Page last updated: 2024-10-31

neostigmine and Tachycardia

neostigmine has been researched along with Tachycardia in 31 studies

Neostigmine: A cholinesterase inhibitor used in the treatment of myasthenia gravis and to reverse the effects of muscle relaxants such as gallamine and tubocurarine. Neostigmine, unlike PHYSOSTIGMINE, does not cross the blood-brain barrier.
neostigmine : A quaternary ammonium ion comprising an anilinium ion core having three methyl substituents on the aniline nitrogen, and a 3-[(dimethylcarbamoyl)oxy] substituent at position 3. It is a parasympathomimetic which acts as a reversible acetylcholinesterase inhibitor.

Tachycardia: Abnormally rapid heartbeat, usually with a HEART RATE above 100 beats per minute for adults. Tachycardia accompanied by disturbance in the cardiac depolarization (cardiac arrhythmia) is called tachyarrhythmia.

Research Excerpts

ExcerptRelevanceReference
"Our case suggests that neostigmine, an acetylcholinesterase inhibitor, may warrant further investigation in patients with thyroid storm-induced severe sinus tachycardia."8.98Use of low-dose neostigmine intravenously in the treatment of thyroid storm-induced severe tachycardia in patient during huge pelvic mass resection: A case report and review of literature. ( Jiang, H; Li, S; Luo, A; Zhang, X; Zhao, Y, 2018)
"Compared with neostigmine/glycopyrrolate, incidence of TE sinus bradycardia was significantly lower with sugammadex 2 mg/kg and incidence of TE sinus tachycardia was significantly lower with sugammadex 2 mg/kg and 4 mg/kg."5.41A randomized trial evaluating the safety profile of sugammadex in high surgical risk ASA physical class 3 or 4 participants. ( Blobner, M; Broussard, DM; Herring, WJ; Lin, L; Lombard, JF; Lutkiewicz, J; Mukai, Y; Wang, A; Watkins, M, 2021)
" The only existed anticholinergic in Thailand is atropine, which has a more rapid onset than neostigmine resulting in initial tachycardia."5.19A comparison of the combination of atropine and glycopyrrolate with atropine alone for the reversal of muscle relaxant. ( Ittichaikulthol, W; Komonhirun, R; Piathong, P; Pisitsak, C; Suyawet, R; Wirachpisit, N, 2014)
"Our case suggests that neostigmine, an acetylcholinesterase inhibitor, may warrant further investigation in patients with thyroid storm-induced severe sinus tachycardia."4.98Use of low-dose neostigmine intravenously in the treatment of thyroid storm-induced severe tachycardia in patient during huge pelvic mass resection: A case report and review of literature. ( Jiang, H; Li, S; Luo, A; Zhang, X; Zhao, Y, 2018)
"Neuromuscular blockade reversal with neostigmine and glycopyrrolate was associated with an increased incidence of intraoperative tachycardia and bradycardia but not with 30-day postoperative cardiovascular complications."3.96Effects of Anticholinesterase Reversal Under General Anesthesia on Postoperative Cardiovascular Complications: A Retrospective Cohort Study. ( Deng, H; Eikermann, M; Forman, SA; Houle, TT; Kelly, BJ; Lihn, AL; Nourmahnad, A; Scheffenbichler, FT; Shaydenfish, D; Xu, X, 2020)

Research

Studies (31)

TimeframeStudies, this research(%)All Research%
pre-199022 (70.97)18.7374
1990's0 (0.00)18.2507
2000's3 (9.68)29.6817
2010's3 (9.68)24.3611
2020's3 (9.68)2.80

