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Placement of an implantable cardioverter-defibrillator in an infant with congenital long QT syndrome: Anesthetic considerations


1 Department of Anesthesiology and Critical Care, Escorts Heart Institute and Research Center Ltd., Okhla Road, New Delhi, India
2 Department of Cardiothoracic Surgery, Escorts Heart Institute and Research Center Ltd., Okhla Road, New Delhi, India
3 Department of Electrophysiology, Escorts Heart Institute and Research Center Ltd., Okhla Road, New Delhi, India

Correspondence Address:
Bhuvnesh Kansara
Department of Anesthesiology and Critical Care, Escorts Heart Institute and Research Center Ltd, Okhla Road, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.81568

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Year : 2011  |  Volume : 14  |  Issue : 2  |  Page : 122-126

 

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Sudden cardiac arrest (SCA) in children is a rare, but catastrophic event. Children with cardiac pathology at particular risk include those with congenital long QT syndrome (CLQTS) and hypertrophic cardiomyopathy. CLQTS is a genetic disorder of the cardiac ion channels and is associated with significant risk of malignant ventricular arrhythmias and SCA. For symptomatic, untreated patients, the mortality rate is approximately 20% for the first year and 50% at ten years. Use of an implantable cardioverter-defibrillator (ICD) is recommended for the prevention of SCA in this patient population. We report a case of CLQTS, who after successful resuscitation from SCA, underwent ICD placement at our center.






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1 Department of Anesthesiology and Critical Care, Escorts Heart Institute and Research Center Ltd., Okhla Road, New Delhi, India
2 Department of Cardiothoracic Surgery, Escorts Heart Institute and Research Center Ltd., Okhla Road, New Delhi, India
3 Department of Electrophysiology, Escorts Heart Institute and Research Center Ltd., Okhla Road, New Delhi, India

Correspondence Address:
Bhuvnesh Kansara
Department of Anesthesiology and Critical Care, Escorts Heart Institute and Research Center Ltd, Okhla Road, New Delhi
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.81568

Rights and Permissions

Sudden cardiac arrest (SCA) in children is a rare, but catastrophic event. Children with cardiac pathology at particular risk include those with congenital long QT syndrome (CLQTS) and hypertrophic cardiomyopathy. CLQTS is a genetic disorder of the cardiac ion channels and is associated with significant risk of malignant ventricular arrhythmias and SCA. For symptomatic, untreated patients, the mortality rate is approximately 20% for the first year and 50% at ten years. Use of an implantable cardioverter-defibrillator (ICD) is recommended for the prevention of SCA in this patient population. We report a case of CLQTS, who after successful resuscitation from SCA, underwent ICD placement at our center.






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