Tamariz-Martel Moreno Amalia, Baño Rodrigo Antonio, Sánchez Bayle Marciano, Montero Luis Cristina, Acuña Quirós María D, Cano Fernández Julia
Sección de Cardiología Pediátrica. Hospital Universitario Niño Jesús. Universidad Autónoma de Madrid. Madrid. Spain.
Rev Esp Cardiol. 2004 Jan;57(1):89-93.
This prospective study evaluated the effects of cisapride on corrected QT interval (QTc) in infants and children. From October 2000 to March 2003 two electrocardiograms (ECG) were obtained for 175 children (ranging in age from 1.5 months to 16.8 years), before and after 15 days of treatment with cisapride (0.2 mg/kg/dose, 3-4 times/day). A single posttreatment ECG was also obtained for 24 patients (ranging in age from 1.5 month to 15.8 years). No statistically significant differences were found between the mean QTc interval before (0.390 [0.018 s]) and after treatment (0.391 [0.018 s]). In patients for whom only a posttreatment ECG recording was performed, mean QTc interval was 0.399 (0.018 s). The QTc interval was never longer than 0.450 s in any of the children. In our experience the use of cisapride at therapeutic doses in infants and children who have no associated risk factors does not significantly prolong QTc interval.
这项前瞻性研究评估了西沙必利对婴幼儿和儿童校正QT间期(QTc)的影响。在2000年10月至2003年3月期间,对175名年龄在1.5个月至16.8岁之间的儿童,在西沙必利(0.2mg/kg/剂量,每日3 - 4次)治疗15天前后各进行了两次心电图(ECG)检查。还对24名年龄在1.5个月至15.8岁之间的患者进行了一次治疗后的心电图检查。治疗前平均QTc间期(0.390[0.018秒])与治疗后(0.391[0.018秒])之间未发现统计学上的显著差异。在仅进行了治疗后心电图记录的患者中,平均QTc间期为0.399(0.018秒)。在任何儿童中,QTc间期从未超过0.450秒。根据我们的经验,在没有相关危险因素的婴幼儿和儿童中使用治疗剂量的西沙必利不会显著延长QTc间期。