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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 13 January 2015
Main ID:  ISRCTN28131679
Date of registration: 08/03/2006
Prospective Registration: No
Primary sponsor: Greek National Health Service (Greece)
Public title: Safety and efficacy of procainamide and amiodarone in the treatment of atrial fibrillation of recent onset
Scientific title:
Date of first enrolment: 05/05/1998
Target sample size: 225
Recruitment status: Completed
URL:  http://isrctn.com/ISRCTN28131679
Study type:  Interventional
Study design:  Randomised double-blind controlled trial (Treatment)  
Phase: 
Countries of recruitment
Greece
Contacts
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Name: Theodoros    Xanthos
Address:  15B Agiou Thoma street 11527 Athens Greece
Telephone:
Email: theodorosxanthos@yahoo.com
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: Atrial fibrillation of recent onset (less than 24 hours)
Exclusion criteria: 1. Age <18 years
2. Baseline systolic blood pressure <100 mmHg
3. Known thyroid disease
4. Serum potassium <3.5 mmol/l
5. Pre-treatment with any anti-arrhythmic drug
6. Documented permanent AF, atrial flutter and a corrected heart rate (QTc) interval >440 msec


Age minimum:
Age maximum:
Gender: Both
Health Condition(s) or Problem(s) studied
Atrial fibrillation
Circulatory System
Atrial fibrillation
Intervention(s)
After administration of digitalis (digoxin), and in case of failure to restore Sinus Rhythm (SR), the patients were randomized into two groups. Randomization was performed with the use of sealed envelopes, thus guaranteeing an almost equal number of patients.
Group A (113 patients) received amiodarone intravenously 300 mg in 30 minutes and in case of failure to restore SR, amiodarone was continued for a further 24 hours as an intravenous infusion (maintenance) of 20 mg/kg.
Group B (110 patients) were administered a bolus dose of 1 g intravenous procainamide, and in the case of failure to restore sinus rhythm in 30 minutes, 2 mg/min (maintenance) for the next 24 hours. The other two participants decided to be treated privately, therefore both received digitalis and the study medication, but did not stay in the NHS long enough to be included in the study.
Primary Outcome(s)
Restoration of sinus rhythm
Secondary Outcome(s)
1. Time of cardioversion
2. Blood pressure fluctuations
Secondary ID(s)
N/A
Source(s) of Monetary Support
Greek National Health Service (Greece)
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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