Use of a wearable automated defibrillator in children compared to young adults

Kathryn K. Collins, Jennifer N.A. Silva, Edward K. Rhee, Michael S. Schaffer

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Background: A wearable automated external defibrillator has been shown to be efficacious in the prevention of sudden death in adults who had a history of cardiac arrest but who did not have a permanent internal cardioverter/ defibrillator (ICD) placed. The use of a wearable defibrillator has not been established in the pediatric population. Methods: We retrospectively reviewed the clinical database for the wearable external defibrillator from ZOLL Lifecor Corporation (Pittsburgh, PA, USA). We compared the use of the wearable defibrillator in patients ≤18 years of age to those aged 19-21 years. Results: There were 81 patients ≤18 years of age (median age = 16.5 years [9-18] and 52% male). There were 103 patients aged 19-21 years (median age = 20 years [19-21] and 47% male). There was no difference between groups in average hours/day or in total number of days the patients wore the defibrillator. In patients ≤18 years of age, there was one inappropriate therapy and one withholding of therapy due to a device-device interaction. In patients aged 19-21 years, there were five appropriate discharges in two patients and one inappropriate discharge in a single patient. Conclusion: It is reasonable to consider the wearable automated external defibrillator as a therapy for pediatric patients who are at high risk of sudden cardiac arrest but who have contraindications to or would like to defer placement of a permanent ICD. As there were no appropriate shocks in our patients ≤18 years of age, this study cannot address efficacy of the therapy.

Original languageEnglish
Pages (from-to)1119-1124
Number of pages6
JournalPACE - Pacing and Clinical Electrophysiology
Volume33
Issue number9
DOIs
StatePublished - Sep 1 2010

Keywords

  • cardioverter/defibrillator
  • pediatrics
  • sudden death
  • ventricular arrhythmias

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