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Q In emergency department (ED) patients with atrial fibrillation (AF) and a rapid ventricular response rate, what is the efficacy and safety of magnesium sulphate administered within the first 2.5 hours in addition to usual care?
Clinical impact ratings IM/Ambulatory care ★★★★★★☆ Emergency medicine ★★★★★★☆ Cardiology ★★★★★★☆
METHODS
Design:
randomised controlled trial (RCT).
Allocation:
{concealed*}†.
Blinding:
blinded (patients, clinicians, {data collectors, outcome assessors, monitoring committee}†, and data analysts).*
Follow up period:
up to 150 minutes.
Setting:
2 academic, tertiary referral EDs in South Australia.
Patients:
199 patients (approximately 52% women) >18 years of age who presented to the ED with AF and a ventricular response rate >120 beats/min. Exclusion criteria were haemodynamic instability, history of renal failure or atrioventricular node disease (except for patients with primary atrioventricular block or permanent pacemakers), or acute myocardial infarction with electrocardiographic …
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