Therapeutic Hypothermia and Out-of-Hospital Cardiac Arrest in a Child with Hypertrophic Obstructive Cardiomyopathy

Neurologic outcomes following pediatric cardiac arrest are consistently poor. Early initiation of cardiopulmonary resuscitation has been shown to have positive effects on both survival to hospital discharge, and improved neurological outcomes after cardiac arrest. Additionally, the use of therapeuti...

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Main Authors: Nancy Spurkeland, Gregory Bennett, Chandran Alexander, Dennis Chang, Gary Ceneviva
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2015/796151
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author Nancy Spurkeland
Gregory Bennett
Chandran Alexander
Dennis Chang
Gary Ceneviva
author_facet Nancy Spurkeland
Gregory Bennett
Chandran Alexander
Dennis Chang
Gary Ceneviva
author_sort Nancy Spurkeland
collection DOAJ
description Neurologic outcomes following pediatric cardiac arrest are consistently poor. Early initiation of cardiopulmonary resuscitation has been shown to have positive effects on both survival to hospital discharge, and improved neurological outcomes after cardiac arrest. Additionally, the use of therapeutic hypothermia may improve survival in pediatric cardiac arrest patients admitted to the intensive care unit. We report a child with congenital hypertrophic obstructive cardiomyopathy and an out-of-hospital cardiac arrest, in whom the early initiation of effective prolonged cardiopulmonary resuscitation and subsequent administration of therapeutic hypothermia contributed to a positive outcome with no gross neurologic sequelae. Continuing efforts should be made to promote and employ high-quality cardiopulmonary resuscitation, which likely contributed to the positive outcome of this case. Further research will be necessary to develop and solidify national guidelines for the implementation of therapeutic hypothermia in selected subpopulations of children with OHCA.
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series Case Reports in Pediatrics
spelling doaj-art-2f00a5af5d9e401f95c0985093e038512025-08-20T03:55:16ZengWileyCase Reports in Pediatrics2090-68032090-68112015-01-01201510.1155/2015/796151796151Therapeutic Hypothermia and Out-of-Hospital Cardiac Arrest in a Child with Hypertrophic Obstructive CardiomyopathyNancy Spurkeland0Gregory Bennett1Chandran Alexander2Dennis Chang3Gary Ceneviva4Penn State Hershey College of Medicine, Hershey, PA 17033, USADepartment of Pediatrics, Hershey Medical Center, Hershey, PA 17033, USADepartment of Pediatrics, Hershey Medical Center, Hershey, PA 17033, USADepartment of Pediatrics, Pediatric Cardiology, Hershey Medical Center, Hershey, PA 17033, USADepartment of Pediatrics, Pediatric Intensive Care, Hershey Medical Center, Hershey, PA 17033, USANeurologic outcomes following pediatric cardiac arrest are consistently poor. Early initiation of cardiopulmonary resuscitation has been shown to have positive effects on both survival to hospital discharge, and improved neurological outcomes after cardiac arrest. Additionally, the use of therapeutic hypothermia may improve survival in pediatric cardiac arrest patients admitted to the intensive care unit. We report a child with congenital hypertrophic obstructive cardiomyopathy and an out-of-hospital cardiac arrest, in whom the early initiation of effective prolonged cardiopulmonary resuscitation and subsequent administration of therapeutic hypothermia contributed to a positive outcome with no gross neurologic sequelae. Continuing efforts should be made to promote and employ high-quality cardiopulmonary resuscitation, which likely contributed to the positive outcome of this case. Further research will be necessary to develop and solidify national guidelines for the implementation of therapeutic hypothermia in selected subpopulations of children with OHCA.http://dx.doi.org/10.1155/2015/796151
spellingShingle Nancy Spurkeland
Gregory Bennett
Chandran Alexander
Dennis Chang
Gary Ceneviva
Therapeutic Hypothermia and Out-of-Hospital Cardiac Arrest in a Child with Hypertrophic Obstructive Cardiomyopathy
Case Reports in Pediatrics
title Therapeutic Hypothermia and Out-of-Hospital Cardiac Arrest in a Child with Hypertrophic Obstructive Cardiomyopathy
title_full Therapeutic Hypothermia and Out-of-Hospital Cardiac Arrest in a Child with Hypertrophic Obstructive Cardiomyopathy
title_fullStr Therapeutic Hypothermia and Out-of-Hospital Cardiac Arrest in a Child with Hypertrophic Obstructive Cardiomyopathy
title_full_unstemmed Therapeutic Hypothermia and Out-of-Hospital Cardiac Arrest in a Child with Hypertrophic Obstructive Cardiomyopathy
title_short Therapeutic Hypothermia and Out-of-Hospital Cardiac Arrest in a Child with Hypertrophic Obstructive Cardiomyopathy
title_sort therapeutic hypothermia and out of hospital cardiac arrest in a child with hypertrophic obstructive cardiomyopathy
url http://dx.doi.org/10.1155/2015/796151
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