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Table 41.3

Drug Therapy of Haemodynamically Stable Pre-Excited Atrial Fibrillation

DrugCommentDose (IV)
FlecainideMay cause hypotension Avoid if known structural heart disease2 mg/kg (to a maximum of 150 mg) over 20 min
AmiodaroneNeeds to be given via central vein to avoid thrombophlebitis300 mg, diluted in 5% glucose to a volume of 50 mL, infused over 20 min via a central vein