Efficacy and safety of moricizine in patients with ventricular tachycardiaresults of a placebocontrolled prospective long‐term clinical trial
作者:
CRAIG PRATT,
ANN WIERMAN,
ALLEN SEALS,
LADEAN ENGLISH,
CARLOS LEON,
JAMES YOUNG,
MIGUEL QUINONES,
ROBERT ROBERTS,
期刊:
Circulation
(OVID Available online 1986)
卷期:
Volume 73,
issue 4
页码: 718-726
ISSN:0009-7322
年代: 1986
出版商: OVID
数据来源: OVID
摘要:
ABSTRACTThis was a prospective, placebo-controlled, single-blind trial of moricizine (ethmozine) in a dose averaging 10 mg/kg/day in 50 patients, the single entrance criterion being the presence of lO or more runs of nonsustained ventricular tachycardia (VT) on a screening 24 hr ambulatory electrocardiographic (ECG) recording. Electrophysiologic study was not included as part of this trial design. The placebo frequency of VT (average 3 days of recording) was 1036 + 479 runs of VT per day. Most patients (31/50) had coronary artery disease. The study population had a mean left ventricular ejection fraction (LVEF) of 36 ± 16%; 20 patients also had a history of sustained VT. Protocol failure was defined as failure to achieve a 75% or greater reduction in runs of VT (as judged by ambulatory ECG recording) and/or recurrence of sustained VT while on moricizine. Among the 48 patients treated with moricizine, the drug was initially efficacious in 35 (73%), with two-thirds having total abolition of nonsustained VT. Although it was effective in reducing runs of nonsustained VT, moricizine was ineffective in preventing the recurrence of sustained VT (63% failure rate). Side effects were uncommon and the drug was well tolerated in most patients with LVEFs of 30% or less.
点击下载:
PDF
(1618KB)
返 回