Atrial fibrillation (AF)

Diagnostic and therapeutic approach

  1. Diagnosis
  2. Treatment
  3. Scores
  4. Pharmaceuticals
  5. ESC recommandations

Pharmaceuticals

  1. Amiodarone
  2. Oral anticoagulants
  3. ß-Blockers
  4. Dabigatran (Pradaxa)
  5. Digitalis (Digoxine)
  6. Diltiazem (Dilzem)
  7. Dronedarone (Multaq)
  8. Flecainide (Tambocor)
  9. Ibutilide (Corvert)
  10. Propafenone (Rytmonorm)
  11. Rivaroxaban (Xarelto)
  12. Sotalol (Sotalex)
  13. Verapamil (Isoptin)
  14. Vernakalant (Brinavess)
  15. Apixaban (Eliquis)
  16. Edoxaban (Lixiana)

Diltiazem (Dilzem)

(Dilzem)

Bolus

25 mg ou 0.25 mg/kg i.v. in 2 min, if needed 0.35 mg/kg after 15 min, then 5-15 mg/h i.v.c.

Maintenance

120-360 mg/day p.o.

Contra-indications

  • Hypersensitivity to the active substance.
  • Cardiogenic shock.
  • Recent myocardial infarction with complications.
  • Decompensated heart failure.
  • Sick sinus syndrome.
  • Conduction abnormalities (sinoatrial block or atrioventricular the 2nd or 3rd degree.
  • Bradycardia (pulse rate less than 55 beats / min).

http://www.drugs.com/diltiazem.html