Circulation, Vol 65, 1129-1133, Copyright © 1982 by American Heart Association
N De Soyza, W Shapiro, PA Chandraratna, WS Aronow, AR Laddu and CH Thompson
The safety and efficacy of acebutolol in suppressing ventricular ectopy was
evaluated in 60 males (average 59 years) using 24-hour Holter recordings
and a double-blind, randomized, crossover protocol. Acebutolol, 200 mg and
400 mg thrice daily, was compared with placebo. Only patients who had a
mean of at least 30 ventricular premature complexes (VPCs) per hour on
three 24-hour control Holter recordings were included. Analysis of Holter
recordings revealed greater than 70% reduction in VPCs/hour from control
levels during acebutolol therapy in over 50% of the 60 patients;
dose-related reduction in the mean number of single and paired VPCs and
ventricular tachycardia episodes (p less than 0.05) by acebutolol; and
significant, asymptomatic reduction in resting heart rate and blood
pressure. All side effects were transient. Acebutolol was discontinued
because of side effects in one patient only.
ARTICLES
Acebutolol therapy for ventricular arrhythmia. A randomized placebo- controlled double-blind multicenter study
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