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. 2015 Aug 21;2015(8):CD008553. doi: 10.1002/14651858.CD008553.pub2

Rehnqvist 1984.

Study characteristics
Methods Parallel design (2 arms)
Country: Sweden
Follow‐up period: 24 hours
Participants Randomly assigned: N = 20
  • Lidocaine group: 50% (10/20)

  • Propofenone group: 50% (10/20)


Age, years: 61 (both groups)
Gender, male, % (n/N)
  • Propafenone: 60 (6/10)

  • Lidocaine: not reported


Inclusion criteria
  • High‐grade premature ventricular complexes when monitored routinely within 24 hours of admission

  • < 75 years of age

  • Chest pain suggesting an acute myocardial infarction


Exclusion criteria
  • Hypersensitivity to procaine or amide types of drugs or local anaesthetic drugs

  • Severe congestive heart failure

  • Atriovenricular block II and III

  • Complete bundle branch blocks

  • Bradycardia (< 50 beats/min)

  • Treatment with other antiarrhythmic drugs, except βblocking agents or digitalis, long QT interval

Interventions Lidocaine
  • Bolus injection of 75 mg

  • Followed by continuous infusion at a rate of 2 mg/min, which could be increased to 3 mg/min


Propafenone
  • Bolus injection of 1 mg/kg up to 70 mg

  • Followed by 150 mg orally after 1 hour


Co‐interventions: not reported
Outcomes Reduction in premature ventricular complexes
Notes A priori sample size estimation: not reported
Sponsor: not reported.
Trial conduction dates: not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "The patients were randomly allocated..." (page 527)
Insufficient information about the sequence generation process to permit judgement of ‘low risk’ or ‘high risk’
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement of ‘low risk’ or ‘high risk’
Blinding of participants and personnel (performance bias)
All outcomes High risk "... in an open fashion" (page 22)
Blinding of outcome assessment (detection bias)
All outcomes High risk "... in an open fashion" (page 22)
Incomplete outcome data (attrition bias)
All outcomes High risk Withdrawal from study
Propafenone group: 30% (3/10)
Lidocaine group: not reported
Reason
Increasing numbers of premature ventricular complexes
Selective reporting (reporting bias) High risk "The study report fails to include results for a key outcome that would be expected to have been reported such a study"
This study did not report mortality
Other bias High risk Bias of presentation data, design bias (Porta 2008)