Pediatric Arrhythmia

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

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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...

Interpretation of a pacemaker ECG

A 12-years old female patient is referred to pediatric cardiology due to dizziness. She wears a trans venous ventricular lead pacemaker...

CPR Tachy

During nightshift at the PICU you encounter the following ECG in a patient suffering from spinal muscle atrophy who was recently...

A postoperative Arrhythmia

Following heart surgery, a 13 yo male experienced a common form of tachycardia. Click on the link below to start the case presentation.

Sinus rhythm from "head to toe"

The sinoatrial node (SAN), the pacemaker of the heart, is positioned close to the insertion of the superior vena cava at the roof of the...

Catching a Wolff...

Routine ECG during sports evaluation in an 8-years old girl revealed the following: 25mm/sec strip On first sight this ECG seems to be...

Enough is enough, but what if it's not?

Performing a routine ECG on an adolescent patient at the pediatric ICU the girl suddenly faints. She is lying in bed and does not respond...

10 years old female with ongoing tachycardia

Click through this case of a tachycardia, which is common in pediatric patients. Enjoy

PVC - not vinyl, but a cause of palpitations

Palpitations, i.e. when the heart beat becomes noticable, are quite frequently encountered and often associated with tachycardia....

"You're such a QT"

Eight years old female presented to the pediatric cardiology ward due to palpitations. Paroxysmal palpitations, no syncope thus far....

A 6-step approach to ECG interpretation

When confronted with an ECG it is important to look at all the important information. In routine clinical practice time is often scarce,...

A 4-months old boy with a rather rare ECG

Below you find the ECG of a 4-months old boy who presented with congenital sinus node dysfunction with low heart rates. Aside from low...

Dancing into dizziness

A 15 years old female patient is referred to the pediatric emergency department for dizziness. She was out dancing with friends when she...

The patient I recently "saw"

A 17 yo male patient presents to the pediatric emergency department with chest pain. Pain is only mild to moderate. Dizziness is not...

A holiday for the heart

A 16 years old male presents to the pediatric emergency department for palpitations. Symptoms appeared suddenly 12 hours ago. No...

Adenosin in WPW-syndrome, preparation is key

A 8 years old female with a known history of Wolff-Parkinson-White Pattern in her ECG presented to the emergency department due to...

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Graz, Austria

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