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10.1111/pace.13890 http://scihub22266oqcxt.onion/10.1111/pace.13890 32086826!ä!32086826 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Pacing+Clin+Electrophysiol 2020 ; 43 (3): 322-326 Nephropedia Template TP {{tp|p=32086826|t=2020. Chemical cardioversion of atrial flutter and fibrillation in the pediatric population with Ibutilide |pdf=|usr=}}{{32086826}} gab.com Text Chemical cardioversion of atrial flutter and fibrillation in the pediatric population with Ibutilide JO: Pacing Clin Electrophysiol http://www.kidney.de/pget.php?&tw=1&pmid=32086826 #FOAvip INTRODUCTION: Atrial flutter (AFL) and atrial fibrillation (AF) are common in pediatric patients with congenital heart disease and structurally normal hearts as well. Chemical cardioversion is attractive for patients with AFL/AF for a short period of time because of the ability to avoid sedation. We review a single center's experience with Ibutilide in pediatric patients in an effort to report on its safety and efficacy. METHODS: We performed a retrospective chart review of pediatric patients (0-21 years) who underwent chemical cardioversion for AFL/AF with Ibutilide (January 2011-February 2019). Patients on another antiarrhythmic medication or attempted chemical cardioversion with another drug were excluded. RESULTS: There were 21 patients who met inclusion criteria. Thirteen of the 21 (62%) patients were successfully cardioverted with Ibutilide (10 out of 13 had AF and four out of 13 required a second dose). There were no significant differences in baseline characteristics between those who were successfully cardioverted compared to those who were not. Administration of magnesium prior to administration did not appear to have an effect on the success rate. There was a significant increase in rate corrected QT interval (QTc) post Ibutilide administration, which returned to baseline prior to discharge. One patient had symptomatic bradycardia needing intravenous fluids and another had torsades requiring electrical cardioversion during Ibutilide administration. CONCLUSIONS: The success rate of chemical cardioversion with Ibutilide was similar in our experience as compared to studies in the adult population and the other lone pediatric study. Although adverse events were uncommon, Ibutilide administration warrants close monitoring and fully defining its efficacy warrants further pediatric experience. Twit Text FOAVip Chemical cardioversion of atrial flutter and fibrillation in the pediatric population with Ibutilide ????Pacing Clin Electrophysiol http://www.kidney.de/pget.php?&tw=1&pmid=32086826 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32086826 #FOAvip English Wikipedia <ref>{{Cite pmid|32086826}}</ref> Chemical cardioversion of atrial flutter and fibrillation in the pediatric population with Ibutilide #MMPMID32086826 Dasgupta S; Dave I; Whitehill R; Fischbach P Pacing Clin Electrophysiol 2020[Mar]; 43 (3): 322-326 PMID32086826show ga INTRODUCTION: Atrial flutter (AFL) and atrial fibrillation (AF) are common in pediatric patients with congenital heart disease and structurally normal hearts as well. Chemical cardioversion is attractive for patients with AFL/AF for a short period of time because of the ability to avoid sedation. We review a single center's experience with Ibutilide in pediatric patients in an effort to report on its safety and efficacy. METHODS: We performed a retrospective chart review of pediatric patients (0-21 years) who underwent chemical cardioversion for AFL/AF with Ibutilide (January 2011-February 2019). Patients on another antiarrhythmic medication or attempted chemical cardioversion with another drug were excluded. RESULTS: There were 21 patients who met inclusion criteria. Thirteen of the 21 (62%) patients were successfully cardioverted with Ibutilide (10 out of 13 had AF and four out of 13 required a second dose). There were no significant differences in baseline characteristics between those who were successfully cardioverted compared to those who were not. Administration of magnesium prior to administration did not appear to have an effect on the success rate. There was a significant increase in rate corrected QT interval (QTc) post Ibutilide administration, which returned to baseline prior to discharge. One patient had symptomatic bradycardia needing intravenous fluids and another had torsades requiring electrical cardioversion during Ibutilide administration. CONCLUSIONS: The success rate of chemical cardioversion with Ibutilide was similar in our experience as compared to studies in the adult population and the other lone pediatric study. Although adverse events were uncommon, Ibutilide administration warrants close monitoring and fully defining its efficacy warrants further pediatric experience. |Adolescent[MESH] |Anti-Arrhythmia Agents/*therapeutic use[MESH] |Atrial Fibrillation/*drug therapy[MESH] |Atrial Flutter/*drug therapy[MESH] |Child[MESH] |Child, Preschool[MESH] |Female[MESH] |Heart Defects, Congenital/drug therapy[MESH] |Humans[MESH] |Infant[MESH] |Infant, Newborn[MESH] |Male[MESH] |Retrospective Studies[MESH] |Sulfonamides/*therapeutic use[MESH]Chemical cardioversion of atrial flutter and fibrillation in the pedia(epmc).pdf DeepDyve Pubget Overpricing