Evidence map›Paper›PMID 41399339›Full record

ArticleArchives of academic emergency medicine2025

Incidence and Risk Factors of QT Prolongation and Torsades de Pointes following Intravenous Amiodarone Administration for Atrial Fibrillation: A Cohort Study.

Yuttana Wongsalap, Waruni Miliam, Suparpish Deesham, Arissara Thepsaen, Aphatsara Churasae, Duangkamon Poolpun, Tomon Thongsri, Niwat Saksit

Abstract read
In one paragraph

Article in Archives of academic emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. 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

8 authors.

Yuttana WongsalapDivision of Clinical Pharmacy, Department of Pharmaceutical Care, School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand.
Waruni MiliamSchool of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand.
Suparpish DeeshamSchool of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand.
Arissara ThepsaenSchool of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand.
Aphatsara ChurasaeSchool of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand.
Duangkamon PoolpunDepartment of Pharmacy, Buddhachinaraj Hospital, Phitsanulok, Thailand.
Tomon ThongsriDivision of Cardiology, Department of Medicine, Buddhachinaraj Hospital, Phitsanulok, Thailand.
Niwat SaksitUnit of Excellence on Pharmacogenomic Pharmacokinetic and Pharmacotherapeutic Research (UPPER), School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Amiodarone has been reported to be associated with QTc interval prolongation and Torsades de pointes (TdP). This study aimed to assess the incidence and identify the risk factors of QTc prolongation and TdP associated with intravenous amiodarone therapy in patients diagnosed with atrial fibrillation (AF). Methods: A retrospective cohort study was conducted using electronic health records of Buddhachinaraj Hospital, a tertiary care center in Thailand, between January 2016 and September 2019. The study population comprised patients with AF who received intravenous amiodarone therapy. Incidence and associated risk factors for QTc interval prolongation and TdP were assessed using multivariable logistic regression analysis. Results: A total of 2,944 patients were included in the analysis. Among these, 49 cases of intravenous amiodarone-associated QTc interval prolongation or TdP were identified (33 (1.12%) and 16 (0.54%) cases, respectively), corresponding to an overall incidence of 1.66% Conclusion: Although the incidence of QTc interval prolongation and TdP related to intravenous amiodarone therapy in patients with AF was relatively low, the risk was significantly elevated in individuals with diabetes mellitus, a history of stroke, or concurrent use of antipsychotic or anticholinergic agents. These findings underscore the importance of vigilant risk assessment and monitoring in clinical practice to mitigate the potential for intravenous amiodarone-induced arrhythmic complications.

Indexed as

AdministrationAtrial fibrillationIntravenous; AmiodaroneTorsades de pointes

Identifiers

PMID41399339
PMCPMC12702508

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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.