By Barbara J. Deal
Development reputation is a crucial studying software within the interpretation of ECGs. regrettably, until eventually confronted with a sufferer with an arrhythmia or structural middle sickness, pediatric practitioners in general obtain constrained publicity to ECGs. the power to obviously distinguish an irregular ECG trend from a typical version in an emergency state of affairs is an important ability, yet one who many pediatricians suppose ill-prepared to make use of optimistically. In Pediatric ECG Interpretation: An Illustrative Guide, Drs. Deal, Johnsrude and greenback objective to deal with this factor by means of illustrating the various ECG styles a pediatric practitioner is probably going to come across.
ECG illustrations with interpretations are offered in different different types: general young ones of every age, got abnormalities resembling hypertrophy or electrolyte issues, and customary congenital center disorder lesions. Later sections conceal bradycardia, supraventricular and ventricular arrhythmias, and a uncomplicated part on pacemaker ECGs. uncomplicated suggestions used to interpret mechanisms of arrhythmias are defined as a source for practitioners in cardiology, grownup electrophysiology, or pediatrics who won't have a effectively obtainable source for those ECG examples.
The accompanying CD has been ready with three reasons in mind:
1 as a self-evaluation instrument for interpretation of ECGs
2 as a instructing reference for Cardiology fellows, citizens, and residence staff
3 as a useful source for the Emergency Room health care professional or pediatrician who may well receive an ECG on a pediatric patientContent:
Chapter 1 creation (pages 7–15):
Chapter 2 common ECGs (pages 16–39):
Chapter three irregular ECGs (pages 40–59):
Chapter four bought middle sickness (pages 60–87):
Chapter five Congenital middle disorder (pages 88–121):
Chapter 6 Bradycardia and Conduction Defects (pages 122–153):
Chapter 7 Supraventricular Tachycardia (pages 154–201):
Chapter eight Ventricular Arrhythmias (pages 202–239):
Chapter nine Pacemakers (pages 240–256):
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Extra resources for Pediatric ECG Interpretation: An Illustrative Guide
Example text
38 Normal ECGs Movement artifact • Rhythmic rapid artifact, mimics atrial, or ventricular tachycardia. • Often present with hiccups, or “patting the baby” on the back Figure 12 • Sinus P waves are present, with giant “P waves” superimposed Normal ECGs 39 Figure 13 3-week-old infant with chronic lung disease. 40 Abnormal ECGs Pediatric ECG Interpretation: An Illustrative Guide Barbara J. Deal, Christopher L. Johnsrude, Scott H. 5 mm in any lead, best seen in leads II, III, aVF, V1, V2 • Normal newborns may have P wave amplitude up to 3 mm in first few days of life • Sinus tachycardia, 187 bpm • QRS axis +110° • Tall, peaked P waves in leads II, V1–V5 Reference Davignon A, et al.
Figure 9 Asymptomatic 14-year-old female. 45 sec) Normal ECGs 33 Figure 10 9-year-old male. 34 Normal ECGs Early repolarization • Elevated ST segment by 1–4 mm, especially seen in leads V2–V6 • ST segment shows upward concavity • ST segment elevation <25% of T wave height • Downstroke of R wave may show slur or notch • Large, symmetric T waves • Normal variant, common in adolescents Figure 10 • Sinus rhythm, 60 bpm • Tall T waves in left precordial leads • Mild ST segment elevation noted in leads I, II, and across precordium Normal ECGs 35 Figure 11 9-year-old boy referred for murmur evaluation.
Figure 9 Asymptomatic 14-year-old female. 45 sec) Normal ECGs 33 Figure 10 9-year-old male. 34 Normal ECGs Early repolarization • Elevated ST segment by 1–4 mm, especially seen in leads V2–V6 • ST segment shows upward concavity • ST segment elevation <25% of T wave height • Downstroke of R wave may show slur or notch • Large, symmetric T waves • Normal variant, common in adolescents Figure 10 • Sinus rhythm, 60 bpm • Tall T waves in left precordial leads • Mild ST segment elevation noted in leads I, II, and across precordium Normal ECGs 35 Figure 11 9-year-old boy referred for murmur evaluation.
