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...
Pediatric Arrhythmia
Welcome to Pediatric Arrhythmia, EKG teaching and EKG cases from pediatric patients.
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An uncommon wide complex rhythm - a pattern to remember
A 15 years old girl with a history of atrial tachycardia experienced a seizure at home. emergency services found her with a GCS of 12, BP...
Wolff-Parkinson-White Syndrome, preexcitation of the ventricles
A 15 years old male presents to the cardiology ward due to palpitations and tachycardia. Symptoms appear once or twice a month and are...
An uncommon bradycardia in a preterm infant
A preterm infant (GA 28+3, BW 1.020g) presented with hemodynamic instability following successful cardio version from VT within the first...
Challenging ST segments in an adolescent with chest pain
A 16 years old black male presents to the pediatric emergency department with chest pain. He frequently plays soccer and goes to the gym....
Diagnosing AVNRT from one short tracing
A 17 years old male presented with recurrent palpitations, vertigo and the feeling of pulsations in the neck over the past 6 months. On...
Incessant Narrow Complex Tachycardia
Incessant NCT in a 6-year old boy. ECG shows initiation of tachycardia after a few sinus beats: After the fourth beat of sinus rhythm a...
A perfect Storm
A 13-year old male presented to the clinic with dry cough, wheezing and mild fever. He had a history of asthma and was on propranolol for...
The ABC of AVB - Part 2
A 15 years old patient with a history of syncope receives 24h ECG monitoring. Scrolling through the tracing you encounter the following:...
When your patients gets in touch with the FBI
A 16 year old male presents to the ER with palpitations, dizziness and nausea. Symptoms are ongoing for 20 minutes. Such episodes have...
Low Weight, Low Rate
During shift you are contacted by the ward nurse because with regard to bradycardia of a 12 years old girl. She was admitted for anorexia...
4-months old male referred for sepsis
A 4-months old male toddler is referred to the pediatric emergency department for sepsis. The infant presents with tachypnea and...
The ABC of AVB - Part 1
A 24h ECG tracing of an 8-year old boy reveals the following sequence: Looks like sinus rhythm. However, it skips one beat. Since the P...
A neonatal ECG - What the ... ?
The neonatologist calls for assessment of an ECG he just took in an infant born 3 hours ago. The child is doing well, but the rhythm...
Even in pacemaker patients, look for P-waves
An 11-year old female patient was admitted to the pediatric ER for syncope. She had a VVI pacemaker due to sinus node disease. Syncope...
Referred for Tachycardia - treated for ...
A 17-year old female patient was referred to the hospital for sinustachycardia. Case turned out other than expected...
Negative P-waves, what´s the rhythm?
ECG tracing of a 12-year old girl, taken throughout cardiac evaluation for chest pain. No complaints of palpitations, vertigo, or...
QRS Axis - the imaginary straight line of conduction
The electrical axis of the heart, i.e. where the summative vector of electrical conduction points to, can be determined in many ways. Can...
Sinus or no Sinus, that is the question
12 years old girl. ECG taken throughout sports participation screening. Is it Sinusrhythm? The natural pacemaker of the heart is the...
It's all about the Pace - Heart Rate Determination
When assessing an ECG tracing, you want to quickly determine whether it's normal or if there might be something wrong. One of the first...
