静脉注射氟卡尼成功治疗新生儿顽固性心房扑动。

Neonatal intractable atrial flutter successfully treated with intravenous flecainide.

作者信息

Suzumura H, Nitta A, Ono M, Arisaka O

机构信息

Department of Pediatrics, Dokkyo University School of Medicine, 880, Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi 321-0293, Japan.

出版信息

Pediatr Cardiol. 2004 Mar-Apr;25(2):154-6. doi: 10.1007/s00246-003-0226-8. Epub 2003 Dec 23.

DOI:10.1007/s00246-003-0226-8

PMID:14681740

Abstract

We present a neonatal case with intractable atrial flutter that did not respond to digitalization and electrical cardioversion. Intravenous flecainide administration completely resolved the atrial flutter. Proarrhythmic effects were not induced by flecainide administration. Although the efficacy of flecainide for atrial flutter during the infantile or childhood period is low, intravenous flecainide is worth consideration as a treatment for atrial flutter, even in intractable cases as described here, during the neonatal period.

摘要

我们报告一例新生儿难治性心房扑动病例，该病例对洋地黄化和电复律均无反应。静脉注射氟卡尼可完全消除心房扑动。氟卡尼给药未诱发心律失常效应。尽管氟卡尼在婴儿期或儿童期对心房扑动的疗效较低，但即使在此处所述的难治性病例中，静脉注射氟卡尼作为新生儿期心房扑动的一种治疗方法仍值得考虑。