Pediatric Cardiology and Cardiac Surgery
Vol.25 No.5 2009 (674-680)
Hisashi Takasugi,1) Wataru Tamaki,1) Tetsuya Yano,1) Masaki Yamamoto,1) Daisuke Usui,1) Kenshi Matsushita,1) Sumitaka Dohno,1) Mikiya Fujieda,1) Akiko Ozaki,2) Yoshiko Kurashige,2) and Hiroshi Wakiguchi1)
1)Department of Pediatrics, Kochi Medical School, Kochi University, and 2)Department of Pediatrics, Hata Kenmin Hospital, Kochi, Japan
We report two infants with life-threatening arrhythmia prepared for the application of a rented AED at home after parental child BLS training using an AED trainer. Case 1 was a 1-year-old girl who was admitted to our hospital because of repeated attacks of ventricular tachycardia with cardiogenic shock in spite of treatment with a β-blocker. Control was achieved with the addition of amiodarone. Case 2 was a boy aged 0 day. Although his arrhythmia had been detected prenatally, ECG monitoring after birth revealed repeated episodes of torsade de pointes, which were controlled by the administration of mexiletin, β-blocker and potassium gluconate. He was diagnosed as having congenital long QT syndrome type 2 by genetic examination. We instructed both parents in child BLS using an AED trainer and prepared for the application of AED at home; scheduled after discharge in case 1 and after the child’s first birthday in case 2. We believe that the application of AED in the home is a useful and valid approach for children with life-threatening arrhythmia.