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Correspondence
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Volume 343:578-580 August 24, 2000 Number 8
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Amiodarone to Prevent Recurrence of Atrial Fibrillation

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 by Roy, D.
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To the Editor: Roy et al. (March 30 issue)1 report that amiodarone is more efficacious than sotalol or propafenone for the prevention of recurrences of atrial fibrillation. However, a significantly greater proportion of the patients assigned to sotalol or propafenone had left ventricular hypertrophy (21 percent) than of those assigned to amiodarone (13 percent) (P=0.04). As we already know, hypertensive heart disease is the most common antecedent to the development of atrial fibrillation.2

Some of the greater efficacy of amiodarone, as compared with the other two agents, can be explained by the difference between the two groups in the prevalence . . . [Full Text of this Article]

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