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Heart Rhythm (Expert Forum)
laguna n
Answered by
Michael J. McWilliams, M.D. - atrial fibrillation, Pacemakers, Defibrillators, Arrhythmias (SVT, VT), PVC/PAC, Ablation
Wilmington Health Associates
Wilmington - NC
Questions in the Heart Rhythm forum cover topics that include heart rhythm issues, arrhythmia, irregular heartbeat, implanted defibrillators, pacemakers, and tachycardia.
Doctor's Answer
by Michael J. McWilliams, M.D., Aug 07, 2007 04:35PM
, Aug 07, 2007 04:35PM
Hello,
The mechanism of Rythmol and sotalol are completely different but have about equal efficacy. Sotalol requires a 72 hour in patient admission to initiate the drug and monitor EKG intervals for changes -- this is very important. If you are initiated on the sotalol and have someone that can follow it where you are moving, it is an ok choice.
I tend to use rythmol first line in structurally normal hearts because it has a very good side effect profile. Sotalol tends to have more side effects of fatigue when compared to flecainide and propafenone (rythmol) because sotalol has more beta blocker properties. You might find that one works better for you than the other. Rythmol is a better converting agent, meaning that if you go into AF rythmol has a better chance of converting you to a normal rhythm. Overall, sotalol is not a bad choice as long as it is initiated under a monitored setting and your kidney function is good.
I hope this answers your questions. Good luck with your move and thanks for posting.
The mechanism of Rythmol and sotalol are completely different but have about equal efficacy. Sotalol requires a 72 hour in patient admission to initiate the drug and monitor EKG intervals for changes -- this is very important. If you are initiated on the sotalol and have someone that can follow it where you are moving, it is an ok choice.
I tend to use rythmol first line in structurally normal hearts because it has a very good side effect profile. Sotalol tends to have more side effects of fatigue when compared to flecainide and propafenone (rythmol) because sotalol has more beta blocker properties. You might find that one works better for you than the other. Rythmol is a better converting agent, meaning that if you go into AF rythmol has a better chance of converting you to a normal rhythm. Overall, sotalol is not a bad choice as long as it is initiated under a monitored setting and your kidney function is good.
I hope this answers your questions. Good luck with your move and thanks for posting.
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