Cardiac arrest in the paediatric age group is uncommon. Successful resuscitation of out-of-hospital cardiac arrest in children with subsequent hospital discharge and normal neurological outcome is even rarer. A 14-year-old girl who presented with recurrent convulsive syncope was misdiagnosed to be suffering from epilepsy. Subsequently she was witnessed to have cardiac arrest and was successfully resuscitated. Catecholaminergic polymorphic ventricular tachycardia was suspected to be the underlying cause of her symptoms. This case illustrated the important concept of the paediatric chain of survival in the prevention of death and improvement of survival in paediatric cardiac arrest.
TopjianA.A., BergR.A., NadkarniV.M.Pediatric cardiopulmonary resuscitation: advances in science, techniques, and outcomes. Pediatrics2008; 122(5): 1086–98.
5.
2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 11: Pediatric Basic Life Support. Circulation2005; 112 [Suppl I]: IV-156–IV-166.
6.
McDadeG., BrownS.W.Non-epileptic seizures: management and predictive factors of outcome. Seizure1992; 1(1): 7–10.
7.
DonohoeR.T., InnesJ., GaddS., WhitbreadM., MooreF.Out of hospital cardiac arrest in patients aged 35 years and under: a 4 year study of frequency and survival in London. Resuscitation2010; 81(1): 36–41.
8.
2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 4: Adult Basic Life Support. Circulation2005; 112 [Suppl I]: IV-19–IV-34.
9.
CheungB.M., HoC., KouK.O., KuongE.E., LaiK.W., LeowP.L.The University of Hong Kong Cardiopulmonary Resuscitation Knowledge Study Group. Knowledge of cardiopulmonary resuscitation among the public in Hong Kong: telephone questionnaire survey. Hong Kong Med J2003; 9(5): 323–8.
10.
ChungC.H., WongC.Y.P.A six-year prospective study of out-of-hospital cardiac arrest managed by a voluntary ambulance organisation. Hong Kong J Emerg Med2005; 12(3): 140–7.
11.
PellJ.P., WalkerA., CobbeS.M.Cost-effectiveness of automated external defibrillators in public places: con. Curr Opin Cardiol2007; 22(1): 5–10.
12.
DreznerJ.A., RaoA.L., HeistandJ., BloomingdaleM.K., HarmonK.G.Effectiveness of emergency response planning for sudden cardiac arrest in United States high schools with automated external defibrillators. Circulation2009; 120(6): 518–25.
13.
LeenhardtA., LucetV., DenjoyI., GrauF., NgocD.D., CoumelP.Catecholaminergic polymorphic ventricular tachycardia in children: a 7-year follow-up of 21 patients. Circulation1995; 91(5): 1512–9.
14.
KaufersteinS., KiehneN., NeumannT., PitschnerH.F., BratzkeH.Cardiac gene defects can cause sudden cardiac death in young people. Dtsch Arztebl Int2009; 106(4): 41–7.
15.
FarwellD., GollobM.H.Electrical heart disease: genetic and molecular basis of cardiac arrhythmias in normal structural hearts. Can J Cardiol2007; 23 Suppl A: 16A–22A.
16.
MokN.S., LamC.W., FongN.C., HuiY.W., ChoiY.C., ChanK.Y.Cardiac ryanodine receptor gene (hRyR2) mutation underlying catecholaminergic polymorphic ventricular tachycardia in a Chinese adolescent presenting with sudden cardiac arrest and cardiac syncope. Chin Med J (Engl)2006; 119(24): 2129–33.
