Background: Long-term complications of sympathomimetic drug overdosing have not been adequately investigated in infants and young children. Despite reports discouraging their use in children, these formulations are frequently administered for " cold-like symptoms" . Their frequent adverse events are different forms of arrhythmias, including multifocal atrial tachycardia.Case presentation: A 3-year-old toddler developed multifocal atrial tachycardia following an iatrogenic overdose of epinephrine accidentally administered intravenously. His ECG showed wandering atrial pacemaker (p-waves with different origins and configurations) that persisted for at least one year. This event demonstrated the sensitivity of young children to the sympathomimetic drugs, especially overdosing.Conclusions: Health care providers and parents should be warned of toxicities associated with sympathomimetic drug overdosing. Future studies are needed to determine whether wandering atrial pacemaker is a potential long-term complication of high-dose sympathomimetics. © 2013 Aburawi et al.; licensee BioMed Central Ltd.
CITATION STYLE
Aburawi, E. H., Narchi, H., & Souid, A. K. (2013). Persistent wandering atrial pacemaker after epinephrine overdosing - a case report. BMC Pediatrics, 13(1). https://doi.org/10.1186/1471-2431-13-1
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