Evaluation of the blood pressure effects of diltiazem versus metoprolol in the acute treatment of atrial fibrillation with rapid ventricular rate

Purpose: To evaluate the difference in blood pressure effects of diltiazem intravenous push (IVP) and metoprolol IVP in the acute management of atrial fibrillation with rapid ventricular rate (AF with RVR). Methods: This was a single-center, retrospective cohort study evaluating patients who present...

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Veröffentlicht in:	The American journal of emergency medicine 2021-08, Vol.46, p.329-334
Hauptverfasser:	Nuñez Cruz, Stephany, DeMott, Joshua M., Peksa, Gary D., Slocum, Giles W.
Format:	Artikel
Sprache:	eng
Schlagworte:	Antihypertensives Atrial fibrillation Atrial flutter Blood pressure Cardiac arrhythmia Chronic obstructive pulmonary disease Data collection Diltiazem Drug administration Drug dosages Emergency medical care Fibrillation Heart rate Intravenous administration Metoprolol Patients Pressure effects Rapid ventricular rate Ventricle
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Zusammenfassung:	Purpose: To evaluate the difference in blood pressure effects of diltiazem intravenous push (IVP) and metoprolol IVP in the acute management of atrial fibrillation with rapid ventricular rate (AF with RVR). Methods: This was a single-center, retrospective cohort study evaluating patients who presented to the emergency department (ED) between January 2012 and September 2018 in AF with RVR and received either diltiazem IVP or metoprolol IVP as the first agent for rate control. The primary objective was the change in systolic blood pressure (SBP) within one hour of initial medication administration. Secondary outcomes included repeat doses within one hour, rate control to
ISSN:	0735-6757 1532-8171
DOI:	10.1016/j.ajem.2020.10.003