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Electromagnetic Source Imaging in Presurgical Evaluation of Children with Drug-Resistant Epilepsy
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Electrical storm in children.

Henning Clausen1, Andreas Pflaumer, Suleman Kamberi

  • 1Department of Cardiology, Royal Children's Hospital, Parkville, Australia.

Pacing and Clinical Electrophysiology : PACE
|December 21, 2012
PubMed
Summary
This summary is machine-generated.

Electrical storm (ES) in children is rare and challenging to manage, often requiring individualized treatment. This study characterized pediatric ES, finding diverse causes and successful outcomes with implantable cardioverter-defibrillators.

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Area of Science:

  • Pediatric Cardiology
  • Electrophysiology
  • Critical Care Medicine

Background:

  • Electrical storm (ES) is a significant clinical challenge, primarily documented in adults.
  • Limited data exists on the characteristics and management of ES specifically in pediatric populations.

Purpose of the Study:

  • To characterize electrical storm in children.
  • To guide management strategies for pediatric ES based on institutional experience and literature review.

Main Methods:

  • Retrospective analysis of four pediatric patients with ES (2001-2011).
  • Systematic literature review of 47 pediatric ES cases.
  • Evaluation of patient demographics, ES characteristics, management, and outcomes.

Main Results:

  • Four pediatric patients identified (median age 5.7 years); ES varied in character and management.
  • All patients survived with implantable cardioverter-defibrillators at median 5.7-year follow-up.
  • Identified etiologies included catecholaminergic polymorphic ventricular tachycardia, Long QT syndrome, and Torsades de Pointes; iatrogenic factors were noted in 3/4 patients.

Conclusions:

  • Pediatric electrical storm is a rare emergency with diverse etiologies.
  • Individualized management approaches are crucial for pediatric ES.
  • Implantable cardioverter-defibrillators appear effective in managing pediatric ES.