COMPARATIVE ANALYSIS OF IBUTILIDE AND AMIODARONE IN CHEMICAL CARDIOVERSION

Abstract

Annotation: Cardioversion is a therapeutic intervention aimed at restoring normal sinus rhythm in patients with cardiac arrhythmias, particularly atrial fibrillation and atrial flutter. These arrhythmias can lead to complications such as thromboembolism, heart failure, and increased mortality. Management typically includes rate control, rhythm control, and anticoagulation, with rhythm control being achieved through electrical or pharmacological means. Chemical cardioversion is preferred for hemodynamically stable patients when electrical cardioversion is unsuitable. This method employs antiarrhythmic medications to disrupt abnormal impulses or re-entrant circuits. Ibutilide and amiodarone are commonly used due to their effectiveness and intravenous availability.