在一名患有难治性室上性心动过速且血流动力学不稳定的儿童静脉输注胺碘酮期间发生心血管衰竭。
Cardiovascular collapse during amiodarone infusion in a hemodynamically compromised child with refractory supraventricular tachycardia.
作者信息
Saharan Sunil, Balaji Seshadri
机构信息
Department of Pediatrics, Division of Pediatric Cardiology, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, U S A.
出版信息
Ann Pediatr Cardiol. 2015 Jan-Apr;8(1):50-2. doi: 10.4103/0974-2069.149519.
Abstract
We describe a 7-week-old female infant who presented with refractory supraventricular tachycardia (SVT). During amiodarone infusion, she developed hypotension and cardiac arrest requiring extracorporeal membrane oxygenation (ECMO) support. After successful control of SVT using procainamide infusion, she was weaned from ECMO and discharged home on oral flecainide. We conclude that infants with acidosis, ventricular dysfunction, and prolonged refractory SVT may poorly tolerate intravenous amiodarone.
摘要
我们描述了一名7周大的女婴，她患有难治性室上性心动过速（SVT）。在静脉输注胺碘酮期间，她出现了低血压和心脏骤停，需要体外膜肺氧合（ECMO）支持。在使用普鲁卡因胺静脉输注成功控制SVT后，她脱离了ECMO，并口服氟卡尼出院回家。我们得出结论，患有酸中毒、心室功能障碍和长期难治性SVT的婴儿可能对静脉注射胺碘酮耐受性较差。
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