Abstract
BackgroundFulminant myocarditis (FM) is a common life-threatening disease in pediatric patients, which can result in sudden cardiac arrest (CA). Whether prolonged cardiopulmonary resuscitation (CPR) is beneficial to FM induced CA is unknown.Case presentationWe reported the case of an 8-year-old child with FM. At 14:49 of the day after admission, the ECG monitoring indicated ventricular flutter. The patient was immediately given continuous external cardiac compression. Electric cardioversion (energy 30J) and electric defibrillation (energy 50 J, 100 J, 100 J) were given. Continuous chest compression was conducted until extracorporeal membrane oxygenation (ECMO) successfully placed at 19:30 P.M. The total duration of CPR was 291 min. Nine days later, the ECMO was removed; and 29 days later, the patient was discharged from hospital. In the three years of follow-up, the boy showed a full recovery without neurological sequela. At present, his daily activities have returned to normal and his academic performance at school is excellent.ConclusionsProlonged CPR can be used in FM induced in-hospital CA in pediatric patients, especially during preparation for ECMO after the failure of standard resuscitation measures.
Highlights
Fulminant myocarditis (FM) is a common life-threatening disease in pediatric patients, which can result in sudden cardiac arrest (CA)
Prolonged cardiopulmonary resuscitation (CPR) can be used in FM induced in-hospital CA in pediatric patients, especially during prepa‐ ration for extracorporeal membrane oxygenation (ECMO) after the failure of standard resuscitation measures
We reported for the first time a child presenting with in-hospital CA due to FM who survived after receiving prolonged CPR (291 min) followed by extracorporeal membrane oxygenation (ECMO) treatment
Summary
Prolonged CPR can be used in FM induced in-hospital CA in pediatric patients, especially during prepa‐ ration for ECMO after the failure of standard resuscitation measures.
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