Molecular data indicate that Rhytidhysteron rufulum (ascomycetes, Patellariales) in Costa Rica consists of four distinct lineages corroborated by morphological and chemical characters

Introduction Recent estimates of the number of fungal species worldwide predict a minimal number of over 700 K specie

901-5 Intravenous Amiodarone Restores Sinus Rhythm in Acute Myocardial Infarction Complicated with Atrial Fibrillation

The effectiveness and tolerance of intravenous (IV) amiodarone (Am) in atrialfibrillation (AF) complicated acute myocardial infarction (AMI) is not well studied. Thus, twenty patients (Pts) with AMI complicated with AF occurring within 30h (11.9 ± 10) of the onset of AMI symptoms were treated with IV administration of digitalis (d, 0.5mg and an additional 0.25mg later) followed by IV Am 300mg over 2h (starting 2h after the initial dose of d) and followed by 44mg/h for up to 3 days, if sinus rhythm (SR) was not restored. Intravenous d restored SR within 2h in 5/20pts. AF relapsed in 2 of them. Subsequent administration of Am for 2 h restored SR in the remaining 15/20pts and in the 2pts in whom AF had relapsed after the initial restoration of SR by d. Am restored SR within an average of 12.8 (range 0.5–56) h of infusion. Total dose of Am was 1922 ± 720mg in 4pts and 425 ± 241mg in the remaining 13. Am was well tolerated by all pts including 1 with cardiogenic shock assisted with the intraaortic balloon pump. In conclusion, IV Am administration ishighly effective in restoring sinusrhythm in AF complicating AMI and is well tolerated