Verapamil in infants: an exaggerated fear?

Pediatr Cardiol

Department of Pediatrics and Communicable Diseases, CS Mott Children's Hospital, University of Michigan, 1540 E. Hospital Drive, Ann Arbor, MI, 48109, USA,

Published: October 2013

AI Article Synopsis

  • The article discusses the common belief that intravenous verapamil is not safe for treating tachyarrhythmia in infants because it might cause serious drops in blood pressure.
  • It reviews the limited research that originally supported this view, indicating that the reasons for this contraindication may not be as strong as previously thought.
  • The piece emphasizes how medical practices can change over time, even in the absence of solid scientific evidence.

Article Abstract

The use of intravenous verapamil for tachyarrhythmia in infants is widely considered contraindicated due to the perceived risk of hemodynamic collapse after administration. This article reviews the relatively limited evidence that led to this well-known contraindication and highlights the interesting process by which medical practice may evolve in the absence of persuasive science.

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Source
http://dx.doi.org/10.1007/s00246-013-0739-8DOI Listing

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