KLUČKA, Jozef, Tomáš JUŘENČÁK, Petr ŠTOURAČ, Pavel VÍT, Vladimíra FORALOVÁ and Iva SYNKOVÁ. Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation in a 5-Year-Old Pediatric Patient. PEDIATRIC EMERGENCY CARE. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2020, vol. 36, No 7, p. "E405"-"E407", 3 pp. ISSN 0749-5161. Available from: https://dx.doi.org/10.1097/PEC.0000000000001444.
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Basic information
Original name Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation in a 5-Year-Old Pediatric Patient
Authors KLUČKA, Jozef (703 Slovakia, belonging to the institution), Tomáš JUŘENČÁK (203 Czech Republic, belonging to the institution), Petr ŠTOURAČ (203 Czech Republic, guarantor, belonging to the institution), Pavel VÍT (203 Czech Republic, belonging to the institution), Vladimíra FORALOVÁ (203 Czech Republic, belonging to the institution) and Iva SYNKOVÁ (203 Czech Republic, belonging to the institution).
Edition PEDIATRIC EMERGENCY CARE, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2020, 0749-5161.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30209 Paediatrics
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.454
RIV identification code RIV/00216224:14110/20:00116127
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1097/PEC.0000000000001444
UT WoS 000549969600021
Keywords in English ventricular fibrillation; cardiac arrest; postresuscitation care
Tags 14110317, 14110322, 14110323, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 5/8/2020 07:56.
Abstract
Out-of-hospital cardiac arrest in pediatric population is rare and predominantly has respiratory aetiology. Authors present the relatively unique case of out-of hospital cardiac arrest in 5-years old pediatric patient due to ventricular fibrillation (VF) as the initial rhythm during the advanced life support. The patient was resuscitated by his parents and the initial rhythm was VF. After defibrillation the patient was admitted to the pediatric intensive care were another two episodes of VF was detected and treated. After standard postresuscitation care, patient was weaned from sedation and extubated with good neurologic outcome. Genetic screening of the 7 genes associated with cardiac channelopathies (KCNQ1, KCNH2, SCN5A, KCNE1, KCNE2, RYR2, CASQ2) found mutation in gene KCHN2 and gene SCN5A, that were according to actual data considered benign. This case highlights the need for automated external defibrillator implementation in basic life support also in pediatric population and possible role of genetic predisposition in emergence of fibrillation.
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