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Atrial arrhythmia after newborn eye exam, to caffeine or not to caffeine?

A Ahmad1, T Mondal2, B Klein3

  • 1Department of Pediatrics, McMaster University, ON, Canada.

Journal of Neonatal-Perinatal Medicine
|December 24, 2016
PubMed

Insights

Mydriatic eye drops used in premature infants for retinopathy screening, combined with caffeine for apnea, may increase the risk of atrial arrhythmias. These cardiac events in neonates resolved with conservative management.

Area of Science:

  • Neonatal ophthalmology
  • Pediatric cardiology
  • Clinical pharmacology

Background:

  • Mydriatic eye drops are standard for retinopathy of prematurity screening in neonates.
  • Anticholinergic side effects like tachycardia are known in pediatric populations.
  • Caffeine is commonly used for apnea of prematurity in neonatal intensive care units.

Keywords:
Neonatearrhythmiacaffeinecyclopentolateeye exammydriatricsnewborn

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