The current evidences indicate that \~30% patients with sick sinus syndrome(SSS) would develop persistent atrial fibrillation (AF) after a long term pacing therapy. However, the accurate influence of antiarrhythmic drugs on the AF is still not well defined. The purpose of the study is to assess the therapeutic effects of various antiarrhythmic drugs (Amiodarone, Sotalol and Propafenone) on the long term management of AF in SSS patients with AF, including the reduced AF burden (duration and episodes) and persistent AF free survival rate. All patients will be followed up for 12 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
600
Amiodarone: 200mg three times a day for two weeks, then change to 200mg per day for the rest of the study.
150mg per 8 hours, 3 times per day
80mg twice per day.
Xinhua Hospital, Shanghai Jiao Tong University School of Medicne
Shanghai, Shanghai Municipality, China
Average AF burden in minutes per day
Long term usages of test drug reduce AF burden, including the number and accumulated total time of AF per day.
Time frame: monthly up to 12 months
Persistent AF free survival rate
Long term usages of test drugs reduce the occurence of the persistent AF ( the persistent AF survival rate)。
Time frame: monthly up to12 months
Left ventricular function
LVEF(Simpson), LV volume, diastolic function (E/A ), tricuspid regurgitation, Left atrial size and volume
Time frame: 0months, 6months and 12 months
SF-36 health survey
SF-36 health survey
Time frame: 0 months, 6 months and 12 months
comorbidity and mortality
The rate of stroke, infarction, heart failure, rehospitalization and cardiovascular and total mortality rate.
Time frame: 6 months and 12 months
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