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Pediatric Arrhythmia

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

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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...

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...

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...

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