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Pediatric Arrhythmia

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

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Atriventricular Reentry Tachycardia (AVRT) - ORT vs ART

Orthodromic Reentry Tachycardia - conduction via AV node-His-Purkinje system to the ventricle, and retrograde conduction via accessory...

Lateral low voltage - what now?

You are handed the ECG of an 8-year-old boy for routine assessment. He is currently being treated with azithromycin for respiratory...

Preterm infants sometimes just pause

A former 29+3 weeks GA preterm shows the following ECG tracing during Holter recording on the 17th day of life: Lead 3 clearly shows...

Following Glenn anastomosis

On pediatric ICU you encounter the following tracing in a child that underwent Glenn anastomosis today: 25mm/sec The patient has a...

3rd most common SVT in children

In a 4 years old girl with hypo plastic left heart and Fontan surgery you encounter the following ECG tracing on the monitor: 25mm/sec...

A case of postoperative AV Block following CAVC repair

A term born infant diagnosed as having complete atria-ventricular canal (CAVC) and trisomy 21, underwent CAVC repair at the age of 5...

How we do it - Wolff-Parkinson-White syndrome

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

Overdrive pacing of ventricular Tachycardia

A 12 years old girl with a history of sinus nodal disease (SND), pacemaker implantation, atrial flutter ablation and a history of a...

How we do it - Premature Ventricular Contractions

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

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...

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