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Pediatric Arrhythmia

Welcome to Pediatric Arrhythmia, EKG teaching and EKG cases from pediatric patients.

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Newborn with sudden onset tachycardia

You're called to a newborn cared for at the surgical intensive care unit following abdominal surgery. The nurse reports sudden onset...

How we do it - QTc prolongation in neonates

This post is part of the "How we do it" section. Herein we report our approach to certain clinical scenarios in pediatric arrhythmias....

21 y/o male referred for tachycardia

A 21 years old male was referred for evaluation of tachycardia. He experienced episodes of palpitations and nausea over the past few...

Standard ECG assessment

The following ECG tracing was recorded in a 14 y/o male. Well do a step by step assessment. 1) Rhythm Upright P-waves in inferior leads...

16 y/o soccer player with palpitations

Referred by a colleague. This 16 y/o young man is a professional soccer player who experienced palpitations and dizziness during sports...

What this tracing tells you...

The ECG tracing shown below tells you three important things: 1) This patient has FBI tachycardia (Fast, Broad, Irregular). This means,...

What's that kind of arrhythmia...?

Reviewing yesterdays outpatient ECG tracings you find the following tracing: 25mm/s speed, 10mm/mV amplitude First thing that comes to...

Cold winter time

the ECG below was recorded on a on a freezing day in December: The patient was found unconscious outside and was hypothermic when brought...

Interpreting chaos

Following atrial septal defect closure and partial anomalous pulmonary venous return repair, the following tracing was recorded in a 12...

Tall P, tiny R

Here is a tracing of a 6 months old girl who was diagnosed as having a particular congenital heart disease. The ECG tracings shows some...

Second most common tachycardia in children

Below you find the Holter-ECG tracing of a 16 y/o female: 25mm/s As you can see in the top row, there is regular sinus rhythm of 75 bpm....

Most common tachycardia in children

When confronted with a tachycardia in a pediatric patient, one will most likely encounter supra ventricular tachycardia (SVT). There are...

Conduction system basics and sinus rhythm

To learn some basics on the conduction system it is necessary to know some basic anatomical structures of the heart. In the following...

The "sawtooth" arrhythmia

You are presented the following monitoring ECG in a 6 y/o boy who is in pediatric intensive care following heart surgery for atrial...

Don´t miss in Pediatric ECGs - Part 3

As mentioned in last weeks posts, my colleague Dr. Öffl and me have put together some of the most recognizable ECG patterns in pediatric...

Don't miss in Pediatric ECGs - Part 2

As mentioned in last weeks post, my colleague Dr. Öffl and me have put together some of the most recognizable ECG patterns in pediatric...

Don´t miss in Pediatric ECGs - Part 1

My dear colleague Dr. Öffl and me have put together some of the most recognizable ECG patterns in pediatric patients. Especially those...

At a glance - what's the diagnosis?

During nightshift you are presented the following ECG of a 12 years old boy. What diagnosis can you spot at a glance? Your report reads:...

Grab a shovel, let's hunt some artifacts!

Assessing a 24 hour ECG tracing of a 12-year old girl you find the following: The automatic interpretation algorithm reports this as a...

Lurking P waves - The Bix Rule

Whenever you are looking at ECG tracings of supraventricular tachycardia, in which visible P waves are situated midway between QRS...

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