Burch Ashley E, Spar David S, Sears Samuel F
Department of Psychology, East Carolina University, Greenville, NC, USA.
Department of Pediatrics, Cincinnati Children's Hospital, Cincinnati, OH, USA.
Pacing Clin Electrophysiol. 2017 Dec;40(12):1479-1482. doi: 10.1111/pace.13228. Epub 2017 Nov 27.
Keeping children safe is a goal for everyone. To stay safe, some children need a wearable cardioverter defibrillator (WCD). WCDs protect individuals who are at risk for life-threatening arrhythmias. The LifeVest (ZOLL, Pittsburgh, PA, USA) is a WCD that identifies, records, and treats potentially life-threatening abnormal heartbeats, or arrhythmias. The WCD will provide electrical energy to the heart with up to five high-energy shocks if a potentially dangerous cardiac arrhythmia is detected. This type of arrhythmia, if not treated within a short time period (less than 2 minutes), can result in disruption of blood flow to the brain and other vital organs (that is, a sudden cardiac arrest), and death can occur within minutes. A shock delivered by the LifeVest can terminate an arrhythmia and restore a normal heart rhythm and blood flow to the body. In December 2015, the Food and Drug Administration approved the LifeVest for patients under 18 years old. The purpose of this guide is to serve as a resource for parents and educators, to promote awareness of the LifeVest, and to answer questions about the safety of the LifeVest in schools.
保障儿童安全是每个人的目标。为了确保安全，一些儿童需要佩戴可穿戴式心脏除颤器（WCD）。WCD用于保护有发生危及生命心律失常风险的个体。LifeVest（美国宾夕法尼亚州匹兹堡市的ZOLL公司生产）是一种WCD，它能够识别、记录并治疗潜在的危及生命的异常心跳，即心律失常。如果检测到潜在危险的心律失常，WCD将向心脏提供电能，最多可进行五次高能量电击。这种心律失常如果在短时间内（不到2分钟）得不到治疗，可能会导致脑部和其他重要器官的血流中断（即心脏骤停），几分钟内就可能导致死亡。LifeVest发出的电击可终止心律失常，恢复正常的心律和身体的血流。2015年12月，美国食品药品监督管理局批准LifeVest用于18岁以下的患者。本指南的目的是为家长和教育工作者提供参考资料，提高对LifeVest的认识，并解答有关其在学校安全性的问题。
