• Ann Card Anaesth · May 2011

    Case Reports

    Placement of an implantable cardioverter-defibrillator in an infant with congenital long QT syndrome: anesthetic considerations.

    • Bhuvnesh Kansara, Ajmer Singh, Sunil Kaushal, and Anil Saxena.
    • Department of Anesthesiology and Critical Care, Escorts Heart Institute and Research Center Ltd., New Delhi, India. drbhuvnesh@gmail.com
    • Ann Card Anaesth. 2011 May 1;14(2):122-6.

    AbstractSudden cardiac arrest (SCA) in children is a rare, but catastrophic event. Children with cardiac pathology at particular risk include those with congenital long QT syndrome (CLQTS) and hypertrophic cardiomyopathy. CLQTS is a genetic disorder of the cardiac ion channels and is associated with significant risk of malignant ventricular arrhythmias and SCA. For symptomatic, untreated patients, the mortality rate is approximately 20% for the first year and 50% at ten years. Use of an implantable cardioverter-defibrillator (ICD) is recommended for the prevention of SCA in this patient population. We report a case of CLQTS, who after successful resuscitation from SCA, underwent ICD placement at our center.

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