D. Deste et al., EFFICACY OF INTRAVENOUS PROPAFENONE IN TERMINATION OF ATRIAL-FLUTTER BY OVERDRIVE TRANSESOPHAGEAL PACING PREVIOUSLY INEFFECTIVE, The American journal of cardiology, 79(4), 1997, pp. 500
Fifty patients with symptomatic type I atrial flutter in whom terminat
ion of the arrhythmia with transesophageal stimulation was unsuccessfu
l were randomized to undergo a repeat procedure after intravenous prop
afenone (n = 25) or placebo (n = 25). Immediate sinus rhythm recovery
rate was 36% in the propafenone group and 4% in the placebo group (p =
0.005), indicating that intravenous propafenone increases the rate of
successful transesophageal stimulation and can be used when a first a
ttempt at conversion is ineffective.