Video Games Trigger Potentially Lethal Heart Rhythm Problems

 


A new study suggests that video games are not always a safe alternative to sports.


Elsevier's recent study, which was published in the official journal of the Heart Rhythm Society, the Cardiac Electrophysiology Society, and the Pediatric & Congenital Electrophysiology Society, found that children who are susceptible to cardiac arrhythmias—those whose predisposition may have gone unnoticed until recently—can experience them by playing video games. Children who lose consciousness while playing electronic (video) games showed a distinct but rare pattern, according to the researchers. 


Arrhythmic children may be particularly vulnerable to the dangers of video games. Lead investigator C L A I R E M. Law L E Y, MBBS, of The Heart Center for Children, Sydney Children's Hospitals Network, Sydney, Australia, stated, "They might be lethal in patients with predisposing but frequently previously unrecognized arrhythmic conditions". A heart specialist should evaluate children who suddenly lose consciousness while playing video games because this could be the first sign of a serious heart condition



To find examples of children who suddenly lost consciousness while playing video games, the researchers conducted a systematic literature review and launched a multi-site global outreach campaign. In the 22 cases they found, multiplayer war gaming was the leading cause. Heart failure claimed the lives of a few of the children. The subsequent diagnoses of various cardiac rhythm disorders keep the children at risk. (C P V T) and congenital long Q T syndrome (L Q T S) types 1 and 2 were the most common underlying causes. 


The patients had a high prevalence of potentially relevant genetic variations (63 percent), which has significant repercussions for the families of the patients. In some cases, the diagnosis of several family members with a serious familial heart rhythm problem was made after the investigation of a child who lost consciousness while playing video games


Australian researchers say that playing competitive video games can put children with heart conditions at risk. This phenomenon is rooted in the adrenaline stimulation brought on by the emotionally charged gaming environment


According to the study, although this phenomenon is not very common, it is becoming more common. As someone who has been caring for children with heart rhythm issues for more than 25 years, I was shocked to learn how common this new presentation is and that a number of children have died from it. J Skiver, MB, CHB, MD, a co-investigator from Sydney, stated, "All the collaborators are keen to publicize this phenomenon, so our colleagues across the globe can recognize it and protect these children and their families". According to the study, although this phenomenon is not very common, it is becoming more common. As someone who has been caring for children with heart rhythm issues for more than 25 years, I was shocked to learn how common this new presentation is and that a number of children have died from it. J Skiver, MB, CHB, MD, a co-investigator from Sydney, stated, "All the collaborators are keen to publicize this phenomenon, so our colleagues across the globe can recognize it and protect these children and their families". 


Exertion should be understood to encompass activities outside traditional competitive athletics, D A N I E L S O H I N K I, MD, Department of Cardiology, Augusta University, Augusta, GA, USA, and coauthors stated in an accompanying editorial. 


Children with a pro-arrhythmic cardiac diagnosis and any child who has a history of exertional syncope of unknown etiology should receive appropriate counselling regarding the risks of intense video gaming. Additionally, athletes considering eSports participation should be included in any future screening programs designed to identify athletes at risk for malignant arrhythmia

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