Key result
S-ICD effectively manages fatal ventricular arrhythmias in a child with early repolarization syndrome.
Why the study?
Although early repolarization patterns are generally considered benign, an inferolateral ER pattern may be an independent risk factor for fatal arrhythmias.
Does a subcutaneous implantable cardiac defibrillator (S-ICD) effectively manage fatal ventricular arrhythmias in a child with early repolarization syndrome?
Case Report (n=1)
Does a subcutaneous implantable cardiac defibrillator (S-ICD) effectively manage fatal ventricular arrhythmias in a child with early repolarization syndrome?
S-ICD implantation can be an effective strategy for managing fatal ventricular arrhythmias in pediatric patients with early repolarization syndrome after aborted sudden cardiac death.
An early repolarization (ER) pattern or J waves are considered to be a benign finding observed in the healthy population, however, it has been pointed out that the ER pattern seen in the inferolateral leads could be an independent risk factor for fatal arrhythmias. We present a pediatric case in which early repolarization syndrome (ERS) was suspected due to the presence of ER or J waves in the inferior leads, which eventually disappeared after the administration of pilsicainide. During the follow-up period, several fatal ventricular arrhythmias were recorded after implantation of a subcutaneous implantable cardiac defibrillator (S-ICD). This report describes the efficacy of S-ICDs in a child with an ER pattern after aborted sudden cardiac death.
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Taki et al. (2021) conducted a case report in Early repolarization syndrome (n=1). Subcutaneous implantable cardiac defibrillator (S-ICD) was evaluated on Efficacy of S-ICD in recording/treating fatal ventricular arrhythmias. A subcutaneous implantable cardiac defibrillator effectively recorded and managed several fatal ventricular arrhythmias during follow-up in a child with early repolarization syndrome.
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