Amiodarone management of junctional ectopic tachycardia after cardiac surgery in children.

16 consecutive children (aged 6 days to 14 years) with junctional ectopic tachycardia (JET) associated with significant haemodynamic impairment after cardiopulmonary bypass.

Amiodarone 5 mg/kg administered intravenously over 1 hour, followed by 5 mg/kg infused over 12 hours, reviewed every 12 hours and repeated as necessary. Atrial pacing was used whenever possible.

Heart rate reduction and haemodynamic improvement (systolic blood pressure and atrial filling pressures) up to 24 hours.surrogate