Simple jQuery Dropdowns
Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/18098
Title: Effect of artemether on electrocardiogram in severe falciparum malaria
Authors: Juntra Karbwang
Prasart Laothavorn
Kom Sukontason
Tin Thiha
Wilaipun Rimchala
Kesara Na-Bangchang
Danai Bunnag
Mahidol University
Pramongkutklao Hospital
Prapokklao Hospital
Keywords: Medicine
Issue Date: 1-Sep-1997
Citation: Southeast Asian Journal of Tropical Medicine and Public Health. Vol.28, No.3 (1997), 472-475
Abstract: The effect of intramuscular artemether (intramuscular loading dose of 160 mg, followed by 80 mg daily for another 6 doses), in comparison with that of quinine (intravenous infusion of loading dose of 20 mg/kg, followed by 10 mg/kg q 8 hourly for 7 days), on the electrocardiograph of severe falciparum malaria patients were investigated in 102 Thai patients (92 males, 10 females) admitted to Pra Pokklao Hospital, Chantaburi, southeast of Thailand. Fifty patients (19 with quinine and 31 with artemether) were eligible for ECG analysis. Hypotension was found significantly more common in the quinine group (13 vs 2 cases). Thirteen, 5 and 1 patients with quinine treatment, respectively, had tachycardia, non-specific T-wave change and QTc prolongation. No significant dysrhythmia was found despite high plasma quinine concentrations. Five patients died; their ECGs were not significantly different from those who survived. In the group with intramuscular artemether, 17 cases had tachycardia prior to artemether treatment. QTc prolongation and non-specific T-wave change were found in 2 and 6 cases. One patient had RBBB and second degree AV-block on Day 1, but returned to normal on Day 2. No other dysrhythmia or other significant changes in ECG tracing which would suggest any effect of artemether on cardiovascular system were observed.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0031219224&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/18098
ISSN: 01251562
Appears in Collections:Scopus 1991-2000

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.