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Pediatric Arrhythmia

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

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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...

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....

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