Amiodarone for pediatric resuscitation: a word of caution.
Intravenous administration of amiodarone has recently been recommended for use during pediatric resuscitation of pediatric patients with ventricular fibrillation or pulseless ventricular tachycardia. We present two pediatric patients who received amiodarone for polymorphic ventricular tachycardia, although they were ultimately determined to have congenital long QT syndrome. Amiodarone is contraindicated in this setting and may have exacerbated the ventricular arrhythmia.
Fishberger
Steven B
SB
Division of Cardiology, Miami Children's Hospital, Miami, FL 33155, USA. steven.fishberger@mch.com
Hannan
Robert L
RL
Welch
Elizabeth M
EM
Rossi
Anthony F
AF
D000638:Amiodarone; D000889:Anti-Arrhythmia Agents; D002648:Child; D000075202:Contraindications; D003951:Diagnostic Errors; D004562:Electrocardiography; D006801:Humans; D007223:Infant; D008133:Long QT Syndrome / Q000175:diagnosis* / Q000188:drug therapy*; D008297:Male; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000188:drug therapy*
D000889:Anti-Arrhythmia Agents; D000638:Amiodarone