Document Detail


Amiodarone treatment of critical arrhythmias in children and young adults.
MedLine Citation:
PMID:  6384328     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The majority of sudden cardiac deaths in children occur in patients with prior arrhythmias and an abnormal heart. Amiodarone was given to 39 young patients (35 with an abnormal heart) with arrhythmias unresponsive to conventional treatment. Their age ranged from 6 weeks to 30 years with nine patients younger than 2 years of age. Atrial flutter was present in 16 patients, ventricular tachycardia in 14 patients and supraventricular tachycardia in 9 patients. The most common diagnosis (14 patients) was postoperative repair of congenital heart disease. The dose ranged from 2.5 to 21.6 mg/kg per day (mean 8.2). Elimination of arrhythmia (on 24 hour electrocardiography) occurred in 15 of 16 patients with atrial flutter, 11 of 14 with ventricular tachycardia and 5 of 9 with supraventricular tachycardia. Symptomatic side effects were: rash (three patients), headache (two patients), nausea (one patient) and peripheral neuropathy (one patient); seven patients had asymptomatic corneal microdeposits which normalized in all after the drug was discontinued. No side effects occurred in patients younger than 10 years of age. The following changed with treatment (p less than 0.05): heart rate decreased (three patients with atrial flutter and sick sinus syndrome required pacemaker implantation for bradycardia) and QTc increased; thyroxine (T4) and serum reverse triiodothyronine (T3) increased. During follow-up study (range 6 months to 3 years), 21 of the 39 patients continued to take amiodarone with complete control of arrhythmias, 9 were no longer taking the drug and 9 died (7 nonsudden and 2 sudden deaths). Amiodarone is an extremely effective treatment for infants and children with tachyarrhythmias resistant to conventional treatment.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
A Garson; P C Gillette; P McVey; P S Hesslein; C J Porter; L K Angell; L C Kaldis; H M Hittner
Related Documents :
8346728 - Safety and efficacy of oral sotalol for sustained ventricular tachyarrhythmias refracto...
9538168 - Analysis of recovery time indexes in 5-fluorouracil-treated cancer patients.
1704168 - Propafenone versus quinidine slow-release for the treatment of chronic ventricular arrh...
8420238 - Use of multiple patches during implantation of epicardial defibrillator systems.
11888258 - Knowledge, attitude, and practice of epilepsy in rural sri lanka.
20118818 - A superior semicircular canal dehiscence syndrome multicenter study: is there an associ...
Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  4     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1984 Oct 
Date Detail:
Created Date:  1984-11-01     Completed Date:  1984-11-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  749-55     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Amiodarone / adverse effects,  therapeutic use*
Atrial Flutter / drug therapy*,  physiopathology
Benzofurans / therapeutic use*
Child
Child, Preschool
Clinical Trials as Topic
Echocardiography
Electrocardiography
Heart Defects, Congenital / complications
Humans
Infant
Tachycardia / drug therapy*,  physiopathology
Thyroid Gland / physiopathology
Grant Support
ID/Acronym/Agency:
HL07190/HL/NHLBI NIH HHS; RR00188/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Benzofurans; 1951-25-3/Amiodarone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Ethics in dentistry: review and critique of Principles of Ethics and Code of Professional Conduct.
Next Document:  Platelet function and biosynthesis of prostacyclin and thromboxane A2 in whole blood after aspirin a...