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- W4377016210 abstract "The initiation of sotalol for cardiac arrhythmias has largely required in-patient stay due to the possibility of QT interval prolongation and concern for ventricular arrhythmia. Clinical outcomes of patients starting sotalol as outpatients have not been well studied. To the best of our knowledge, we report this as the largest cohort of outpatient initiation of sotalol. Evaluate the safety and tolerability of initiating sotalol as an outpatient. We performed a retrospective chart review of patients being initiated on sotalol as an outpatient within the Northeast Georgia Health System from October 2017 to January 2022. We evaluated the baseline characteristics of our population including demographics and risk factors. Post sotalol initiation outcomes included QT interval, cardiac arrest, bradycardia, device placements, and death. The follow-up period was restricted to 90 days post-initiation of sotalol. Analysis was performed using JMP Pro (version 16.0.0, SAS Institute Cary NC). We identified total of 720 patients with outpatient initiation of sotalol. The mean age was 69.5 ± 11.1, and 415 (57.6%) were men. Baseline characteristics before sotalol initiation showed mean QT of 402 ms, creatinine of 1.07, and potassium of 4. Mean LVEF of 55.9 ± 8.3, 10.1% with history of bradycardia and 1.0% had history of high-grade AV block. The most commonly started sotalol dose was 80 mg twice daily in 81.3% of the patients. The mean QT interval post sotalol loading was 418 ms. Within the 90-day follow-up period, 2 patients (0.3%) had reported cardiac arrests; one had known cardiomyopathy with low EF of 30% and second had discontinued sotalol one week before the event. 1 death occurred due to PEA; patient with advanced cardiomyopathy admitted with worsening CHF. 10 (1.4%) patients had pacemakers implanted within 90 days of drug initiation; 7/10 of these patients had marked bradycardia before sotalol initiation with pre plans of pacemaker implant after sotalol initiation. 1 patient had ICD implantation after sotalol initiation for persistent LV dysfunction. Retrospective review of our data suggests that in a controlled clinical setting, sotalol initiation can be safely done as an outpatient without increasing adverse events. These patients generally had normal renal function, electrolytes, and QT interval at baseline. Further randomized trials are needed to corroborate these findings in a wider population." @default.
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- W4377016210 date "2023-05-01" @default.
- W4377016210 modified "2023-10-16" @default.
- W4377016210 title "PO-01-135 SAFETY AND TOLERABILITY OF INITIATING ORAL SOTALOL AS OUTPATIENT" @default.
- W4377016210 doi "https://doi.org/10.1016/j.hrthm.2023.03.544" @default.
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