• 1. Department of Cardiovascular Medicine, Chengdu Shangjinnanfu Hospital, Chengdu, Sichuan 611700, P. R. China;
  • 2. Emergency Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
WANZhi, Email: 456wz@163.com
Export PDF Favorites Scan Get Citation

Objective To investigate the efficacy and safety of intravenous diltiazem in controlling ventricular rate in elderly patients with atrial fibrillation. Method We retrospectively analyzed the clinical data of patients suffering from atrial fibrillation with rapid ventricular rate presented to the Emergency Department between January 2014 and January 2015, and found that 57 elderly patients aged over 70 were treated with intravenous diltiazem for ventricular rate controlling. We analyzed the general situation of this group of patients, the changes of heart rate and mean arterial pressure before and after the treatment, and the adverse reactions to the treatment. Results The total effective rate was 92.9%, and the mean onset time was (13.3±7.3) minutes. The mean arterial pressure showed no significant difference after treatment, and the heart function showed no significant deterioration. Only 4 patients (7.0%) had symptoms of transient hypotension. Conclusions For elderly patients with atrial fibrillation with rapid ventricular rate, intravenous diltiazem can control the ventricular rate rapidly, efficiently, safely, and sustainably.

Citation: WANGLin, ZHOUYa-xiong, CHENYao, WANZhi. Intravenous Diltiazem for Controlling Ventricular Rate in Elderly Patients with Atrial Fibrillation: A Retrospective Study. West China Medical Journal, 2015, 30(6): 1003-1006. doi: 10.7507/1002-0179.20150289 Copy

  • Previous Article

    展望急诊医学的大数据时代
  • Next Article

    Clinical Efficacy of Noninvasive Positive-pressure Ventilation for Elderly Patients with Chronic Obstructive Pulmonary Disease Combined with Left Heart Failure