Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Pediatrics
Volume 2015 (2015), Article ID 796151, 3 pages
http://dx.doi.org/10.1155/2015/796151
Case Report

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

1Penn State Hershey College of Medicine, Hershey, PA 17033, USA
2Department of Pediatrics, Hershey Medical Center, Hershey, PA 17033, USA
3Department of Pediatrics, Pediatric Cardiology, Hershey Medical Center, Hershey, PA 17033, USA
4Department of Pediatrics, Pediatric Intensive Care, Hershey Medical Center, Hershey, PA 17033, USA

Received 19 December 2014; Accepted 9 March 2015

Academic Editor: Carmelo Romeo

Copyright © 2015 Nancy Spurkeland et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.