E ISSN: 2583-049X
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International Journal of Advanced Multidisciplinary Research and Studies

Volume 3, Issue 2, 2023

Management of Multifocal Atrial Tachycardia: Comparison between Beta blockers and Calcium Channel blockers - A Systematic Analysis



Author(s): Ziad R Affas, Banan Q Rasool, Sneha Annie Sebastian, Bareq S Al-Lami, Aya Nasih Mohammad, Shwan O Ameen

Abstract:

Introduction: Multifocal atrial tachycardia (MAT) is a form of SVT arising from multiple ectopic foci within the atria. The aim is to compare the effectiveness of the two options used in its management.

Methods: This systematic review used a protocol prepared according to the s PRISMA. Google Scholar, MEDLINE (PubMed), and EMBASE, ResearchGate, and Cochrane Library were used

Results: A total of 2,708 patients were included, 955 patients treated with BBs and 1,753 treated with CCBs. 65.65% treated with BBs responded positively to treatment, while 59.50% treated with CCBs responded positively. The effect size of the therapeutic responses was 1.54 [1.29, 1.84] OR at a 95% CI. A test for the overall effect of the two treatment options was Z = 4.84 (P < 0.00001).

Conclusion: Only one certain result was found; both BBs and CCBs can be used in treating MAT with minimal differences in effectiveness or safety.


Keywords: Multifocal Atrial Tachycardia, Beta Blocker, Calcium Channel Blocker, Hypertension

Pages: 856-860

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