Repetitive paroxysms of supraventricular tachyarrhythmias triggered during pediatric cardiac interventions: suppression after short infusion of amiodarone

Pediatr Cardiol. 2004 Nov-Dec;25(6):684-5. doi: 10.1007/s00246-003-0644-7.

Abstract

Arrhythmias are the most common major complications encountered during pediatric cardiac catheterizations. This report describes the management of repetitive paroxysms of supraventricular tachyarrhythmias triggered by catheter manipulation during interventional procedures in two children. After 15 minutes, amiodarone infusion (25 microg/kg/min) eliminated further paroxysms in both patients, allowing both interventions to be completed safely and effectively.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Amiodarone / administration & dosage*
  • Anti-Arrhythmia Agents / administration & dosage*
  • Cardiac Catheterization / adverse effects*
  • Echocardiography
  • Echocardiography, Transesophageal
  • Heart Septal Defects, Atrial / surgery
  • Humans
  • Infant, Newborn
  • Infusions, Intravenous
  • Intraoperative Complications / diagnostic imaging
  • Intraoperative Complications / drug therapy
  • Intraoperative Complications / etiology*
  • Tachycardia, Supraventricular / diagnostic imaging
  • Tachycardia, Supraventricular / drug therapy
  • Tachycardia, Supraventricular / etiology*
  • Transposition of Great Vessels / surgery

Substances

  • Anti-Arrhythmia Agents
  • Amiodarone