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Volume 357:2403-2405 December 6, 2007 Number 23
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Dronedarone in Atrial Fibrillation

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 by Ezekowitz, M. D.
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 by Singh, B. N.
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To the Editor: Singh et al. (Sept. 6 issue)1 conclude that dronedarone is significantly more effective than placebo in decreasing the rate of arrhythmic recurrences in atrial fibrillation. They do not comment on the high 1-year incidence of biological hyperthyroidism in their study: 8.4% in the dronedarone group versus 14.1% in the placebo group (P=0.002). Since about 30% of the patients had been taking amiodarone before they were included in the study, a possible explanation is a delayed side effect of this drug, which can provoke hyperthyroidism several months after its discontinuation.2 It is hardly conceivable that dronedarone would provide . . . [Full Text of this Article]




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