We have 1 child and 3 adult patients developped severe sinus bradycardia after pulse methylprednisolon 250-1g . and 1 patient admitted to CCU.
Does pulse methylprednisolon cause sevre sinus bradycardia?
In adults and in children:
Rapid administration of large doses of methylprednisolone may cause sudden death, cardiac arrhythmias, circulatory collapse and cardiac arrest .
Bradycardia can occur unrelated to the speed or duration of infusion.
http://medind.nic.in/icb/t08/i10/icbt08i10p1057.pdf
Thanks a lot Majda for your answer.Best regards
In my institute, to give this large dose of methyl prednosolone , patient must be hospitalized under strict monitoring , to be able to early deal with complications of circulatiry failure , arrythmias especially sinus bradycardia.
Thanks a lot Magdy
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