Documented exercise-induced cardiac arrest in a paediatric patient with hypertrophic cardiomyopathy.
Europace
; 8(6): 430-3, 2006 Jun.
Article
em En
| MEDLINE
| ID: mdl-16687426
ABSTRACT
A paediatric patient with hypertrophic cardiomyopathy (HCM) presented cardiac arrest due to ventricular fibrillation. Ventricular arrhythmias were not induced in an electrophysiological study, but an implantable cardioverter defibrillator (ICD) was implanted. Nine months later, the child experienced a recurrence of cardiac arrest during exercise, which was successfully treated with a defibrillator shock from the device. Analysis of the stored electrograms demonstrated ventricular fibrillation of abrupt onset following sinus tachycardia. The risk factors and the potential mechanism leading to recurrent cardiac arrest in this case are discussed. This report supports implantation of an ICD as a life-saving therapeutic approach not only for adults but also for children with HCM at high risk.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fibrilação Ventricular
/
Cardiomiopatia Hipertrófica
/
Parada Cardíaca
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Child
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article