Your SlideShare is downloading. ×
ABC of Pediatric ECG's
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Saving this for later?

Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime - even offline.

Text the download link to your phone

Standard text messaging rates apply

ABC of Pediatric ECG's

16,275
views

Published on

Pediatric ECGs are more challenging to read as copmpared to adult ECGs. Here is basic to details of Pediatric ECG's.

Pediatric ECGs are more challenging to read as copmpared to adult ECGs. Here is basic to details of Pediatric ECG's.

Published in: Health & Medicine, Technology

3 Comments
52 Likes
Statistics
Notes
No Downloads
Views
Total Views
16,275
On Slideshare
0
From Embeds
0
Number of Embeds
6
Actions
Shares
0
Downloads
0
Comments
3
Likes
52
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. ABC’s of ECGVIKAS KOHLI MD (Pediatrics) FAAP FACC Senior Consultant Pediatric Cardiology Indraprastha Apollo Hospital
  • 2. DETERMINATION OF RATE 100 300 150 75
  • 3. AVF
  • 4. 2 YR OLD CHILD
  • 5. 1 MO OLD CHILD
  • 6. P WAVE
  • 7. P WAVE
  • 8. LEFT ATRIALENLARGEMENT
  • 9. RIGHT ATRIAL ENLGMNT
  • 10. LOOK AT THE PR INTVERAL FIRST DEGREE HEART BLOCK
  • 11. QRS COMPLEX
  • 12. rSR’
  • 13. RBBB
  • 14. RBBB
  • 15. RBBB
  • 16. LBBB
  • 17. QT INTERVAL
  • 18. RRQTc = QT/√RR QT
  • 19. LONG QT SYNDR
  • 20. TYPES OF LONG QT
  • 21. ROMANO WARD SYNDROME ChromosLQTS Mutated omal Ion Current AffectedType Gene LocusLQT1 11p15.5 KVLQT1) Potassium current (IKs)LQT2 7q35-36 HERG Potassium current (IKr)LQT3 3p21-24 SCN5A Sodium current (INa)LQT4 4q25-27 ? ? KCNE1 21q22.1-LQT5 (heterozy Potassium current (IKs) 22.2 gotes) 21q22.1-LQT6 MiRP1 Potassium current (IKr) 22.2
  • 22. Jarvell & Lang Nielsen LQTS Chromosomal Ion Current Mutated Gene Type Locus Affected KVLQT1 (KCNQ1) Potassium current JLN1 11p15.5 (homozygot (IKs) es) KCNE1 Potassium current JLN2 21q22.1-22.2 (homozygot (IKs) es)
  • 23. Long QT Syndrome• 1 in 3000 incidence in population• Females > Males; Postpartum; Menses• Syncope• Arrhythmia induced by Sound, Cold water, exercise, emotion• Sodium channel blockers in LQT3, potassium supplementation with spironolactones in LQT2: Clinical trials
  • 24. ST SEGMENT
  • 25. ST SEGMENT DEPRESSION V3-V5
  • 26. T INVERSION V5-V6
  • 27. ST T ABNORMALITIES
  • 28. ST T INVERSION V3-V6
  • 29. VENTRICULARHYPERTROPHY
  • 30. NOMOGRAMS
  • 31. 5 Y OLD CHILD R=18 IN V1; ULN=14:RVH T IS UPRIGHT IN V1
  • 32. 8 YR MALE R=14;ULN=12 T IS INVERTED IN V1
  • 33. 1 WEEK OLD: T WAVE FLAT RVH (T WAVE CRITERIA): TGA
  • 34. RVH IN NEWBORN• T UPRIGHT (+) IN V1 TILL DAY #5• BY DAY #5 T SHOULD INVERT/BE FLAT• IF T STILL POSITIVE IN V1 BY DOL#5 THEN RVH
  • 35. LVH
  • 36. LVH
  • 37. 2 DAY OLD BABY WMURMUR LVH; LAD: COMPLEX CONG HEART DSS
  • 38. THUMB RULES FOR RVH/LVH• RVH IN NEWBORNS – R in V1> 25 mm• RVH IN 1ST YR – R in V1> 20 mm• LVH IN NEWBORNS – R in V6> 12 mm• LVH ANY OTHER TIME – R in V6> 25 mm
  • 39. RHYTHM PROBLEMSBRADYCARDIAS
  • 40. SINUS BRADYCARDIA
  • 41. FIRST DEGREE HEART BLOCK
  • 42. COMPLETE AV DISSOCIATION
  • 43. COMPLETE HEART BLOCK
  • 44. HYPO K: BRADY W ST-T
  • 45. 2:1
  • 46. RHYTHM PROBLEMS TACHYCARDIA:NARROW COMPLEX
  • 47. NARROW COMPLEX
  • 48. AVNRT NOW SINUS
  • 49. WPW
  • 50. WPW
  • 51. AF
  • 52. AF W 2:1
  • 53. VT
  • 54. VT ? AF W ACCESORY PATHWAY
  • 55. VT Vs SVT
  • 56. BIGEMINY
  • 57. COUPLETS
  • 58. SALVOS
  • 59. TdP; DC SHOCK; SINUS
  • 60. TdP PVC
  • 61. VT; VFIB
  • 62. Torsade de Pointes (TdP)
  • 63. VT Vs SVT
  • 64. WIDE COMPLEX TACHY
  • 65. WIDE COMPLEX VT
  • 66. PACEMAKER
  • 67. Hi K
  • 68. ELECTRICAL ALTERNANS
  • 69. Q IN AVL: ALCAPA
  • 70. YOUR OPINION
  • 71. AVNRT Vs JUNCTIONAL
  • 72. PT WITH CARDIAC ARREST &VFIB: RECOVERED BRUGADA SYNDR
  • 73. 12 yr old boy Hx palpitation
  • 74. Searching for p waves gives theanswer
  • 75. PEDS CARDIO TRAININGMODULE• 4 HOUR SESSION TO RE-TRAIN PEDS PRACTITIONERS IN:• AUSCULTATION• READING ECG• CARDIAC XRAYS• UNDERSTANDING ECHO REPORT• WHEN TO OPERATE• NEONATAL CARDIO• CONTACT 989136223
  • 76. AF W COMPL H BLOCK
  • 77. AF W BLOCK