Authors

AuthorsStudies
Herring, WJ1
Mukai, Y1
Wang, A1
Lutkiewicz, J1
Lombard, JF1
Lin, L1
Watkins, M1
Broussard, DM1
Blobner, M1
Zhang, X1
Jiang, H1
Li, S1
Luo, A1
Zhao, Y1
Shaydenfish, D1
Scheffenbichler, FT1
Kelly, BJ1
Lihn, AL1
Deng, H1
Nourmahnad, A1
Xu, X1
Houle, TT1
Eikermann, M1
Forman, SA1
Ittichaikulthol, W1
Pisitsak, C1
Wirachpisit, N1
Piathong, P1
Suyawet, R1
Komonhirun, R1
Tribuddharat, S1
Sathitkarnmanee, T1
Naewthong, P1
WALDMAN, S1
PELNER, L1
Dubost, C1
de Saint Maurice, G1
Vichard, A1
Berbari, H1
Lenoir, B1
LEVINE, EB1
BLUMFIELD, G1
PARTILLA, H1
LAMVIK, J1
YOUNG, D1
ZISLIN, BD1
FORSHTADT, VM1
LYSKOV, PG1
TURBINA, NV1
GREENWOOD, RJ1
FURMAN, RH1
GEIGER, AJ1
Sawasdiwipachai, P1
Laussen, PC1
McGowan, FX1
Smoot, L1
Casta, A1
Backman, SB1
Nymark, M1
Rasmussen, J1
Donald, DE1
Samueloff, SL1
Ferguson, D1
Homola, D1
Srnova, V1
Dreifus, L1
Satinsky, JD1
Raymond, CW1
Robinson, SJ1
Andersen, O1
Lindberg, J1
Modigh, K1
Reske-Nielsen, E1
Preston, TA1
Yates, JD1
Brymer, JF1
Marriott, HJ1
Ramamurthy, S1
Shaker, MH1
Winnie, AP1
Rosner, V1
Kepes, ER1
Foldes, FF1
Fidelle, J1
Cloup, M1
Nouaille, J1
Richmond, DR1
Smith, DR1
Fekete, M1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 4 Randomized, Active-Comparator Controlled Clinical Trial to Study the Safety of Sugammadex (MK-8616) for the Reversal of Neuromuscular Blockade Induced by Either Rocuronium Bromide or Vecuronium Bromide in American Society of Anesthesiologists (A[NCT03346057]Phase 4344 participants (Actual)Interventional2017-12-20Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percentage of Participants Experiencing a Serious Adverse Event (SAE) Up To 7 Days After Administration of Study Intervention

As per the protocol primary analysis, the percentage of participants experiencing an SAE up to 7 days after administration of study intervention was reported. An SAE was an adverse event that: resulted in death; was life threatening; resulted in persistent or significant disability or incapacity; resulted in or prolonged an existing inpatient hospitalization; was a congenital anomaly or birth defect; was an other important medical event, was a cancer; or was associated with an overdose. (NCT03346057)
Timeframe: Up to 7 days

InterventionPercentage of Participants (Number)
Sugammadex 2 mg/kg11.4
Sugammadex 4 mg/kg7.5
Sugammadex 16 mg/kg10.3
Neostigmine + Glycopyrrolate5.9

Percentage of Participants Experiencing an Adverse Event (AE) Up To 7 Days After Administration of Study Intervention

As per the protocol primary analysis, the percentage of participants experiencing an AE up to 7 days after administration of study intervention was reported. An AE was defined as any untoward medical occurrence in a participant which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that was temporally associated with the use of the Sponsor's product was also an AE. (NCT03346057)
Timeframe: Up to 7 days

InterventionPercentage of participants (Number)
Sugammadex 2 mg/kg94.3
Sugammadex 4 mg/kg88.8
Sugammadex 16 mg/kg92.6
Neostigmine + Glycopyrrolate88.2

Percentage of Participants With Other Treatment-Emergent Cardiac Arrhythmia Events

The percentage of participants experiencing other treatment-emergent cardiac arrhythmia events was identified with continuous ECG monitoring. Other treatment-emergent cardiac arrhythmias were defined as new or worsening arrhythmias (e.g., atrial fibrillation, atrial tachycardia, ventricular fibrillation, or ventricular tachyarrhythmia), sustained for at least 1 minute after administration of study intervention. Worsening arrhythmia events may or may not have been considered an AE, as determined by investigator judgment. (NCT03346057)
Timeframe: Up to approximately 35 minutes post-administration

InterventionPercentage of participants (Number)
Sugammadex 2 mg/kg1.0
Sugammadex 4 mg/kg0.0
Sugammadex 16 mg/kg1.5
Neostigmine + Glycopyrrolate2.0

