Pre-excitation syndrome in infants and children. Effect of digoxin, verapamil, and amiodarone.
Identifieur interne : 002A61 ( Main/Exploration ); précédent : 002A60; suivant : 002A62Pre-excitation syndrome in infants and children. Effect of digoxin, verapamil, and amiodarone.
Auteurs : E. Shahar ; Z. Barzilay ; A A Shem-Tov ; I. Shohet ; M. FrandSource :
- Archives of Disease in Childhood [ 0003-9888 ] ; 1983-03.
Abstract
Clinical and electrocardiographic findings for 30 patients with the pre-excitation syndrome are described together with details of treatment. Nineteen (63%) were younger than 2 years, 14 of whom were under 2 months. Sixteen infants and 7 children (77%) presented with paroxysmal supraventricular tachycardia, 14 (61%) of whom had the electrocardiographic pattern of type A Wolff-Parkinson-White (WPW) syndrome. During paroxysmal bouts the QRS complex was normal in 21 patients and wide in two. Six (20%) patients had congenital heart disease often associated with WPW syndrome type B. Seventeen patients were treated with either digoxin or verapamil intravenously to stop tachyarrhythmias. Verapamil was more effective due to the immediate response and lack of adverse effects. The tachyarrhythmias resolved in all the patients and in some of them the WPW pattern resolved later indicating maturation of the conduction tissue with loss of the accessory pathways. Verapamil provides a rapid and safe form of treatment for conversion of tachyarrhythmias since it has no effect on the accessory pathways. Oral amiodarone prevents recurrent tachyarrhythmias resistant to other treatment.
Url:
DOI: 10.1136/adc.58.3.207
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Pre-excitation syndrome in infants and children. Effect of digoxin, verapamil, and amiodarone.</title><author><name sortKey="Shahar, E" sort="Shahar, E" uniqKey="Shahar E" first="E" last="Shahar">E. Shahar</name></author><author><name sortKey="Barzilay, Z" sort="Barzilay, Z" uniqKey="Barzilay Z" first="Z" last="Barzilay">Z. Barzilay</name></author><author><name sortKey="Shem Tov, A A" sort="Shem Tov, A A" uniqKey="Shem Tov A" first="A A" last="Shem-Tov">A A Shem-Tov</name></author><author><name sortKey="Shohet, I" sort="Shohet, I" uniqKey="Shohet I" first="I" last="Shohet">I. Shohet</name></author><author><name sortKey="Frand, M" sort="Frand, M" uniqKey="Frand M" first="M" last="Frand">M. Frand</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:9AA5102530532D46C0ED62DCDABF8D023F9BB6CF</idno><date when="1983-03-01" year="1983">1983-03-01</date><idno type="doi">10.1136/adc.58.3.207</idno><idno type="url">https://api.istex.fr/document/9AA5102530532D46C0ED62DCDABF8D023F9BB6CF/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000777</idno><idno type="wicri:Area/Main/Curation">000677</idno><idno type="wicri:Area/Main/Exploration">002A61</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Pre-excitation syndrome in infants and children. Effect of digoxin, verapamil, and amiodarone.</title><author><name sortKey="Shahar, E" sort="Shahar, E" uniqKey="Shahar E" first="E" last="Shahar">E. Shahar</name></author><author><name sortKey="Barzilay, Z" sort="Barzilay, Z" uniqKey="Barzilay Z" first="Z" last="Barzilay">Z. Barzilay</name></author><author><name sortKey="Shem Tov, A A" sort="Shem Tov, A A" uniqKey="Shem Tov A" first="A A" last="Shem-Tov">A A Shem-Tov</name></author><author><name sortKey="Shohet, I" sort="Shohet, I" uniqKey="Shohet I" first="I" last="Shohet">I. Shohet</name></author><author><name sortKey="Frand, M" sort="Frand, M" uniqKey="Frand M" first="M" last="Frand">M. Frand</name></author></analytic><monogr></monogr><series><title level="j">Archives of Disease in Childhood</title><title level="j" type="abbrev">Arch Dis Child</title><idno type="ISSN">0003-9888</idno><idno type="eISSN">1468-2044</idno><imprint><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><date type="published" when="1983-03">1983-03</date><biblScope unit="volume">58</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="207">207</biblScope></imprint><idno type="ISSN">0003-9888</idno></series><idno type="istex">9AA5102530532D46C0ED62DCDABF8D023F9BB6CF</idno><idno type="DOI">10.1136/adc.58.3.207</idno><idno type="href">archdischild-58-207.pdf</idno><idno type="PMID">6838251</idno><idno type="local">archdischild;58/3/207</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0003-9888</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Clinical and electrocardiographic findings for 30 patients with the pre-excitation syndrome are described together with details of treatment. Nineteen (63%) were younger than 2 years, 14 of whom were under 2 months. Sixteen infants and 7 children (77%) presented with paroxysmal supraventricular tachycardia, 14 (61%) of whom had the electrocardiographic pattern of type A Wolff-Parkinson-White (WPW) syndrome. During paroxysmal bouts the QRS complex was normal in 21 patients and wide in two. Six (20%) patients had congenital heart disease often associated with WPW syndrome type B. Seventeen patients were treated with either digoxin or verapamil intravenously to stop tachyarrhythmias. Verapamil was more effective due to the immediate response and lack of adverse effects. The tachyarrhythmias resolved in all the patients and in some of them the WPW pattern resolved later indicating maturation of the conduction tissue with loss of the accessory pathways. Verapamil provides a rapid and safe form of treatment for conversion of tachyarrhythmias since it has no effect on the accessory pathways. Oral amiodarone prevents recurrent tachyarrhythmias resistant to other treatment.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Barzilay, Z" sort="Barzilay, Z" uniqKey="Barzilay Z" first="Z" last="Barzilay">Z. Barzilay</name><name sortKey="Frand, M" sort="Frand, M" uniqKey="Frand M" first="M" last="Frand">M. Frand</name><name sortKey="Shahar, E" sort="Shahar, E" uniqKey="Shahar E" first="E" last="Shahar">E. Shahar</name><name sortKey="Shem Tov, A A" sort="Shem Tov, A A" uniqKey="Shem Tov A" first="A A" last="Shem-Tov">A A Shem-Tov</name><name sortKey="Shohet, I" sort="Shohet, I" uniqKey="Shohet I" first="I" last="Shohet">I. Shohet</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002A61 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 002A61 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= ParkinsonV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:9AA5102530532D46C0ED62DCDABF8D023F9BB6CF
|texte= Pre-excitation syndrome in infants and children. Effect of digoxin, verapamil, and amiodarone.
}}
| This area was generated with Dilib version V0.6.23. |  |