Cardiovascular collapse after verapamil in supraventricular tachycardia.
نویسنده
چکیده
Five babies who presented with supraventricular tachycardia were treated with verapamil intravenously. All developed severe hypotension and two died. Verapamil should not be used in the initial management of supraventricular tachycardia in neonates.
منابع مشابه
Verapamil induced premature ventricular beats before reversion of supraventricular tachycardia.
The occurrence in 6 patients of premature ventricular beats before reversion to sinus rhythm, after the intravenous administration ofverapamil-for the treatment of supraventricular tachycardia, is reported. Four patients had pre-excitation syndromes (Wolff-Parkinson-White in I and Lown-Ganong-Levine in 3) and one patient had bradycardia-tachycardia syndrome. In the remaining patient, at previou...
متن کاملVerapamil in ectopic tachycardias--five year clinical study.
During the period 1972-77 verapamil has been used intravenously as the drug of first choice in 219 consecutive acute episodes of ectopic tachycardia in 81 cases, 51 males and 30 females, age range 10 months 105 years (mean 42 years). Only cases of atrial, nodal or ventricular tachycardia were included in the study. In 58 (72%) one acute episode and in 23 (28%) cases 2-7 episodes were studied. T...
متن کاملEpinephrine-induced reversal of verapamil's electrophysiologic and therapeutic effects in patients with paroxysmal supraventricular tachycardia.
The purpose of our study was to determine whether an infusion of epinephrine reverses the electrophysiologic effects of verapamil and whether reversal of verapamil's effects on the induction of paroxysmal supraventricular tachycardia (PSVT) by epinephrine during electropharmacologic testing is predictive of stress-related recurrences of PSVT during long-term treatment with verapamil. The infusi...
متن کاملEffects of intravenous and chronic oral verapamil administration in patients with supraventricular tachyarrhythmias.
The efficacy of i.v. and oral verapamil was studied in 28 patients with supraventricular tachycardia (SVT). Verapamil (5-10 mg i.v.) terminated SVT in all six patients with atrioventricular nodal (AVN) reentrant tachycardia. In all patients verapamil prolonged antegrade but did not affect retrograde AVN conduction time. Two patients had associated sinus nodal reentrant tachycardia that persiste...
متن کاملEffect of verapamil in infants with paroxysmal supraventricular tachycardia.
Twenty-nine consecutive spontaneous attacks of paroxysmal supraventricular tachycardia (PSVT) in 14 infants (mean age 4.4 months) were treated with verapamil. No infant had associated heart disease. Verapamil 1-2 mg i.v was administered over 30 seconds. The dosage varied according to the weight of the infant. Within 60 seconds sinus rhythm was obtained in 28 instances (96.5%). No significant co...
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ورودعنوان ژورنال:
- Archives of disease in childhood
دوره 62 12 شماره
صفحات -
تاریخ انتشار 1987