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. 2024 Oct 12;13(20):6094. doi: 10.3390/jcm13206094

Table 1.

Amiodarone indications as a first- or second-line therapy reported by the cited guidelines.

Indication First-Line AADs Second-Line AADs Reference
Cardiac arrest
VF
Hemodynamically unstable VT
IV amiodarone
IV lidocaine
N/A [19]
Stable VT IV verapamil—fascicular VT
IV beta-blockers—outflow tract VT
IV procainamide
IV amiodarone
IV flecainide
IV sotalol
[20]
AF—acute cardioversion IV flecainide
IV propafenone
IV amiodarone
IV vernakalant
[21]
AF—acute rate control IV beta-blockers (metoprolol tartrate, esmolol, landiolol)
IV verapamil
IV diltiazem
IV amiodarone [21]
Other supraventricular
tachyarrhythmias—acute rate
control
IV adenosine IV amiodarone [21]
Prevention of recurrent ICD shocks and VT PO beta-blockers
PO amiodarone
AAD according to
underlying disease and cardiac function
[20]
AF—prevention of recurrent AF PO amiodarone
PO dronedarone
PO flecainide
PO propafenone
PO sotalol [21]
AF—rate control PO beta-blockers (metoprolol tartrate, metoprolol succinate, bisoprolol, atenolol, nebivolol, carvedilol) PO verapamil
PO diltiazem
PO digoxin.
PO amiodarone only as a last line.
[21]

AADs, antiarrhythmic drugs; VF, ventricular fibrillation; VT, ventricular tachycardia; AF, atrial fibrillation; ICD, implantable cardioverter-defibrillator; IV, intravenous; PO, per os; N/A, not applicable.