storm | Observational | Feasible | None |
Azimilide in patients with ICD and frequent adequate interventions/arrhythmic storm | RCT SHIELD, SHIELD-2 | Likely | None |
Underpowered | |||
Use of AAD during resuscitation for refractory VF/VT | Underpowered trials | Moderate | None |
Role of ranolazine (inhibitor of late INa) in preveng non-sustained VT and SCD in patients post-ACS | MERLIN-TIMI 36, post hoc analysis | Moderate | RAID trial (NCT NCT01215253) |
Targeted therapy with AAD for treatment of frequent ventricular ectopy | Observational | Likely | None |
Targeted AAD therapy for cardiac channelopathies | Observational | Moderate | None |
Role of late sodium current blockers (mexiletine, lidocaine) in preventing TdP by reducing drug-induced QTc prolongation | Healthy volunteers | Likely | None |
Knowledge gaps . | Available evidence . | Feasibility of study . | Ongoing trials . |
---|---|---|---|
Role of combination of potassium and sodium channel blockers (amiodarone + propafenone/flecainid) in patients with ICD and frequent adequate interventions/arrhythmic storm | Observational | Moderate | None |
Safety of Class IC in combination with beta-blockers in patients with ICD and frequent adequate interventions/arrhythmic storm | Observational | Feasible | None |
Azimilide in patients with ICD and frequent adequate interventions/arrhythmic storm | RCT SHIELD, SHIELD-2 | Likely | None |
Underpowered | |||
Use of AAD during resuscitation for refractory VF/VT | Underpowered trials | Moderate | None |
Role of ranolazine (inhibitor of late INa) in preveng non-sustained VT and SCD in patients post-ACS | MERLIN-TIMI 36, post hoc analysis | Moderate | RAID trial (NCT NCT01215253) |
Targeted therapy with AAD for treatment of frequent ventricular ectopy | Observational | Likely | None |
Targeted AAD therapy for cardiac channelopathies | Observational | Moderate | None |
Role of late sodium current blockers (mexiletine, lidocaine) in preventing TdP by reducing drug-induced QTc prolongation | Healthy volunteers | Likely | None |
AAD, antiarrhythmic drug; ACS, acute coronary syndrome; ICD, implantable cardioverter-defibrillator; SCD, sudden cardiac death; VF, ventricular fibrillation; VT, ventricular tachycardia.
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