An unusual cause of ventricular fibrillatory arrest. (10th August 2020)

• Record Type: Journal Article
• Authors: Kohli, Utkarsh; Meinert, Elizabeth
• Is Part Of: Cardiology in the young. Volume 30:Number 8(2020)
• Page Start: 1178
• Page End: 1182
• Publication Date: 2020-08-10
• Subjects: Myocarditis, -- ventricular fibrillatory arrest; Pediatric cardiology -- Periodicals; 618.9212
• DOI: 10.1017/S1047951120001523
• Languages: English
• ISSNs: 1047-9511

Abstract

Abstract: Myocarditis is an important cause of arrhythmogenic sudden cardiac arrest in the young. A strong index of suspicion is required as not only can arrhythmias be the only clinical manifestation but also because these patients can have normal cardiac biomarkers, electrocardiographic and echocardiographic findings, and inflammatory markers. Patients with ventricular arrhythmias in the setting of viral myocarditis, especially the ones in whom cardiac MRI findings normalise upon follow-up, tend to do well in the long run and an implantable cardioverter-defibrillator should be avoided in these patients; instead, a wearable defibrillator should be temporarily used as we did in this 7-year-old.