PMID: 9527212Apr 4, 1998Paper

Implantable cardioverter-defibrillators in children: a single-institutional experience

The Annals of Thoracic Surgery
W R WilsonB P Grubb

Abstract

Implantable cardioverter-defibrillators have been infrequently used in children as therapy for resuscitated sudden death and syncope due to ventricular arrhythmias unresponsive to antiarrhythmics. The medical records of 5 children with implantable cardioverter-defibrillators were retrospectively reviewed. All patients had experienced syncope and 3 (60%) an out-of-hospital cardiac arrest. Underlying pathology included hypertrophic cardiomyopathy in 2, long QT syndrome in 2, and ventricular arrhythmia after remote repair of congenital heart disease in 1. Open thoracotomy with epicardial lead placement and transvenous endocardial approaches were used. There was no early or late mortality in the 5 pediatric patients undergoing implantable cardioverter-defibrillator placement. Postoperative complications occurred more frequently when open thoracotomy was used for placement. At mean follow-up of 34 months, 4 of the 5 (80%) have received shocks. Implantable cardioverter-defibrillator is a safe and reliable therapy for children with resuscitated sudden death and syncope due to ventricular tachycardia unresponsive to antiarrhythmics. Transvenous lead placement lowers morbidity and hospital length of stay.

References

May 1, 1990·Pacing and Clinical Electrophysiology : PACE·S J KaminerG S Wolff
Dec 1, 1994·The Annals of Thoracic Surgery·A MarkewitzB Reichart
Dec 1, 1994·The Annals of Thoracic Surgery·D HammelH H Scheld
Apr 18, 1996·The New England Journal of Medicine·R R Liberthson
May 1, 1996·American Heart Journal·L A SaxonT S Klitzner
Mar 1, 1996·The American Journal of Cardiology·R M HamiltonW G Williams
May 1, 1996·The American Journal of Cardiology·J SteinbergerJ L Titus
Nov 14, 1996·The New England Journal of Medicine·M B SchindlerG Barker
Dec 1, 1996·The American Journal of Cardiology·D S CardinalL Foley

❮ Previous
Next ❯

Citations

Jan 16, 2002·The Annals of Thoracic Surgery·H WatanabeS Sato
Nov 22, 2002·International Journal of Pediatric Otorhinolaryngology·R ChorbachiC H Raine
Jan 15, 2000·International Journal of Cardiology·T HoorntjeR de Vroet
Apr 22, 2005·European Journal of Pediatrics·A Derk Jan Ten HarkelMargreet T E Bink-Boelkens
Nov 1, 2002·Current Treatment Options in Cardiovascular Medicine·Elijah R. Behr, William J. McKenna
Jan 7, 2005·Circulation Journal : Official Journal of the Japanese Circulation Society·Goran MilasinovicMilos Velinovic
Feb 13, 2010·Pacing and Clinical Electrophysiology : PACE·Micha P BotschJoachim C Will
Mar 19, 2004·Journal of Cardiovascular Electrophysiology·Patricio A Frias
Mar 19, 2004·Journal of Cardiovascular Electrophysiology·Mark E AlexanderCharles I Berul
May 14, 2003·Journal of Cardiovascular Electrophysiology·Wojciech ZarebaMark Andrews
Jan 13, 2006·Journal of Cardiovascular Electrophysiology·Maurizio GaspariniSilvia G Priori
Jan 5, 2007·Pacing and Clinical Electrophysiology : PACE·Thomas KriebelThomas Paul
Jan 25, 2011·The American Journal of Cardiology·Samuel F SearsRandall M Bryant
Aug 28, 2004·Pediatric Clinics of North America·Grace R ChoiMichael J Ackerman
Jun 21, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Andrew E SchneiderBryan C Cannon
Sep 23, 2008·International Journal of Pediatric Otorhinolaryngology·Feng YanmeiYin Shankai
Feb 16, 2012·Cochlear Implants International·Stephen J BroomfieldKevin M J Green
Jul 1, 2004·Expert Review of Cardiovascular Therapy·Terrence U H ChunAnne M Dubin
Dec 13, 2005·International Journal of Cardiology·Andreas EickenJohn Hess
Sep 27, 2003·Paediatric Drugs·Hubert Seggewiss, Angelos Rigopoulos
Sep 27, 2018·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Matthias J MüllerUlrich Krause
May 12, 2006·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Alonso PedroteFrancisco Errazquin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Antiarrhythmic Agents: Mechanisms of Action

Understanding the mechanism of action of antiarrhythmic agents is essential in developing new medications as treatment of cardiac arrhythmias is currently limited by the reduced availability of safe and effective drugs. Discover the latest research on Antiarrhythmic Agents: Mechanism of Action here.

Anti-Arrhythmic Drug Therapies

Anti-arrhythmic drugs are used to prevent abnormal heart rhythms. These medications are used in conditions including, ventricular tachycardia, ventricular fibrillation and atrial fibrillation. Discover the latest research on anti-arrhythmic drug therapies here.

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Related Papers

The American Journal of Cardiology
R M HamiltonW G Williams
Evidence-based Cardiovascular Medicine
W J McKenna, P M Elliott
Cochlear Implants International
Chong-Sun KimYong Ho Park
© 2022 Meta ULC. All rights reserved