Beta-blockers, non-dihydropyridine calcium channel blockers, digoxin, and intravenous amiodarone are contraindicated in these patients; flecainide or amiodarone can be used instead.
Read moreWho are beta-blockers contraindicated?
Traditional contraindications to beta-blockers are peripheral vascular diseases, diabetes mellitus, chronic obstructive pulmonary disease (COPD) and asthma .
Read moreWhy are beta-blockers contraindicated in arrhythmia?
Use of Beta-blockers in Supraventricular Arrhythmias Atrial Flutter Beta-blockers have not been very effective for conversion of atrial flutter to sinus rhythm However, they are effective, to a certain degree, for ventricular rate control and are, therefore, indicated in stable patients.
Read moreShould β blockers be used in patients with heart failure and atrial fibrillation?
In AF, beta-blockers are preferred as a rate-control agent in patients after myocardial infarction and in patients with congestive heart failure. They may be avoided in patients with chronic pulmonary disease and at risk of bronchoconstriction.5 Ara 2015
Read moreWhich beta-blocker is best for atrial flutter?
Bisoprolol* or metoprolol succinate are first-choice beta-blockers for patients with atrial fibrillation as they are prescribed once-daily and do not require dose adjustment in patients with renal impairment. Bisoprolol is preferred as it is more cardioselective than metoprolol and may cause more bradycardia.21 Tem 2017
Read moreWhat is the safest antiarrhythmic drug?
Dronedarone was the best tolerated of the antiarrhythmic drugs, with the lowest rates of severe adverse events and a significant reduction in the risk of stroke. It is our practice to use propafenone, flecainide, sotalol, and dronedarone as first-line therapies in patients without structural heart disease (Table 4).17 Oca 2012
Read more