Abstract
We report the successful management of recurrent ventricular tachycardias in a newborn suffering from an intracardiac tumor. Amiodarone was the only agent able to control the tachycardias and did so as long as an individually titrated plasma concentration above 0.8 μmol/L was maintained. Because no therapeutic plasma concentration has been defined in children and no kinetic studies are available in this population, we optimized the dosing regimen based on a computer simulation, taking into account the pharmacokinetic parameters of the patient and the individual concentration-effect relation.
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Andreasen F, Agerback H, Bjerregaard P, Gotzsche H (1981) Pharmacokinetics of amiodarone after intravenous and oral administration.Eur J Clin Pharmacol 19:293–299
Bucknall CA, Keeton BR, Curry PVL, et al. (1986) Intravenous and oral amiodarone for arrhythmias in children.Br Heart J 56:278–284
Coumel P, Fidelle F (1980) Amiodarone in the treatment of cardiac arrhythmias in children: one hundred thirty five cases.Am Heart J 100:1063–1069
Guccione P, Paul T, Garson A (1990) Long-term follow-up of amiodarone therapy in the young: continued efficacy, unimpaired growth, moderate side effects.J Am Coll Cardiol 15:1118–1124
Haffajee CI, Love JC, Alpert JS (1983) Efficacy and safety of long term amiodarone in treatment of cardiac arrhythmias: dosage experience.Am Heart J 106:935–942
Heinzel G, Woloszak R, Thomann P (1993)TOPFIT 2.0: Pharmacokinetic and Pharmacodynamic Data Analysis System for the PC. Gustav Fischer Verlag, Stuttgart
Kannan R, Nademanee K, Hendrickson JA, Rostami HJ, Singh BN (1982) Amiodarone kinetics after oral doses.Clin Pharmacol Ther 31:438–444
Kannan R, Yabek SM, Garson A, et al (1987) Amiodarone efficacy in a young population: relationship to serum aminodarone and desethylamiodarone levels.Am Heart J 114:283–287
Latini R, Tognoni G, Kates RE (1984) Clinical pharmacokinetics of amiodarone.Clin Pharmacokinet 9:136–156
Maling T (1988) Amiodarone therapeutic plasma concentration monitoring: is it practical?Clin Pharmacokinet 14:321–324
Moak JP, Smith RT, Garson A (1987) Newer antiarrhythmic durgs in children.Am Heart J 113:179–185
Shuler CO, Case CL, Gillette PC (1993) Efficacy and safety of aminodrone in infants.Am Heart J 125:1430–1432
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Bouillon, T., Schiffmann, H., Bartmus, D. et al. Amiodarone in a newborn with ventricular tachycardia and an intracardiac tumor: Adjusting the dose according to an individualized dosing regimen. Pediatr Cardiol 17, 112–114 (1996). https://doi.org/10.1007/BF02505094
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DOI: https://doi.org/10.1007/BF02505094