Percentage of Participants With Treatment-Emergent Sinus Bradycardia Events

The percentage of participants experiencing treatment-emergent sinus bradycardia events was identified with continuous electrocardiogram (ECG) monitoring. Treatment-emergent sinus bradycardia were defined as a heart rate <60 bpm that has also decreased more than 20% compared to participant baseline heart rate value, sustained for at least 1 minute after administration of study intervention. Treatment-emergent sinus bradycardia events may or may not have been considered an adverse event (AE), as determined by investigator judgment. (NCT03346057)
Timeframe: Up to approximately 35 minutes post-administration

InterventionPercentage of participants (Number)
Sugammadex 2 mg/kg1.0
Sugammadex 4 mg/kg1.9
Sugammadex 16 mg/kg7.4
Neostigmine + Glycopyrrolate7.8

Percentage of Participants With Treatment-Emergent Sinus Tachycardia Events

The percentage of participants experiencing treatment-emergent sinus tachycardia events was identified with continuous ECG monitoring. Treatment-emergent sinus tachycardia is defined as a heart rate ≥100 bpm that has also increased more than 20% compared to participant baseline heart rate value, sustained for at least 1 minute after administration of study intervention. Treatment-emergent sinus tachycardia events may or may not have been considered an AE, as determined by investigator judgment. (NCT03346057)
Timeframe: Up to approximately 35 minutes post-administration

InterventionPercentage of participants (Number)
Sugammadex 2 mg/kg6.7
Sugammadex 4 mg/kg9.3
Sugammadex 16 mg/kg8.8
Neostigmine + Glycopyrrolate21.6

Percentage of Participants Experiencing an Event of Clinical Interest (ECI) Up To 7 Days After Administration of Study Intervention

As per the protocol primary analysis, the percentage of participants experiencing an ECI up to 7 days after administration of study intervention was reported. ECIs were a discrete set of both AEs and SAEs, specifically designated as such for the trial. For the purposes of this investigation, ECIs included 1) drug-induced liver injury; 2) clinically-relevant arrhythmias, inclusive of bradycardia and tachycardia defined as events necessitating intervention, as determined by investigator judgment; and 3) instances of hypersensitivity and/or anaphylaxis adjudicated by an external expert Adjudication Committee. A participant could have experienced more than one type of ECI. (NCT03346057)
Timeframe: Up to 7 days

,,,
InterventionPercentage of Participants (Number)
With one or more ECIsAdjudicated HypersensitivityAdjudicated AnaphylaxisClinically Relevant BradycardiaClinically Relevant TachycardiaOther Clinically Relevant Cardiac ArrhythmiaDrug Induced Liver Injury
Neostigmine + Glycopyrrolate3.90.00.02.00.02.00.0
Sugammadex 16 mg/kg7.40.00.00.05.91.50.0
Sugammadex 2 mg/kg1.90.00.00.01.90.00.0
Sugammadex 4 mg/kg5.60.00.02.81.90.90.0

Reviews

4 reviews available for neostigmine and Tachycardia

ArticleYear
Use of low-dose neostigmine intravenously in the treatment of thyroid storm-induced severe tachycardia in patient during huge pelvic mass resection: A case report and review of literature.
    Medicine, 2018, Volume: 97, Issue:14

    Topics: Administration, Intravenous; Adrenergic beta-1 Receptor Antagonists; Adult; Cholinesterase Inhibitor

2018
Treatment of cardiac arrhythmias.
    Pediatric clinics of North America, 1964, Volume: 11, Issue:2

    Topics: Adams-Stokes Syndrome; Arrhythmia, Sinus; Arrhythmias, Cardiac; Atrial Fibrillation; Atrial Flutter;

1964
Subacute dysautonomia with incomplete recovery.
    Acta neurologica Scandinavica, 1972, Volume: 48, Issue:4

    Topics: Accommodation, Ocular; Acetylcholine; Adie Syndrome; Adult; Biopsy; Carbachol; Cystoscopy; Dexametha

1972
Management of cardiac dysrhythmias complicating acute myocardial infarction.
    Geriatrics, 1968, Volume: 23, Issue:9

    Topics: Arrhythmias, Cardiac; Atrial Fibrillation; Atrial Flutter; Atropine; Bradycardia; Bretylium Compound

