Pages: 16-20

Date of Publication: 31-Oct-2018

The paediatric pacient with sudden death risk. Case report

Author: Pop-Kun Ruxandra-Claudia

Category: Medical

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Abstract:

The sudden death of a paediatric patient is a real health problem and it has a powerful emotional response in a family. The symptomatology can de deceiving. Most of the times, it is ignored by the entourage or is mistaken for something else by the medical personnel. In the paedriatic population, the most common causes are canalopathies, cardiomyopathies or myocarditis.

This paper is concentrated around a pacient with minimal unspecific symptoms. A respiratory infection determines a paedriatic consultation. By chance, a sinusal bradycardia is noticed. Further investigations lead to an aggraveded diagnosis.

Keywords: risk, sudden death, paediatric pacient

References:

1. Burns KM, Bienemann L, Camperlengo L, Cottengim C, Covington TM, Dykstra H et al. The Sudden Death in the Young Case Registry: Collaborating to Understand and Reduce Mortality. Pediatrics 2017;139(3): e20162757
2. Morrow W, Berger S, Jenkins K, Minich L, Rosenthal GL, Snyder CS. Pediatric sudden cardiac arrest. Pediatrics 2012 Apr;129(4):e1094-102
3. Priori SG, Blomström-Lundqvist C, Mazzanti A, Blom N, Borggrefe M, Camm J et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC)Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Europace 2015;17(11):1601-87
4. Baksi AJ et al. Arrhythmias in Viral Myocarditis and Pericarditis. Cardiac Electrophysiology Clinics 2015;7(2):269 – 281
5. Kliegman R, Nelson WE. Nelson textbook of pediatrics. Philadelphia: Elsevier/Saunders 2011
6. Fu DG. Cardiac Arrhythmias: Diagnosis, Symptoms, and Treatments. Cell Biochem Biophys. 2015 Nov;73(2):291-296
7. Farinha IT, Miranda JO. Myocarditis in Paediatric Patients: Unveiling the Progression to Dilated Cardiomyopathy and Heart Failure. Journal of cardiovascular development and disease 2016;3(4)31
8. Pollack A, Kontorovich AR, Fuster V, Dec GW. Viral myocarditis--diagnosis, treatment options, and current controversies. Nat Rev Cardiol. 2015 Nov;12(11):670-80
9. Baruteau AE, Perry JC, Sanatani S, Horie M, Dubin AM. Evaluation and management of bradycardia in neonates and children. Eur J Pediatr. 2016 Feb;175(2):151-61
10. Drago F, Battipaglia I, Di Mambro C. Neonatal and Pediatric Arrhythmias: Clinical and Electrocardiographic Aspects. Card Electrophysiol Clin. 2018 Jun;10(2):397-412
11. Christian W et al. Intravenous drug challenge using flecainide and ajmaline in patients with Brugada syndrome. Heart Rhythm. 2005 Mar;2(3):254–260
12. Tester DJ, Ackerman MJ. Genetics of long QT syndrome. Methodist Debakey Cardiovasc J. 2014
13. Bender J, Russell K, Rosenfeld L, Chaudry S. Oxford American Handbook of Cardiology. New York: Oxford University Press. 2011
14. Valbuena-López S, Hinojar R, Puntmann VO. Cardiovascular Magnetic Resonance in Cardiology Practice: A Concise Guide to Image Acquisition and Clinical Interpretation. Rev Esp Cardiol (Engl Ed). 2016 Feb;69(2):202-10
15. Lazaros G, Oikonomou E, Tousoulis D. Established and novel treatment options in acute myocarditis, with or without heart failure. Expert Rev Cardiovasc Ther. 2017 Jan;15(1):25-34
16. Brugada J et al. Pharmacological and non-pharmacological therapy for arrhythmias in the pediatric population: EHRA and AEPC-Arrhythmia Working Group joint consensus statement. Europace 2013 Sep;15(9):1337-82.