• J. Cardiovasc. Electrophysiol. · Nov 2019

    Case Reports

    Automated external defibrillator use in a previously healthy 31-day-old infant with out-of-hospital cardiac arrest due to ventricular fibrillation.

    • Walter J Hoyt, Frank A Fish, and Prince J Kannankeril.
    • Thomas P. Graham Jr. Division of Pediatric Cardiology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
    • J. Cardiovasc. Electrophysiol. 2019 Nov 1; 30 (11): 2599-2602.

    IntroductionCurrent resuscitation guidelines state that the safety of automated external defibrillators (AEDs) in infants less than 1 year of age is unknown.Methods And ResultsWe report successful AED use in a 31-day-old previously healthy infant with out-of-hospital cardiac arrest. Chest compressions began immediately, pediatric AED pads were applied in less than 5 minutes and the initial rhythm was ventricular fibrillation. After two 50 J shocks, return of spontaneous circulation was achieved. She was diagnosed with a rare but previously described syndrome of infant ventricular fibrillation and was discharged to home in good condition after epicardial defibrillator placement.ConclusionsThis case represents, to our knowledge, the youngest patient successfully defibrillated by an AED in a nonmedical setting. Although she received two shocks more than 11 J/kg each, she had no apparent myocardial damage at presentation.© 2019 Wiley Periodicals, Inc.

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