• Circulation · May 2001

    Multicenter Study Comparative Study

    Is arrhythmia detection by automatic external defibrillator accurate for children?: sensitivity and specificity of an automatic external defibrillator algorithm in 696 pediatric arrhythmias.

    • F Cecchin, D B Jorgenson, C I Berul, J C Perry, A A Zimmerman, B W Duncan, F M Lupinetti, D Snyder, T D Lyster, G L Rosenthal, B Cross, and D L Atkins.
    • University of Washington, Seattle, USA. fcecch@chmc.org
    • Circulation. 2001 May 22;103(20):2483-8.

    BackgroundUse of automatic external defibrillators (AEDs) in children aged <8 years is not recommended. The purpose of this study was to develop an ECG database of shockable and nonshockable rhythms from a broad age range of pediatric patients and to test the accuracy of the Agilent Heartstream FR2 Patient Analysis System for sensitivity and specificity.Methods And ResultsChildren aged ConclusionsThere was excellent AED rhythm analysis sensitivity and specificity in all age groups for ventricular fibrillation and nonshockable rhythms. The high specificity and sensitivity indicate that there is a very low risk of an inappropriate shock and that the AED correctly identifies shockable rhythms, making the algorithm both safe and effective for children.

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