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Volume 360:1811-1813 April 30, 2009 Number 18
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Dronedarone for Atrial Fibrillation — An Odyssey
Peter J. Zimetbaum, M.D.

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On March 18, 2009, the Cardiovascular and Renal Drugs Advisory Committee of the Food and Drug Administration (FDA) convened to determine whether the antiarrhythmic drug dronedarone should be approved for the reduction of cardiovascular morbidity and mortality among patients with atrial fibrillation or atrial flutter. It has been 10 years since the FDA approved dofetilide, the last antiarrhythmic drug for suppression of atrial fibrillation to reach the U.S. market. Because of an increased risk of torsades de pointes, particularly at the initiation of therapy, dofetilide's label includes a requirement that therapy be initiated in the hospital and monitored by a . . . [Full Text of this Article]


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Dr. Zimetbaum is the director of clinical cardiology at Beth Israel Deaconess Medical Center and an associate professor of medicine at Harvard Medical School — both in Boston.


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