1968

Trials

3 trials available for neostigmine and Tachycardia

ArticleYear
A randomized trial evaluating the safety profile of sugammadex in high surgical risk ASA physical class 3 or 4 participants.
    BMC anesthesiology, 2021, 10-28, Volume: 21, Issue:1

    Topics: Aged; Bradycardia; Cholinergic Agents; Double-Blind Method; Female; Glycopyrrolate; Humans; Male; Ne

2021
A comparison of the combination of atropine and glycopyrrolate with atropine alone for the reversal of muscle relaxant.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2014, Volume: 97, Issue:7

    Topics: Adult; Anesthesia, General; Arrhythmias, Cardiac; Atropine; Cholinesterase Inhibitors; Glycopyrrolat

2014
Less tachycardia in adults when using atropine 0.9 mg compared with 1.2 mg plus neostigmine 2.5 mg.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2008, Volume: 91, Issue:5

    Topics: Adult; Anti-Arrhythmia Agents; Atropine; Double-Blind Method; Female; Heart Rate; Humans; Male; Neos

2008

Other Studies

24 other studies available for neostigmine and Tachycardia

ArticleYear
Nodal Tachycardia Induced By Neostigmine Administration During Off-Pump Coronary Artery Bypass Graft Surgery: What Makes the Difference? A Case Report.
    The heart surgery forum, 2023, Apr-15, Volume: 26, Issue:2

    Topics: Coronary Artery Bypass; Coronary Artery Bypass, Off-Pump; Humans; Neostigmine; Tachycardia; Treatmen

2023
Effects of Anticholinesterase Reversal Under General Anesthesia on Postoperative Cardiovascular Complications: A Retrospective Cohort Study.
    Anesthesia and analgesia, 2020, Volume: 130, Issue:3

    Topics: Adult; Aged; Anesthesia, General; Boston; Bradycardia; Cholinesterase Inhibitors; Female; Glycopyrro

2020
The action of neostigmine in supraventricular tachycardias.
    Annals of internal medicine, 1948, Volume: 29, Issue:1

    Topics: Humans; Neostigmine; Tachycardia; Tachycardia, Supraventricular

1948
Right to the heart: a case of accidental phenylephrine intoxication.
    European journal of anaesthesiology, 2011, Volume: 28, Issue:9

    Topics: Adult; Cholecystectomy, Laparoscopic; Humans; Hypertension; Injections, Intravenous; Male; Medicatio

2011
Neostigmine bromide orally in prevention of paroxysmal supraventricular tachycardia.
    Annals of western medicine and surgery, 1952, Volume: 6, Issue:10

    Topics: Biomedical Research; Humans; Neostigmine; Tachycardia; Tachycardia, Paroxysmal; Tachycardia, Suprave

1952
[Protracted treatment of paroxysmal tachycardia with new anticholinesterase preparations].
    Wiener klinische Wochenschrift, 1958, Jan-03, Volume: 70, Issue:1

    Topics: Cholinesterase Inhibitors; Humans; Neostigmine; Tachycardia; Tachycardia, Paroxysmal

1958
[Paroxysmal tachycardia in infants].
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 1959, Jun-15, Volume: 79, Issue:12

    Topics: Child; Digitalis; Digitalis Glycosides; Humans; Infant; Neostigmine; Plant Extracts; Tachycardia; Ta

1959
TREATMENT OF PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA IN INFANCY.
    American heart journal, 1964, Volume: 67

    Topics: Anti-Bacterial Agents; Digitalis Glycosides; Humans; Infant; Infant, Newborn; Infusions, Parenteral;

1964
[ON CARDIAC RHYTHM CONTROL IN PULMONARY AND PLEURAL SURGERY].
    Vestnik khirurgii imeni I. I. Grekova, 1964, Volume: 92

    Topics: Cardiac Complexes, Premature; Empyema; Empyema, Tuberculous; Humans; Neostigmine; Pacemaker, Artific

1964
THE PROPER USE OF CAROTID SINUS STIMULATION.
    Journal of the American Geriatrics Society, 1964, Volume: 12

    Topics: Angina Pectoris; Arrhythmias, Cardiac; Carotid Sinus; Diagnosis; Digitalis Glycosides; Drug Therapy;

