Dronedarone

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In pharmacology and cardiology, dronedarone is an anti-arrhythmia agent used to treat paroxysmal or persistent atrial fibrillation or atrial flutter.

Effectiveness

Dronedarone may reduce the rate cardiovascular events of among patients with an ventricular ejection fraction of 40% of less and New York Heart Association Functional Classification class I-III heart failure according to the ATHENA randomized controlled trial.[1]

Pharmacology

Administration

Distribution

Metabolism

Excretion

Toxicity

Drug toxicity includes increased mortality among patients whose ventricular ejection fraction is less than 35% according to the ANDROMEDA randomized controlled trial.[2] These patients were enrolled in the ANDROMEDA study because they had been "hospitalized with new or worsening heart failure and who had had at least one episode of shortness of breath on minimal exertion or at rest (New York Heart Association [NYHA] functional class III or IV) or paroxysmal nocturnal dyspnea within the month"

External links

The most up-to-date information about Dronedarone and other drugs can be found at the following sites.


References

  1. Hohnloser SH, Crijns HJ, van Eickels M, Gaudin C, Page RL, Torp-Pedersen C et al. (2009). "Effect of dronedarone on cardiovascular events in atrial fibrillation.". N Engl J Med 360 (7): 668-78. DOI:10.1056/NEJMoa0803778. PMID 19213680. Research Blogging.
  2. Køber L, Torp-Pedersen C, McMurray JJ, Gøtzsche O, Lévy S, Crijns H et al. (2008). "Increased mortality after dronedarone therapy for severe heart failure.". N Engl J Med 358 (25): 2678-87. DOI:10.1056/NEJMoa0800456. PMID 18565860. Research Blogging.