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Clinical Pediatrics
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*(L)-EPHEDRINE
*ATROPINE
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Bradycardia Preceding Apneic Attacks in Low-Birthweight Infants

The Relationship of Recognition and Management

Ira W. DuBrow

Department of Pediatrics, Sections of Cardiology and Neonatology, Abraham Lincoln School of Medicine, University of Illinois 840 South Wood Street, Chicago, Ill. 60612

Jackson W. Chen

Department of Pediatrics, Sections of Cardiology and Neonatology, Abraham Lincoln School of Medicine, University of Illinois 840 South Wood Street, Chicago, Ill. 60612

Paul W. K. Wong

Department of Pediatrics, Sections of Cardiology and Neonatology, Abraham Lincoln School of Medicine, University of Illinois 840 South Wood Street, Chicago, Ill. 60612

Two premature infants had frequent episodes of prolonged apnea. The apneic spells were not due to the more commonly known causes of apnea in infancy, but were consistently preceded by severe bradycardia. Atropine or ephedrine produced favorable therapeutic results.

Since severe bradycardia may be a cause of sudden death in infants, its recognition and treatment is important in the management of apneic infants.

Clinical Pediatrics, Vol. 15, No. 2, 119-122 (1976)
DOI: 10.1177/000992287601500202


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