Can sotalol initiation for atrial fibrillation be performed safely outpatient, and if so, what would be a reasonable protocol for implementing this?

Topics: Cardiology • Cardiac Electrophysiology

Can sotalol initiation for atrial fibrillation be performed safely outpatient, and if so, what would be a reasonable approach to accomplishing this?

Answer from: at Academic Institution

In my opinion, sotalol (and Tikosyn) should never be initiated as an outpatient. We have all seen cases of torsades at some point in our careers related to sotalol initiation and QT prolongation, even when resuming a dose that was previously tolerated. There is a nice review article published in JAC...

Comments

at Baylor College of Medicine/ Texas Children's Hospital
Different from perhaps the majority of electrophys...

Related Questions