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Pediatric Ventricular Fibrillation Differential Diagnoses

  • Author: Elizabeth A Stephenson, MD, MSc; Chief Editor: Howard S Weber, MD, FSCAI  more...
 
Updated: Jan 29, 2015
 
 

Diagnostic Considerations

Important considerations

A child with susceptibility to ventricular fibrillation (particularly, a child resuscitated from ventricular fibrillation) and continued potential susceptibility to ventricular fibrillation substrates should be aggressively treated.

Treatment should include a comprehensive pediatric electrophysiology evaluation and probable AICD implantation.

Guidelines of expert consensus from the AHA and the American College of Cardiology provide general recommendations regarding adult and pediatric patients in whom AICD implantation may be indicated.

Other problems to be considered

Also consider asystole and electrocardiographic artifact (electrode/lead failure) in patients with suspected ventricular fibrillation.

Differential Diagnoses

 
 
Contributor Information and Disclosures
Author

Elizabeth A Stephenson, MD, MSc Associate Professor of Pediatrics, University of Toronto Faculty of Medicine; Consulting Staff, Division of Cardiology, The Hospital for Sick Children

Elizabeth A Stephenson, MD, MSc is a member of the following medical societies: American Heart Association, Heart Rhythm Society, Canadian Cardiovascular Society, Pediatric and Congenital Electrophysiology Society

Disclosure: Nothing to disclose.

Coauthor(s)

Charles I Berul, MD Professor of Pediatrics and Integrative Systems Biology, George Washington University School of Medicine; Chief, Division of Cardiology, Children's National Medical Center

Charles I Berul, MD is a member of the following medical societies: American Academy of Pediatrics, Heart Rhythm Society, Cardiac Electrophysiology Society, Pediatric and Congenital Electrophysiology Society, American College of Cardiology, American Heart Association, Society for Pediatric Research

Disclosure: Received grant/research funds from Medtronic for consulting.

Specialty Editor Board

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Alvin J Chin, MD Emeritus Professor of Pediatrics, University of Pennsylvania School of Medicine

Alvin J Chin, MD is a member of the following medical societies: American Association for the Advancement of Science, Society for Developmental Biology, American Heart Association

Disclosure: Nothing to disclose.

Chief Editor

Howard S Weber, MD, FSCAI Professor of Pediatrics, Section of Pediatric Cardiology, Pennsylvania State University College of Medicine; Director of Interventional Pediatric Cardiology, Penn State Hershey Children's Hospital

Howard S Weber, MD, FSCAI is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, Society for Cardiovascular Angiography and Interventions

Disclosure: Received income in an amount equal to or greater than $250 from: St. Jude Medical.

Additional Contributors

Christopher Johnsrude, MD, MS Chief, Division of Pediatric Cardiology, University of Louisville School of Medicine; Director, Congenital Heart Center, Kosair Children's Hospital

Christopher Johnsrude, MD, MS is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology

Disclosure: Nothing to disclose.

References
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Ventricular fibrillation with polymorphic morphology and cycle lengths varying from 80-280 milliseconds.
 
 
 
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