American Journal of Perinatology Reports (Jul 2024)

Cardiac Dysfunction Associated with Lacosamide in a Premature Infant with Hypoxic Ischemic Encephalopathy: A Case Report

  • Trassanee Chatmethakul,
  • Amy H. Stanford,
  • Danielle R. Rios,
  • Adrianne R. Bischoff,
  • Theresa Czech,
  • Patrick J. McNamara

DOI
https://doi.org/10.1055/a-2447-8662
Journal volume & issue
Vol. 14, no. 04
pp. e270 – e273

Abstract

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Lacosamide (Vimpat Harris FRC Corporation, 2022 UCB, Inc. Smyrna, GA 30080) is an antiseizure medication, which acts through blockage of voltage-gated neuronal sodium channels. Its recent implementation in the neonatal population has been extrapolated from adult and pediatric data suggesting a favorable safety profile. Of note, preterm infants have unique developmental characteristics that may predispose them to increased risk of adverse reactions. We present a case of a preterm neonate who developed left ventricular dysfunction coinciding with the initiation of lacosamide.

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