Appropriate use of a beta-blocker in paediatric coronary CT angiography.

Abstract:

BACKGROUND:There is no standard dose or protocol for beta-blocker administration as preconditioning in children undergoing coronary CT angiography. METHODS:A total of 63 consecutive patients, with a mean age of 10.0±3.1 years, who underwent coronary CT angiography to assess possible coronary complications were enrolled in a single-centre, retrospective study. All patients were given an oral beta-blocker 1 hour before coronary CT angiography. Additional oral beta-blocker or intravenous beta-blocker was given to those with a high heart rate. We compared image quality, radiation exposure, and adverse events among the patients without additional beta-blocker, with additional oral beta-blocker, and with additional intravenous beta-blocker. RESULTS:There were no significant differences in image quality or radiation exposure among the groups. The heart rate just before scanning was significantly correlated with image quality (p<0.001, r=-0.533) but was not correlated with radiation exposure (p=0.45, r=0.096). There were no adverse events related to any allergic reaction, thereby showing the effectiveness of the beta-blocker. CONCLUSION:Initial oral beta-blocker administration (0.8 mg/kg/dose) should be administered to all children undergoing coronary CT angiography. Additional intravenous beta-blocker should be given to those with poor heart rate control to improve image quality without increasing radiation exposure or allowing adverse events.

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Watanabe H,Kamiyama H,Kato M,Komori A,Abe Y,Ayusawa M

doi

10.1017/S104795111800118X

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

1148-1153

issue

10

eissn

1047-9511

issn

1467-1107

pii

S104795111800118X

journal_volume

28

pub_type

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