1964
Use of cholinergic drugs in paroxysmal supraventricular tachycardia; serious untoward reactions and fatality from treatment with methacholine and neostigmine.
    Journal of the American Medical Association, 1952, May-17, Volume: 149, Issue:3

    Topics: Cholinergic Agents; Humans; Methacholine Chloride; Neostigmine; Tachycardia; Tachycardia, Paroxysmal

1952
Cardiac arrest after neuromuscular blockade reversal in a heart transplant infant.
    Anesthesiology, 2007, Volume: 107, Issue:4

    Topics: Biopsy; Cardiac Catheterization; Cardiovascular Abnormalities; Cholinesterase Inhibitors; Graft Reje

2007
Anticholinesterase drugs and the transplanted heart.
    Anesthesiology, 2008, Volume: 108, Issue:5

    Topics: Cholinesterase Inhibitors; Graft Rejection; Heart Arrest; Heart Transplantation; Humans; Infant; Mal

2008
Effect of certain drugs upon amitriptyline induced electrocardiographic changes.
    Acta pharmacologica et toxicologica, 1966, Volume: 24, Issue:2

    Topics: Acetylcholine; Amitriptyline; Animals; Atropine; Blood Pressure; Bradycardia; Bundle-Branch Block; E

1966
Mechanisms of tachycardia caused by atropine in conscious dogs.
    The American journal of physiology, 1967, Volume: 212, Issue:4

    Topics: Acetylcholine; Animals; Atropine; Blood Pressure; Cardiac Output; Dogs; Electric Stimulation; Heart

1967
Anomalous atrio-ventricular connections and their features.
    Advances in cardiology, 1976, Volume: 16

    Topics: Acetylcholine; Adrenergic beta-Antagonists; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Atrioventr

1976
Drugs of choice for atrial tachycardia.
    American family physician, 1975, Volume: 11, Issue:3

    Topics: Administration, Oral; Digitalis Glycosides; Digoxin; Edrophonium; Humans; Lanatosides; Metaraminol;

1975
Letter: Neostigmine methysulfate in the treatment of cardiac arryhthmia induced by perphenazine-amitriptyline.
    Canadian Medical Association journal, 1976, Jan-24, Volume: 114, Issue:2

    Topics: Amitriptyline; Antidepressive Agents, Tricyclic; Arrhythmias, Cardiac; Child, Preschool; Drug Combin

1976
Three therapeutic approaches in tachycardia.
    Geriatrics, 1973, Volume: 28, Issue:3

    Topics: Atrial Fibrillation; Atrial Flutter; Digitalis Glycosides; Electric Countershock; Heart Conduction S

1973
Glycopyrrolate as a substitute for atropine in neostigmine reversal of muscle relaxant drugs.
    Canadian Anaesthetists' Society journal, 1972, Volume: 19, Issue:4

    Topics: Anesthesia; Atropine; Bradycardia; Curare; Drug Combinations; Female; Glycopyrrolate; Heart Rate; Hu

1972
The effects of atropine and neostigmine on heart rate and rhythm. Recommendation for their use to reverse residual neuromuscular block.
    British journal of anaesthesia, 1971, Volume: 43, Issue:11

    Topics: Adult; Aged; Anesthesia, General; Arrhythmias, Cardiac; Atropine; Benperidol; Female; Fentanyl; Halo

1971
[Prolonged supraventricular ectopic tachycardia in the child. (16 cases)].
    Annales de pediatrie, 1969, Nov-02, Volume: 16, Issue:11

    Topics: Arrhythmia, Sinus; Child; Child, Preschool; Digoxin; Electrocardiography; Electroconvulsive Therapy;

1969
Aortic valve replacement in the Wolff-Parkinson-White syndrome.
    British heart journal, 1968, Volume: 30, Issue:4

    Topics: Adult; Aortic Valve; Heart Valve Prosthesis; Humans; Male; Neostigmine; Postoperative Complications;

1968
A possible role of cholinergic effects in the noradrenaline potentiating action of imipramine.
    Medicina et pharmacologia experimentalis. International journal of experimental medicine, 1966, Volume: 14, Issue:3

    Topics: Animals; Arrhythmias, Cardiac; Bradycardia; Cats; Dogs; Electrocardiography; Female; Hexamethonium C

1966