Adverse events associated with antiarrhythmic drugs and reasons for discontinuation
. | Flecainide (n = 22) . | Sotalol >160 mg per day (n = 37) . | Amiodarone (n = 57) . | Dronedarone (n = 3) . |
---|---|---|---|---|
Max dose (mg/day) | 173 ± 46 | 258 ± 37 | 547 ± 144 | 800 ± 0 |
Duration of use (days) | 146 (31–315) | 58 (24–259) | 273 (158–351) | 21 (17–42) |
Total adverse events | 3 (13.6%)a | 9 (24.3%)a | 14 (24.6%)a | 1 (33.3%)a |
Cardiovascular complications | 2 (1)b | 8 (7) | – | 1 (1) |
Fatigue | 2 (1) | 3 (3) | – | – |
Bradycardia | – | 2 (2) | – | 1 (1) |
Hypotension + dizziness | – | 2 (2) | – | – |
Cold extremities | – | 1 (0) | – | – |
Dermatological complications | – | – | 5 (1) | – |
Thyroid dysfunction | – | – | 5 (0) | – |
Subclinical hypothyroidism | – | – | 3 (0) | |
Hypothyroidism | – | – | 1 (0) | |
Latent hyperthyroidism | – | – | 1 (0) | |
Ophthalmic complications | – | – | 3 (2) | – |
Blurred vision | – | – | 2 (2) | |
Cornea deposit | – | – | 1 (0) | |
Neurological problems | – | 1 (1) | – | – |
Tinnitus | 1 (1) | |||
Pulmonary complications | – | – | 1 (1) | – |
Pneumonitis | 1 (1) | |||
Gastrointestinal complications | 1 (0) | – | – | – |
Diarrhoea | 1 (0) | |||
AAD stopped due to AEs | 1 (4.5%) | 8 (21.6%) | 4 (7.0%) | 1 (33.3%) |
AAD stopped due to AF recurrences | 7 (31.8%) | 16 (43.2%) | 11 (19.3%) | 2 (66.7%) |
AAD stopped due to long-term sinus rhythm maintenance | 1 (4.5%) | 4 (10.8%) | 4 (7.0%) | 0 (0.0%) |
AAD continued during follow-up | 13 (59.1%) | 9 (24.3%) | 38 (66.7%) | 0 (0.0%) |
. | Flecainide (n = 22) . | Sotalol >160 mg per day (n = 37) . | Amiodarone (n = 57) . | Dronedarone (n = 3) . |
---|---|---|---|---|
Max dose (mg/day) | 173 ± 46 | 258 ± 37 | 547 ± 144 | 800 ± 0 |
Duration of use (days) | 146 (31–315) | 58 (24–259) | 273 (158–351) | 21 (17–42) |
Total adverse events | 3 (13.6%)a | 9 (24.3%)a | 14 (24.6%)a | 1 (33.3%)a |
Cardiovascular complications | 2 (1)b | 8 (7) | – | 1 (1) |
Fatigue | 2 (1) | 3 (3) | – | – |
Bradycardia | – | 2 (2) | – | 1 (1) |
Hypotension + dizziness | – | 2 (2) | – | – |
Cold extremities | – | 1 (0) | – | – |
Dermatological complications | – | – | 5 (1) | – |
Thyroid dysfunction | – | – | 5 (0) | – |
Subclinical hypothyroidism | – | – | 3 (0) | |
Hypothyroidism | – | – | 1 (0) | |
Latent hyperthyroidism | – | – | 1 (0) | |
Ophthalmic complications | – | – | 3 (2) | – |
Blurred vision | – | – | 2 (2) | |
Cornea deposit | – | – | 1 (0) | |
Neurological problems | – | 1 (1) | – | – |
Tinnitus | 1 (1) | |||
Pulmonary complications | – | – | 1 (1) | – |
Pneumonitis | 1 (1) | |||
Gastrointestinal complications | 1 (0) | – | – | – |
Diarrhoea | 1 (0) | |||
AAD stopped due to AEs | 1 (4.5%) | 8 (21.6%) | 4 (7.0%) | 1 (33.3%) |
AAD stopped due to AF recurrences | 7 (31.8%) | 16 (43.2%) | 11 (19.3%) | 2 (66.7%) |
AAD stopped due to long-term sinus rhythm maintenance | 1 (4.5%) | 4 (10.8%) | 4 (7.0%) | 0 (0.0%) |
AAD continued during follow-up | 13 (59.1%) | 9 (24.3%) | 38 (66.7%) | 0 (0.0%) |
