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European Heart Journal 1994 15(9):1274-1278;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Single infusion of intravenous cibenzoline in the treatment of supraventricular tachyarrhythmias following heart surgery:

A double-blind placebo-controlled paralled study

J. OLLITRAULT*,, L. QUILLIET{dagger}, F. SCHECK{ddagger}, B. LELONG§, A. RICHARD||, G. JARRY and L. GUIZE**

*Service de cardiologie, Hôpital St Joseph Paris
{dagger}Service de chirurgie cardiaque, Hôpital Trousseau Tours
{ddagger}Laboratoire UPSA Rueil Malmaison
§Service de chirurgie cardio-thoracique, Hôpital Pontchaillou Rennes
||Service de cardiologie, C. H. R. Clermont Ferrand
Service de cardiologie A, Hôpital Sud Amiens
**Service de cardiologie, Hôpital Broussais Paris, France

Received 5 November 1993; revised 1 April 1994; .

Correspondence: Jacky Ollitrault, MD, Service de cardiologie, Höpital St Joseph, 7 rue Pierre Larousse, 75014 Paris, France.

Abstract

The efficacy and safety of a single infusion of cibenzoline, a class I antiarrhythmic drug, were assessed in 86 patients presenting with a supraventricular tachyarrhythmia following heart surgery in a placebo-controlled double-blind parallel study. Cibenzoline was effective in 13 patients (30%) vs three patients (6.9%) with placebo (P<0.05). In the non-converted patients, ventricular rate was significantly slowed by cibenzoline (P<0.05), which also significantly increased the duration of QRS and QT intervals. Transient adverse events were seen in nine patients receiving cibenzoline: moderate hypotension, sweating, right bundle branch block. One patient with decreased left ventricular function had an increased ventricular rate and QRS duration associated with hypotension. There were no severe adverse events. These results suggest that cibenzoline is effective for the treatment of postoperative supraventricular tachyarrhythmias in patients without impairment of ventricular function.

Key Words: Cibenzoline • supraventricular tachyarrhythmias • heart surgery


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