High-dose propranolol therapy in the management of supraventricular tachycardia

Arthur S. Pickoff, Leonor Zies, Pedro L. Ferrer, Dolores Tamer, Grace Wolff, Otto Garcia, Henry Gelband

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Five patients age 3 weeks to 11 years, presented with supraventricular tachycardia that remained uncontrolled following adequate digitalization. Four of these patients underwent invasive electrophysiologic studies to determine the mechanism of the arrhythmias. Of these four patients, three had concealed Wolff-Parkinson-White syndrome, and one patient had evidence of dual A-V nodal pathways. Propranolol was added to the medical treatment and was administered orally in doses ranging from 7 to 14 mg/kg/day (average 9 mg/kg/day). All five children remain free of their tachycardia except for one patient who occasionally has supraventricular tachycardia with febrile illnesses. No adverse reactions to these high doses of propranolol were encountered.

Original languageEnglish (US)
Pages (from-to)144-146
Number of pages3
JournalThe Journal of Pediatrics
Volume94
Issue number1
DOIs
StatePublished - Jan 1979

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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