Adverse events associated with antiarrhythmic drugs and reasons for discontinuation
. | Flecainide (n = 22) . | Sotalol >160 mg per day (n = 37) . | Amiodarone (n = 57) . | Dronedarone (n = 3) . |
---|---|---|---|---|
Max dose (mg/day) | 173 ± 46 | 258 ± 37 | 547 ± 144 | 800 ± 0 |
Duration of use (days) | 146 (31–315) | 58 (24–259) | 273 (158–351) | 21 (17–42) |
Total adverse events | 3 (13.6%)a | 9 (24.3%)a | 14 (24.6%)a | 1 (33.3%)a |
Cardiovascular complications | 2 (1)b | 8 (7) | – | 1 (1) |
Fatigue | 2 (1) | 3 (3) | – | – |
Bradycardia | – | 2 (2) | – | 1 (1) |
Hypotension + dizziness | – | 2 (2) | – | – |
Cold extremities | – | 1 (0) | – | – |
Dermatological complications | – | – | 5 (1) | – |
Thyroid dysfunction | – | – | 5 (0) | – |
Subclinical hypothyroidism | – | – | 3 (0) | |
Hypothyroidism | – | – | 1 (0) | |
Latent hyperthyroidism | – | – | 1 (0) | |
Ophthalmic complications | – | – | 3 (2) | – |
Blurred vision | – | – | 2 (2) | |
Cornea deposit | – | – | 1 (0) | |
Neurological problems | – | 1 (1) | – | – |
Tinnitus | 1 (1) | |||
Pulmonary complications | – | – | 1 (1) | – |
Pneumonitis | 1 (1) | |||
Gastrointestinal complications | 1 (0) | – | – | – |
Diarrhoea | 1 (0) | |||
AAD stopped due to AEs | 1 (4.5%) | 8 (21.6%) | 4 (7.0%) | 1 (33.3%) |
AAD stopped due to AF recurrences | 7 (31.8%) | 16 (43.2%) | 11 (19.3%) | 2 (66.7%) |
AAD stopped due to long-term sinus rhythm maintenance | 1 (4.5%) | 4 (10.8%) | 4 (7.0%) | 0 (0.0%) |
AAD continued during follow-up | 13 (59.1%) | 9 (24.3%) | 38 (66.7%) | 0 (0.0%) |
. | Flecainide (n = 22) . | Sotalol >160 mg per day (n = 37) . | Amiodarone (n = 57) . | Dronedarone (n = 3) . |
---|---|---|---|---|
Max dose (mg/day) | 173 ± 46 | 258 ± 37 | 547 ± 144 | 800 ± 0 |
Duration of use (days) | 146 (31–315) | 58 (24–259) | 273 (158–351) | 21 (17–42) |
Total adverse events | 3 (13.6%)a | 9 (24.3%)a | 14 (24.6%)a | 1 (33.3%)a |
Cardiovascular complications | 2 (1)b | 8 (7) | – | 1 (1) |
Fatigue | 2 (1) | 3 (3) | – | – |
Bradycardia | – | 2 (2) | – | 1 (1) |
Hypotension + dizziness | – | 2 (2) | – | – |
Cold extremities | – | 1 (0) | – | – |
Dermatological complications | – | – | 5 (1) | – |
Thyroid dysfunction | – | – | 5 (0) | – |
Subclinical hypothyroidism | – | – | 3 (0) | |
Hypothyroidism | – | – | 1 (0) | |
Latent hyperthyroidism | – | – | 1 (0) | |
Ophthalmic complications | – | – | 3 (2) | – |
Blurred vision | – | – | 2 (2) | |
Cornea deposit | – | – | 1 (0) | |
Neurological problems | – | 1 (1) | – | – |
Tinnitus | 1 (1) | |||
Pulmonary complications | – | – | 1 (1) | – |
Pneumonitis | 1 (1) | |||
Gastrointestinal complications | 1 (0) | – | – | – |
Diarrhoea | 1 (0) | |||
AAD stopped due to AEs | 1 (4.5%) | 8 (21.6%) | 4 (7.0%) | 1 (33.3%) |
AAD stopped due to AF recurrences | 7 (31.8%) | 16 (43.2%) | 11 (19.3%) | 2 (66.7%) |
AAD stopped due to long-term sinus rhythm maintenance | 1 (4.5%) | 4 (10.8%) | 4 (7.0%) | 0 (0.0%) |
AAD continued during follow-up | 13 (59.1%) | 9 (24.3%) | 38 (66.7%) | 0 (0.0%) |
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