Cheryl, it would depend on the patient's symptoms. If he's symptomatic, then certainly IV-Amio is a good choice. If he's relatively asymptomatic then po cordarone would be good...but it depends on his ovrall 'picture'...
Most Cadriologists i work with would probably recommend an angio to redefine the pt's coronaries. If the NSVT is 'ischemic', then it could perhaps be remedied without the Amio (and it's (unfortunately!) not too uncommon side effects!).
If it's non-ischemic and more related to the guy's anatomy (how was his LV?) Then amio-loading is probably the 'best' medical Tx,...EP-studies with potential icd-implantation would be a 'last line' thing...in my opinion..
I Like amiodarone. It's great at what it does and can be applied to a wide-variety of 'bad-rythm' situations (incl. code situations).
Though side-effects do occur(esp. w/chronic use), i beleive it's potential benefits outweigh them.
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