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The study of antiarrhythmic medications in infancy (SAMIS): a multicenter, randomized controlled trial comparing the efficacy and safety of digoxin versus propranolol for prophylaxis of supraventricular tachycardia in infants.

Identifieur interne : 000A16 ( PubMed/Corpus ); précédent : 000A15; suivant : 000A17

The study of antiarrhythmic medications in infancy (SAMIS): a multicenter, randomized controlled trial comparing the efficacy and safety of digoxin versus propranolol for prophylaxis of supraventricular tachycardia in infants.

Auteurs : Shubhayan Sanatani ; James E. Potts ; John H. Reed ; J Philip Saul ; Elizabeth A. Stephenson ; Karen A. Gibbs ; Charles C. Anderson ; Andrew S. Mackie ; Pamela S. Ro ; Svjetlana Tisma-Dupanovic ; Ronald J. Kanter ; Anjan S. Batra ; Anne Fournier ; Andrew D. Blaufox ; Harinder R. Singh ; Bertrand A. Ross ; Kenny K. Wong ; Yaniv Bar-Cohen ; Brian W. Mccrindle ; Susan P. Etheridge

Source :

RBID : pubmed:22962431

English descriptors

Abstract

Supraventricular tachycardia (SVT) is one of the most common conditions requiring emergent cardiac care in children, yet its management has never been subjected to a randomized controlled clinical trial. The purpose of this study was to compare the efficacy and safety of the 2 most commonly used medications for antiarrhythmic prophylaxis of SVT in infants: digoxin and propranolol.

DOI: 10.1161/CIRCEP.112.972620
PubMed: 22962431

Links to Exploration step

pubmed:22962431

Le document en format XML

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<div type="abstract" xml:lang="en">Supraventricular tachycardia (SVT) is one of the most common conditions requiring emergent cardiac care in children, yet its management has never been subjected to a randomized controlled clinical trial. The purpose of this study was to compare the efficacy and safety of the 2 most commonly used medications for antiarrhythmic prophylaxis of SVT in infants: digoxin and propranolol.</div>
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<ArticleTitle>The study of antiarrhythmic medications in infancy (SAMIS): a multicenter, randomized controlled trial comparing the efficacy and safety of digoxin versus propranolol for prophylaxis of supraventricular tachycardia in infants.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Supraventricular tachycardia (SVT) is one of the most common conditions requiring emergent cardiac care in children, yet its management has never been subjected to a randomized controlled clinical trial. The purpose of this study was to compare the efficacy and safety of the 2 most commonly used medications for antiarrhythmic prophylaxis of SVT in infants: digoxin and propranolol.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">This was a randomized, double-blind, multicenter study of infants <4 months with SVT (atrioventricular reciprocating tachycardia or atrioventricular nodal reentrant tachycardia), excluding Wolff-Parkinson-White, comparing digoxin with propranolol. The primary end point was recurrence of SVT requiring medical intervention. Time to recurrence and adverse events were secondary outcomes. Sixty-one patients completed the study, 27 randomized to digoxin and 34 to propranolol. SVT recurred in 19% of patients on digoxin and 31% of patients on propranolol (P=0.25). No first recurrence occurred after 110 days of treatment. The 6-month recurrence-free status was 79% for patients on digoxin and 67% for patients on propranolol (P=0.34), and there were no first recurrences in either group between 6 and 12 months. There were no deaths and no serious adverse events related to study medication.</AbstractText>
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Data generation: Thu May 4 22:20:19 2017. Site generation: Fri Dec 23 23:17:26 2022