HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Electrocardiographic changes in patients with cutaneous leishmaniasis treated with systemic glucantime.

AbstractINTRODUCTION:
Antimonial compounds are regarded as the treatment of choice for cutaneous leishmaniasis (CL). Systemic administration of these drugs has some side effects including cardio toxicity and electrocardiogram (EKG) changes. The objective of our study was to evaluate EKG changes in the patients with CL treated with systemic glucantime.
MATERIALS AND METHODS:
One hundred and thirty-one patients were enrolled in this prospective study. All of the selected patients had confirmed CL and were candidates for treatment with systemic glucantime. The patients were treated with systemic glucantime and EKG was performed before, during (weekly) and 1 month after cessation of the treatment. All of the collected data were analysed using SPSS software.
RESULTS:
The most common change was prolonged QT interval that was seen in 19% of the patients. ST depression occurred in 6.1% of the patients. Minimal ST elevation occurred in 3% and inverted T was observed in 7.4% of the patients. Single premature atrial contraction (PAC) and single premature ventricular contraction (PVC) occurred in 0.7% and 2.29% of patients, respectively. Bradycardia was observed in 10.6% and left bundle branch block in 0.7% of the patients. All of these changes reversed after stopping the treatment except 1 case with left bundle branch block that lasted for 1 month after the treatment.
CONCLUSIONS:
Our results showed that treatment with glucantime can induce many ECG changes as QT prolongation have significant risk. We suggest that ECG monitoring should be performed in high-risk patients undergoing glucantime treatment with special attention to ECG changes mostly prolonged QT interval.
AuthorsGiti Sadeghian, Hengameh Ziaei, Masumeh Sadeghi
JournalAnnals of the Academy of Medicine, Singapore (Ann Acad Med Singap) Vol. 37 Issue 11 Pg. 916-8 (Nov 2008) ISSN: 0304-4602 [Print] Singapore
PMID19082196 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Antiprotozoal Agents
  • Organometallic Compounds
  • Meglumine
  • Meglumine Antimoniate
  • Antimony
Topics
  • Administration, Oral
  • Adult
  • Animals
  • Antimony
  • Antiprotozoal Agents (administration & dosage, adverse effects)
  • Atrial Premature Complexes (chemically induced, physiopathology)
  • Bradycardia (chemically induced, physiopathology)
  • Bundle-Branch Block (chemically induced, physiopathology)
  • Dose-Response Relationship, Drug
  • Electrocardiography (drug effects)
  • Female
  • Follow-Up Studies
  • Humans
  • Leishmaniasis, Cutaneous (complications, drug therapy, physiopathology)
  • Male
  • Meglumine (administration & dosage, adverse effects)
  • Meglumine Antimoniate
  • Organometallic Compounds (administration & dosage, adverse effects)
  • Prognosis
  • Prospective Studies
  • Ventricular Premature Complexes (chemically induced, physiopathology)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: