Electrocardiostimulation in acute poisoning with antiarrhythmic drugs in children (clinical case)

Abstract

Severe poisoning with cardiotropic drugs in children, accompanied by pronounced rhythm disorders and low cardiac output syndrome, is quite rare, but sometimes they can end fatally.The objective was to demonstrate the successful use of electrocardiostimulation in acute propafenone poisoning in a child of three years old.Materials and Methods. A retrospective analysis of the features of the course of severe propafenone poisoning in a three-year-old child who required pacing was carried out. Special attention was paid to the analysis of rhythm disorders that led to cardiac arrest by the type of electrical activity without a pulse, high efficiency of timely electrocardiostimulation in order to relieve bradyarrhythmia. Against the background of the therapy, a stable recovery of the correct sinus rhythm was achieved six hours after the connection of a temporary electrocardiostimulator.Conclusion. The presence of persistent bradyarrhythmia-type rhythm disorders in acute poisoning with antiarrhythmic drugs in children is an indication for the emergency use of electrocardiostimulation.

Keywords

• poisoning
• propafenone
• children
• electrocardiostimulation
• electrical activity without pulse