{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T22:13:56Z","timestamp":1793916836657,"version":"4.8.0"},"reference-count":27,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2017,6,13]],"date-time":"2017-06-13T00:00:00Z","timestamp":1497312000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951117000026_abs1\" sec-type=\"general\"><jats:title>Background<\/jats:title><jats:p>Automated external defibrillators can be life-saving in out-of-hospital cardiac arrest.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951117000026_abs2\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>Our aim was to review our experience of prescribing automated external defibrillators for children at increased risk of sudden arrhythmic death.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951117000026_abs3\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>We reviewed all automated external defibrillators issued by the Scottish Paediatric Cardiac Electrophysiology Service from 2005 to 2015. All parents were given resuscitation training according to the Paediatric Resuscitation Guidelines, including the use of the automated external defibrillator.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951117000026_abs4\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 36 automated external defibrillators were issued to 36 families for 44 children (27 male). The mean age at issue was 8.8 years. Diagnoses at issue included long QT syndrome (50%), broad complex tachycardia (14%), hypertrophic cardiomyopathy (11%), and catecholaminergic polymorphic ventricular tachycardia (9%). During the study period, the automated external defibrillator was used in four (9%) children, and in all four the automated external defibrillator correctly discriminated between a shockable rhythm \u2013 polymorphic ventricular tachycardia\/ventricular fibrillation in three patients with one or more shocks delivered \u2013 and non-shockable rhythm \u2013 sinus rhythm in one patient. Of the three children, two of them who received one or more shocks for ventricular fibrillation\/polymorphic ventricular tachycardia survived, but one died as a result of recurrent torsades de pointes. There were no other deaths.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951117000026_abs5\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Parents can be taught to recognise cardiac arrest, apply resuscitation skills, and use an automated external defibrillator. Prescribing an automated external defibrillator should be considered for children at increased risk of sudden arrhythmic death, especially where the risk\/benefit ratio of an implantable defibrillator is unclear or delay to defibrillator implantation is deemed necessary.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951117000026","type":"journal-article","created":{"date-parts":[[2017,6,13]],"date-time":"2017-06-13T08:47:53Z","timestamp":1497343673000},"page":"1271-1279","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":6,"title":["Prescribing an automated external defibrillator for children at increased risk of sudden arrhythmic death"],"prefix":"10.1017","volume":"27","author":[{"given":"Karen A.","family":"McLeod","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Fern","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Clements","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"McGowan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2017,6,13]]},"reference":[{"key":"S1047951117000026_ref7","first-page":"1411","article-title":"Compound mutations: a common cause of severe long-QT syndrome","volume":"7","author":"Westenskow","year":"2010","journal-title":"Heart Rhythm"},{"key":"S1047951117000026_ref26","first-page":"1057","article-title":"Multicenter study of the effectiveness of implantable cardioverter defibrillators in children and young adults with heart 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