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Sudden death by arrythmia in a 4-year-old boy |
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| Authors: | M Michelet I Claudet C Brehin Y Dulac E Baudou S Breinig |
| Institution: | 1. Pneumology and allergology pediatric unit, CHU de Toulouse, Children hospital, 330, avenue Grande-Bretagne, 31059 Toulouse, France;2. Pediatric Emergency department, CHU de Toulouse, Children hospital, 330, avenue Grande-Bretagne, 31059 Toulouse, France;3. Cardiology pediatric unit, CHU de Toulouse, Children hospital, 330, avenue Grande-Bretagne, 31059 Toulouse, France;4. Neurology pediatric unit, CHU de Toulouse, Children hospital, 330, avenue Grande-Bretagne, 31059 Toulouse, France;5. Pediatric Intensive care unit, CHU de Toulouse, Children hospital, 330, avenue Grande-Bretagne, 31059 Toulouse, France |
| Abstract: | Cardiac arrhythmia with sudden death is rare in children but mainly due to ventricular tachycardia. In case of pulseless ventricular tachycardia, prehospital treatment is crucial with immediate cardiopulmonary resuscitation and external electrical cardioversion. We report the case of pulseless ventricular tachycardia in a child with no past medical history. Sinus rhythm was obtained after 12 min of cardiorespiratory resuscitation and three external electrical shocks. An exhaustive diagnostic approach allow us to find its origin. The clinical progression was marked by a severe encephalopathy. The authors discuss different etiologies and treatment of arrhythmia in children, reviewing the pediatric algorithm for shockable rhythm. |
| Keywords: | Arrhythmia Cardiac arrest Ventricular tachycardia Ventricular fibrillation Electrization |
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