Skip to main content
. 2015 Aug 21;2015(8):CD008553. doi: 10.1002/14651858.CD008553.pub2

Ronnevik 1987.

Study characteristics
Methods Parallel design (2 arms)
Country: Norway
Follow‐up period: 24 hours
Participants Randomly assigned: N = 68
  • Disopyramide group: 49% (33/68)

  • Lidocaine group: 51.4% (35/68)


Age, years
  • Disopyramide group: 61.5

  • Lidocaine group: 63.2


Gender, male, % (n/N)
  • Total group: 76.4 (52/68)

  • Disopyramide group: 76 (25/33)

  • Lidocaine group: 77.1 (27/35)


Inclusion criteria
  • < 75 years of age, both genders

  • Pairs or R‐on‐T premature ventricular contractions


Exclusion criteria
  • Congestive heart failure with basal pulmonary rales > 10 cm

  • High‐degree atrioventricular block (second‐degree Mobitz type II or third‐degree)

  • Hypotension (systolic blood pressure < 100 mmHg)

  • Renal or hepatic insufficiency

  • Known sensitivity to lidocaine or disopyramide

  • Treatment with other antiarrhythmic drugs, except beta‐blockers or digitalis

Interventions Disopyramide: intravenous bolus of 150 mg (100 mg to persons < 60 kg), followed by a constant infusion of 30 mg/h for 24 hours
Lidocaine: intravenous bolus injection of 100 mg (75 mg to persons < 60 kg), followed by a constant infusion of 3 mg/h for 24 hours
Co‐interventions
  • Digitalis (dose not stated)

  • Diuretics (furosemide dose/24 h)

Outcomes Death
Ventricular arrhythmias
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 "...were randomised to disopyramide and..." (page 30)
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 Unclear risk Insufficient information about the blinding level process to permit judgement of ‘low risk’ or ‘high risk’
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Insufficient information about the blinding level process to permit judgement of ‘low risk’ or ‘high risk’
Incomplete outcome data (attrition bias)
All outcomes High risk Withdrawals from study
Overall: 15% (10/68)
Disopyramide: 15.1% (5/33)
Reasons
  • Hypotension

  • Pulmonary congestion

  • Sinoatrial block

  • Sustained ventricular tachycardia


Lidocaine: 14.2% (5/35)
Reasons
  • Confusion

  • Hypotension

  • High‐degree atrioventricular block

  • Sustained ventricular tachycardia

Selective reporting (reporting bias) Low risk The study protocol is not available, but it is clear that published reports describe all expected outcomes, including those that were pre‐specified (convincing text of this nature may be uncommon)
Other bias High risk Design bias (Porta 2008)