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An unusual cause of ventricular fibrillatory arrest

Published online by Cambridge University Press:  10 June 2020

Utkarsh Kohli Open the ORCID record for Utkarsh Kohli [Opens in a new window]  and
Elizabeth Meinert
Utkarsh Kohli*
Affiliation:
Section of Pediatric Cardiology, Department of Pediatrics, Comer Children’s Hospital and Pritzker School of Medicine of the University of Chicago, Chicago, IL, USA
Elizabeth Meinert
Affiliation:
Division of Pediatric Critical Care, Department of Pediatrics, Comer Children’s Hospital and Pritzker School of Medicine of the University of Chicago, Chicago, IL, USA
*
Author for correspondence: Utkarsh Kohli, Section of Pediatric Cardiology, Department of Pediatrics, University of Chicago, 5481 S Maryland Ave., RM-C104E, MC 4051, Chicago, IL60637, USA. Tel: +1 773 702 6172; Fax: +1 773 702 2319. E-mail: [email protected]
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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.

Keywords

Myocarditisventricular fibrillatory arrest
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 8 , August 2020 , pp. 1178 - 1182
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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