J 2020

Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation in a 5-Year-Old Pediatric Patient

KLUČKA, Jozef, Tomáš JUŘENČÁK, Petr ŠTOURAČ, Pavel VÍT, Vladimíra FORALOVÁ et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30209 Paediatrics

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.454

RIV identification code

RIV/00216224:14110/20:00116127

Organization unit

Faculty of Medicine

UT WoS

000549969600021

Keywords in English

ventricular fibrillation; cardiac arrest; postresuscitation care

Tags

International impact, Reviewed
Změněno: 5/8/2020 07:56, Mgr. Tereza Miškechová

Abstract

V originále

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.