Verapamil and Multifocal Atrial Tachycardia
Authors: Charles Y. Lui, Joseph J. Franchina
Journal: Annals of Internal Medicine (1988)

Letters and Corrections1 March 1988Verapamil and Multifocal Atrial TachycardiaCHARLES Y. LUI, M.SC., M.D., JOSEPH J. FRANCHINA, PH.D.CHARLES Y. LUI, M.SC., M.D.Search for more papers by this author, JOSEPH J. FRANCHINA, PH.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-108-3-485_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Although Salerno and coworkers (1) suggest intravenous verapamil may be effective for the treatment of multifocal atrial tachycardia, several notes of caution should be sounded about this study.First, their report does not represent a randomized, placebo-controlled study. Patients in the verapamil alone (no calcium) group were tested in series first. Then, a verapamil and calcium group was tested. The conclusion that verapamil is effective in restoring sinus rhythm is contrary to that reported by the double-blind, randomized study of Aronow and associates (2) who found only 20% of patients with multifocal atrial tachycardia were restored to...References1. SALERNOANDERSONSHARKEYIBER DBPC. Intravenous verapamil for treatment of multifocal atrial tachycardia with and without calcium pretreatment. Ann Intern Med. 1987;107:623-8. LinkGoogle Scholar2. ARONOWPLASCENCIAWONG WGR. Effect of verapamil versus placebo on PAT and MAT (paroxysmal atrial tachycardia and multifocal atrial tachycardia). Curr Ther Res. 1980;27:823-9. Google Scholar3. LEVINEMICHAELGUARNIERI JJT. Multifocal atrial tachycardia: a toxic effect of theophylline. Lancet. 1985;1:12-4. CrossrefMedlineGoogle Scholar4. KLEINLANGWEISS HRE. The influence of verapamil on serum digoxin concentration. Circulation. 1982;65;998-1003. CrossrefMedlineGoogle Scholar5. HORDOFSPITNITZMARY-RABINE AAL. The cellular electro-physiologic effects of digitalis on human atrial fibers. Circulation. 1978;57:223-9. CrossrefMedlineGoogle Scholar1. SALERNOANDERSONSHARKEYIBER DBPC. Intravenous verapamil for treatment of multifocal atrial tachycardia with and without calcium pretreatment. Ann Intern Med. 1987;107:623-8. LinkGoogle Scholar2. ARSURASOLARLEFKINSCHERTESSLER EMADS. Metoprolol in the treatment of multifocal atrial tachycardia. Crit Care Med. 1987;15:591-4. CrossrefMedlineGoogle Scholar3. ARSURALEFKINSCHERSOLARTESSLER EADMS. A placebo controlled double-blind trial of verapamil or metoprolol in multifocal atrial tachycardia [Abstract]. Circulation. 1987;76 (Suppl IV):68. MedlineGoogle Scholar4. HAZARDBURNETT PC. Verapamil in multifocal atrical tachycardia: hemodynamic and respiratory changes. Chest. 1987;91:68-70. CrossrefMedlineGoogle Scholar5. HAZARDBURNETT PC. Treatment of multifocal atrial tachycardia with metoprolol. Crit Care Med. 1987;15:20-5. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByMultifocal atrial tachycardia: Mechanisms, clinical correlates, and treatmentCorrection: Intravenous Verapamil and Multifocal Atrial TachycardiaCHARLES Y. LUI, M.SC., M.D. 1 March 1988Volume 108, Issue 3Page: 485-486KeywordsCalciumTachycardia Issue Published: 1 March 1988 PDF DownloadLoading ...