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  • Title: [Amiodarone: treatment or cause of atrial fibrillation?].
    Author: Allali G, Falconnet C.
    Journal: Rev Med Suisse; 2005 Nov 02; 1(39):2533-5. PubMed ID: 16323735.
    Abstract:
    Amiodarone has long been the anti-arrhythmic drug of choice for the treatment of atrial fibrillation. We use a clinical case report to illustrate the difficulty of treating this arrhythmia, which is frequent in older adults, by explaining the physiopathology of one of its side effects: hyperthyroidism. TSH should be measured in patients with recurrent atrial fibrillation under treatment in order to exclude an amiodarone-induced thyroid dysfunction. In the geriatric population, the control of ventricular rate is often preferred over a conversion in sinus rhythm because the anti-arrhythmic drugs used for conversion have serious side effects.
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