Arrhythmias & electrophysiology

Comparison of the effectiveness and safety of dronedarone and amiodarone for preventing recurrence after catheter ablation of atrial fibrillation: an open-label randomized controlled trial

EuropacePublished Randomised controlled trial

Authors' conclusion

Therapy with dronedarone during the blanking period after AF ablation was associated with a similar recurrence rate but a superior safety profile compared to amiodarone.

Study context

Population
Patients undergoing atrial fibrillation (AF) ablation273 in modified intention-to-treat (mITT) analysis
Participants
280 patients
Comparison
Dronedarone vs amiodarone during the blanking period after AF ablation
Primary endpoint
Atrial tachyarrhythmia recurrence (>30 s)
Follow-up
After the blanking period
Methodological detailsopen-label
  • Open-label

Primary result

As reported in the abstract

P = 0.184

Secondary outcomes

Secondary efficacy endpoints

No significant differences

Safety

Side effects

P < 0.001

QTc-interval prolongation

P = 0.01

Hypothyroidism

P < 0.001

Original publication

Comparison of the effectiveness and safety of dronedarone and amiodarone for preventing recurrence after catheter ablation of atrial fibrillation: an open-label randomized controlled trial. Europace. Published 28 April 2026. doi:10.1093/europace/euag095

Summarised from the published abstract; every number is checked against it

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