Life-threatening cardiac arrhythmia and sudden death during electronic gaming: An international case series and systematic review

BackgroundElectronic gaming has recently been reported as a precipitant of life-threatening cardiac arrhythmia in susceptible individuals.ObjectiveThe purpose this study was to describe the population at risk, nature events, and type game linked associated with electronic gaming.MethodsA multisite international case series suspected or proven during children systematic review literature were performed.ResultsTwenty-two patients (18 4 via review; aged 7–16 years; 19 males [86%]) identified having experienced ventricular gaming; 6 (27%) had arrest, (18%) died suddenly. A proarrhythmic diagnosis known 7 (31%) before their event established afterward 12 (54%). Ten (45%) catecholaminergic polymorphic tachycardia, long QT syndrome, 2 (9%) post–congenital surgery, “idiopathic” fibrillation, 1 (after Kawasaki disease) coronary ischemia. In 3 (14%), including who died, remains unknown. 13 (59%) for whom details known, 8 (62%) war games.ConclusionElectronic can precipitate lethal arrhythmias children. The incidence appears be low, but syncope setting should investigated thoroughly. conditions, games particular are potent arrhythmic trigger. Electronic individuals. gaming. performed. Twenty-two games.