Evidence map›Paper›PMID 38984365›Full record

ArticleHeart rhythm O22024

Safety of outpatient commencement of sotalol.

Suraya H Kamsani, Melissa E Middeldorp, Glenda Chiang, Maria Stefil, Shaun Evans, Mau T Nguyen, Elnaz Shahmohamadi, Jessica Qingying Zhang, Kurt C Roberts-Thomson, Mehrdad Emami and 2 more

Abstract read
In one paragraph

Article in Heart rhythm O2, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Suraya H KamsaniCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.
Melissa E MiddeldorpCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.
Glenda ChiangCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.
Maria StefilCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.
Shaun EvansCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.
Mau T NguyenDepartment of Cardiology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Elnaz ShahmohamadiCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.
Jessica Qingying ZhangCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.
Kurt C Roberts-ThomsonCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.
Mehrdad EmamiCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.
Glenn D YoungCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.
Prashanthan SandersCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inpatient monitoring is recommended for sotalol initiation. Objective: The purpose of this study was to assess the safety of outpatient sotalol commencement. Methods: This is a multicenter, retrospective, observational study of patients initiated on sotalol in an outpatient setting. Serial electrocardiogram monitoring at day 3, day 7, 1 month, and subsequently as clinically indicated was performed. Corrected QT (QTc) interval and clinical events were evaluated. Results: Between 2008 and 2023, 880 consecutive patients who were commenced on sotalol were evaluated. Indications were atrial fibrillation/flutter in 87.3% (n = 768), ventricular arrhythmias in 9.9% (n = 87), and other arrhythmias in 2.8% (n = 25). The daily dosage at initiation was 131.0 ± 53.2 mg/d. The QTc interval increased from baseline (431 ± 32 ms) to 444 ± 37 ms (day 3) and 440 ± 33 ms (day 7) after sotalol initiation ( Conclusion: Sotalol initiation in an outpatient setting with protocolized follow-up is safe, with no recorded sotalol-related mortality, ventricular arrhythmias, or syncope. There was a low incidence of significant QTc prolongation necessitating discontinuation within the first month of treatment. Importantly, we observed a small incidence of late QT prolongation, highlighting the need for vigilant outpatient surveillance of individuals on sotalol.

Indexed as

Drug therapyOral loadingOutpatientsQTcSotalolTorsades de pointes

Identifiers

PMID38984365
PMCPMC11228273

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.