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.