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Author’s Reply to E-Gaming Should Not Equal E-Fear

Published:November 24, 2022DOI:https://doi.org/10.1016/j.hrthm.2022.11.018
      We thank Drs Sears, Sears and Nekkanti for their interest in our report. We disagree with their assertion that the phenomenon of syncope, cardiac arrest and sudden death seen during some electronic gaming is the result of a frequent activity being coincidentally linked to arrhythmia.

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      References

      1. Zeppenfeld K, Tfelt-Hansen J, de Riva M, et al. 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: Developed by the task force for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death of the European Society of Cardiology (ESC) Endorsed by the Association for European Paediatric and Congenital Cardiology (AEPC). European Heart Journal. 2022;43:3997-4126.

        • Lawley C.M.
        • Tester M.
        • Sanatani S.
        • et al.
        Life-threatening cardiac arrhythmia and sudden death during electronic gaming: An international case series and systematic review.
        Heart Rhythm. 2022; 19: 1826-1833

      Linked Article

      • E-Gaming Should Not Equal E-Fear
        Heart Rhythm
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          Lawley et al., 20221 reported on 22 adolescent patients who experienced ventricular arrhythmias during electronic gaming (e-gaming). While this information is novel, the conclusions appear to over-reach with, “electronic gaming can precipitate lethal cardiac arrhythmias in susceptible children.” This semi-causal inference based on this highly selected sample cannot be justified with the available data and magnifies fear for children and parents and for CIED patients. E-gaming should not equal E-Fear!
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