Malignant arrhythmia in child - 2021

Malignant arrhythmias are disorders of a cardiac rhythm, which can lead to a cardiac arrest. They are usually developed in children due to hereditary syndromes like catecholaminergic polymorphic ventricular tachycardia or long QT syndrome. Go through this situation according to 2021 ERC guidelines.

Published at: 18.9.2023


Martin Doleček, MD, PhD
Head of Emergency Department, Department of Anaesthesiology and Intensive Care Medicine, University Hospital Brno, Medical Faculty of Masaryk University, Brno, Czech Republic

The ALS algorithm brings the algorithm for recognizing circulatory arrest and also for initiating cardiopulmonary resuscitation in a child with malignant arrhythmia, which is considered as less common cause in pediatric emergency medicine. The algorithm is based on the 2021 ERC Guidelines for CPR in children. What I consider to be very beneficial about this algorithm is that a lot of useful information is included in the justifications of the individual answers. Moreover, substantial space is devoted to the specifics of ensuring access to the vascular system in children with cardiac arrest.


VAN DE VOORDE, Patrik, et al. European Resuscitation Council Guidelines 2021: Paediatric Life Support. Resuscitation, 2021, 161: 327-387.

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