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Electrical storm in children

Clausen, Henning LU orcid ; Pflaumer, Andreas ; Kamberi, Suleman and Davis, Andrew (2013) In PACE - Pacing and Clinical Electrophysiology 36(3). p.391-401
Abstract

Electrical storm (ES) presents a difficult management problem that has predominantly been described in adults and there are limited published data relating to children. We set out to characterize ES in children to assist management based on published literature and own institutional experience. We retrospectively analyzed the records of children presenting with ES to our institution between July 2001 and July 2011 and conducted a systematic literature review. Four children were identified (median age: 5.7 years, range: 3.3-9.6 years, one male). Each ES was of different character and different management strategies were used. All patients were alive at a median follow-up of 5.7 years and all had received implantable... (More)

Electrical storm (ES) presents a difficult management problem that has predominantly been described in adults and there are limited published data relating to children. We set out to characterize ES in children to assist management based on published literature and own institutional experience. We retrospectively analyzed the records of children presenting with ES to our institution between July 2001 and July 2011 and conducted a systematic literature review. Four children were identified (median age: 5.7 years, range: 3.3-9.6 years, one male). Each ES was of different character and different management strategies were used. All patients were alive at a median follow-up of 5.7 years and all had received implantable cardioverter-defibrillators. Two patients were felt to have catecholaminergic polymorphic ventricular tachycardia, one possible long QT syndrome and one the "short-coupled" variant of torsades de pointes. At least three of our four patients had possible iatrogenic contribution to their ES. Forty-seven cases of ES in children with variable management strategies were identified from the published literature. ES is a rare medical emergency in children with multiple etiologies requiring individualized management.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Arrhythmias, Cardiac/complications, Child, Child, Preschool, Female, Humans, Male, Retrospective Studies, Severity of Illness Index
in
PACE - Pacing and Clinical Electrophysiology
volume
36
issue
3
pages
391 - 401
publisher
Wiley-Blackwell
external identifiers
  • pmid:23252797
  • scopus:84874770240
ISSN
1540-8159
DOI
10.1111/pace.12050
language
English
LU publication?
no
additional info
©2012, The Authors. Journal compilation ©2012 Wiley Periodicals, Inc.
id
b00d97c6-eb9e-46fd-a6fe-7c2257261d0b
date added to LUP
2025-03-25 10:52:42
date last changed
2025-04-04 13:51:49
@article{b00d97c6-eb9e-46fd-a6fe-7c2257261d0b,
  abstract     = {{<p>Electrical storm (ES) presents a difficult management problem that has predominantly been described in adults and there are limited published data relating to children. We set out to characterize ES in children to assist management based on published literature and own institutional experience. We retrospectively analyzed the records of children presenting with ES to our institution between July 2001 and July 2011 and conducted a systematic literature review. Four children were identified (median age: 5.7 years, range: 3.3-9.6 years, one male). Each ES was of different character and different management strategies were used. All patients were alive at a median follow-up of 5.7 years and all had received implantable cardioverter-defibrillators. Two patients were felt to have catecholaminergic polymorphic ventricular tachycardia, one possible long QT syndrome and one the "short-coupled" variant of torsades de pointes. At least three of our four patients had possible iatrogenic contribution to their ES. Forty-seven cases of ES in children with variable management strategies were identified from the published literature. ES is a rare medical emergency in children with multiple etiologies requiring individualized management.</p>}},
  author       = {{Clausen, Henning and Pflaumer, Andreas and Kamberi, Suleman and Davis, Andrew}},
  issn         = {{1540-8159}},
  keywords     = {{Arrhythmias, Cardiac/complications; Child; Child, Preschool; Female; Humans; Male; Retrospective Studies; Severity of Illness Index}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{391--401}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{PACE - Pacing and Clinical Electrophysiology}},
  title        = {{Electrical storm in children}},
  url          = {{http://dx.doi.org/10.1111/pace.12050}},
  doi          = {{10.1111/pace.12050}},
  volume       = {{36}},
  year         = {{2013}},
}