Sharma Jayendra, Friedman Elliot, Khan Saquiba, Pelczar Joseph
Division of Pediatric Cardiology, Department of Pediatrics, Jamaica Hospital Medical Center, Jamaica, NY, USA.
Pediatr Emerg Care. 2011 May;27(5):403-5. doi: 10.1097/PEC.0b013e318216b30c.
Sudden cardiac death is rare in children and adolescents but accounts for 19% to 30% of sudden deaths until 21 years of age. Fatal ventricular arrhythmias are usual common pathways in such tragic events, and underlying etiologies include cardiac ion channelopathies in majority of cases. We present a case of aborted sudden cardiac death in field, resuscitated successfully, and a clinical event in the pediatric emergency department that led to the diagnosis of the underlying rare condition.
心脏性猝死在儿童和青少年中较为罕见,但在21岁之前的猝死病例中占19%至30%。致命性室性心律失常是此类悲剧事件中常见的共同途径,在大多数情况下,潜在病因包括心脏离子通道病。我们报告一例在现场发生的心脏性猝死未遂病例,经成功复苏,并报告了在儿科急诊科发生的一起临床事件,该事件导致了对潜在罕见疾病的诊断。