Guidelines recommend a trial of one or more antiarrhythmic drugs before catheter ablation is considered in patients with atrial fibrillation. However, first-line may be effective maintaining sinus rhythm.

Hughes S: Effect of prazosin vs placebo on chronic left ventricular heart failure. Circulation 59: 344, 1979 12. Curtiss C, Cohn JN, Vrobel T, Franciosa JA: The role of the renin-angiotension system in the systemic vasoconstriction of chronic heart failure. Circulation 58: 763, 1978 13. Packer M, Meller J, Gorlin R, Herman MW: Hemodynamic and clinical tachyphylaxis to prazosin-mediated afterloa...

Editor—We wish to report a case of etomidate reverting ventricular tachycardia to sinus rhythm. Although there have been several case reports and studies demonstrating the antiarrhythmic affects of propofol this has not been true of etomidate. A 59-yr-old man presented to the emergency department with a 2 h history of central chest pain radiating to the left arm and palpitations. He denied any ...

Editor—We wish to report a case of etomidate reverting ventricular tachycardia to sinus rhythm. Although there have been several case reports and studies demonstrating the antiarrhythmic affects of propofol this has not been true of etomidate. A 59-yr-old man presented to the emergency department with a 2 h history of central chest pain radiating to the left arm and palpitations. He denied any ...