Table 1.
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.