TY - JOUR
T1 - Early experience with intravenous sotalol in children with and without congenital heart disease
AU - Valdés, Santiago O.
AU - Miyake, Christina Y.
AU - Niu, Mary C.
AU - de la Uz, Caridad M.
AU - Asaki, S. Yukiko
AU - Landstrom, Andrew P.
AU - Schneider, Andrew E.
AU - Rusin, Craig G.
AU - Patel, Raajen
AU - Lam, Wilson W.
AU - Kim, Jeffrey J.
N1 - Publisher Copyright:
© 2018 Heart Rhythm Society
PY - 2018/12
Y1 - 2018/12
N2 - Background: Arrhythmias are common in the pediatric population. In patients unable to take oral medications or in need of acute therapy, options of intravenous (IV) antiarrhythmic medications are limited. Recently IV sotalol has become readily available, but experience in children is limited. Objective: The purpose of this study was to describe our initial experience with the use of IV sotalol in the pediatric population. Methods: A retrospective study of all pediatric patients receiving IV sotalol was performed. Patient demographic characteristics, presence of congenital heart disease, arrhythmia type, efficacy of IV sotalol use, and adverse effects were evaluated. Results: A total of 47 patients (26 (55%) male and 24 (51%) with congenital heart disease) received IV sotalol at a median age of 2.05 years (interquartile range 0.07–10.03 years) and a median weight of 12.8 kg (interquartile range 3.8–34.2 kg), and 13 (28%) received IV sotalol in the acute postoperative setting. Supraventricular arrhythmias occurred in 40 patients (85%) and ventricular tachycardia in 7 (15%). Among 24 patients receiving IV sotalol for an active arrhythmia, acute termination was achieved in 21 (88%). Twenty-three patients received IV sotalol as maintenance therapy for recurrent arrhythmias owing to inability to take oral antiarrhythmic medications; 19 (83%) were controlled with sotalol monotherapy. No patient required discontinuation of IV sotalol secondary to adverse effects, proarrhythmia, or QT prolongation. Conclusion: IV sotalol is an effective antiarrhythmic option for pediatric patients and may be an excellent agent for acute termination of active arrhythmias. It was well tolerated, with no patient requiring discontinuation secondary to adverse effects.
AB - Background: Arrhythmias are common in the pediatric population. In patients unable to take oral medications or in need of acute therapy, options of intravenous (IV) antiarrhythmic medications are limited. Recently IV sotalol has become readily available, but experience in children is limited. Objective: The purpose of this study was to describe our initial experience with the use of IV sotalol in the pediatric population. Methods: A retrospective study of all pediatric patients receiving IV sotalol was performed. Patient demographic characteristics, presence of congenital heart disease, arrhythmia type, efficacy of IV sotalol use, and adverse effects were evaluated. Results: A total of 47 patients (26 (55%) male and 24 (51%) with congenital heart disease) received IV sotalol at a median age of 2.05 years (interquartile range 0.07–10.03 years) and a median weight of 12.8 kg (interquartile range 3.8–34.2 kg), and 13 (28%) received IV sotalol in the acute postoperative setting. Supraventricular arrhythmias occurred in 40 patients (85%) and ventricular tachycardia in 7 (15%). Among 24 patients receiving IV sotalol for an active arrhythmia, acute termination was achieved in 21 (88%). Twenty-three patients received IV sotalol as maintenance therapy for recurrent arrhythmias owing to inability to take oral antiarrhythmic medications; 19 (83%) were controlled with sotalol monotherapy. No patient required discontinuation of IV sotalol secondary to adverse effects, proarrhythmia, or QT prolongation. Conclusion: IV sotalol is an effective antiarrhythmic option for pediatric patients and may be an excellent agent for acute termination of active arrhythmias. It was well tolerated, with no patient requiring discontinuation secondary to adverse effects.
KW - Arrhythmia
KW - Intravenous sotalol
KW - Pediatrics
KW - Sotalol
KW - Supraventricular arrhythmia
KW - Ventricular arrhythmia
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U2 - 10.1016/j.hrthm.2018.07.010
DO - 10.1016/j.hrthm.2018.07.010
M3 - Article
C2 - 30003959
AN - SCOPUS:85056571737
SN - 1547-5271
VL - 15
SP - 1862
EP - 1869
JO - Heart Rhythm
JF - Heart Rhythm
IS - 12
ER -