Utility of routine electrocardiographic screening before initiation of propranolol for infantile hemangiomas

Lund, E. B.; Chamlin, S. L.; Mancini, A. J.

Pediatr Dermatol. 2018 Apr 24; 35(4):e233-e234


Screening electrocardiography (ECG) before initiation of propranolol for treatment of infantile hemangiomas (IH) is controversial. A retrospective chart review was conducted to assess the utility of pretreatment ECG in infants with IH starting propranolol. Although nearly half of the ECGs were abnormal, no contraindications to treatment were identified from screening ECG, and no association was found between any of the reported side effects and abnormal ECG. These results support previously published data, and in a larger cohort, providing further confirmation that pretreatment ECG is not necessary in most infants with IH.

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