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Cardiovascular collapse during amiodarone infusion in a hemodynamically compromised child with refractory
Sunil Saharan1, Seshadri Balaji1
1Department of Pediatrics, Division of Pediatric Cardiology, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, U S A.
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.
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