PMID- 22170292 OWN - NLM STAT- MEDLINE DCOM- 20120503 LR - 20181201 IS - 1865-8652 (Electronic) IS - 0741-238X (Linking) VI - 28 IP - 12 DP - 2011 Dec TI - The management of patients with atrial fibrillation and dronedarone's place in therapy. PG - 1059-77 LID - 10.1007/s12325-011-0086-1 [doi] AB - The pharmacologic management of atrial fibrillation (AF) includes rate and rhythm control strategies. Antiarrhythmic agents (eg, amiodarone, flecainide, and propafenone) are limited by serious toxicities (including proarrhythmic effects and pulmonary toxicity), which may lead to a reduced net clinical efficacy of rhythm control strategies. Dronedarone, a new antiarrhythmic agent, is effective in the maintenance of sinus rhythm. Dronedarone has also been shown to reduce ventricular rate and the incidence of hospitalization due to cardiovascular events. Dronedarone is recommended by the 2011 American College of Cardiology Foundation/American Heart Association/Heart Rhythm Society guidelines update for the management of AF patients with no or minimal heart disease, coronary artery disease, and hypertension with no left ventricular hypertrophy. Dronedarone is contraindicated in patients with New York Heart Association (NYHA) class IV heart failure or NYHA class II-III heart failure with a recent decompensation requiring hospitalization or referral to a specialized heart failure clinic. FAU - Cohen, Marc AU - Cohen M AD - Cardiac Cath Laboratory, Newark Beth Israel Medical Center, NJ 07112, USA. marcohen@barnabashealth.org FAU - Boiangiu, Catalin AU - Boiangiu C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20111212 PL - United States TA - Adv Ther JT - Advances in therapy JID - 8611864 RN - 0 (Anti-Arrhythmia Agents) RN - 0 (Anticoagulants) RN - JQZ1L091Y2 (Dronedarone) RN - N3RQ532IUT (Amiodarone) MH - Age Factors MH - Amiodarone/administration & dosage/adverse effects/*analogs & derivatives/therapeutic use MH - Anti-Arrhythmia Agents/administration & dosage/adverse effects/*therapeutic use MH - Anticoagulants/therapeutic use MH - Atrial Fibrillation/complications/*drug therapy/*physiopathology MH - Cardiovascular Diseases/complications MH - Clinical Trials as Topic MH - Dronedarone MH - Heart Rate/drug effects MH - Humans MH - Practice Guidelines as Topic MH - Risk Factors MH - Sex Factors EDAT- 2011/12/16 06:00 MHDA- 2012/05/04 06:00 CRDT- 2011/12/16 06:00 PHST- 2011/09/22 00:00 [received] PHST- 2011/12/16 06:00 [entrez] PHST- 2011/12/16 06:00 [pubmed] PHST- 2012/05/04 06:00 [medline] AID - 10.1007/s12325-011-0086-1 [doi] PST - ppublish SO - Adv Ther. 2011 Dec;28(12):1059-77. doi: 10.1007/s12325-011-0086-1. Epub 2011 Dec 12.