Calcium channel blockers work by blocking the initial calcium influx into
Calcium channel blockers should generally be avoided in patients with
Background: Diltiazem (calcium channel blocker) and metoprolol (beta-blocker) are both
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Diltiazem to treat sinus tachycardia in critically ill patients: a four-year experience Crit Care Med
Paroxysmal SVT, a subset Medscape - Indication-specific dosing for Cardizem, Cardizem CD (diltiazem), frequency-based adverse effects, comprehensive interactions, contraindications, pregnancy & lactation schedules, and cost information
Can consider breaking down into 10 mg boluses in older patients to decrease risk of adverse reactions
In a study by Dougherty et al
Its efficacy and safety in 4 doses for treatment of induced supraventricular tachycardia (SVT) were examined and compared with those of placebo in 87 patients (25 with atrioventricular [AV] nodal reentry tachycardia, 60 with AV reentry associated with an accessory AV
Doc said grab an IV and away we went with Cardizem right after we got her
Previous tracings, if available, are reviewed for ECG signs of manifest WPW syndrome Classic Wolff-Parkinson-White Verapamil 5 mg IV or diltiazem 0
6%
5 h immediate) 6–11 h (sustained) Electrophysiologic studies were performed before and 2 hours after the oral administration of 270 mg of diltiazem in 3 divided doses at 8-hour intervals in 36 patients with paroxysmal supraventricular tachycardia (SVT)
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Diltiazem has an average rating of 6
A similar approach may be necessary for control of the heart rate in patients with atrial fibrillation or atrial flutter
However, preexcited atrial fibrillation (AF) or atrial flutter with a rapid ventricular response may also result in symptoms
Overall, 65 patients (89%) in the verapamil group and 66 patients (90%) in the diltiazem group achieved an HR <110 bpm during the infusion (P =
IV 0
Starting with 30 mg four times daily, before meals and at bedtime, dosage should be increased gradually (given in divided doses three or four times daily) at 1- to 2-day intervals until optimum response is obtained