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Pediatric ECGs - Dr. Bryant

4/21/2016

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Picture

  • Normal Peds EKG Variations
    • Right heart dominance 
      • From infancy to adulthood ventricular dominance transitions from a relatively thicker RV in utero/infancy to thicker LV as adults
      • Right axis deviation 
      • Tall R waves in V1-V3
      • RSR' in V1
      • Deep S waves and Q waves in lateral leads
      • Juvenile T wave pattern in V1-V3
    • Small cardiac size = shorter intervals, faster rate
    • J-point depression
    • Early repolarization
    • Sinus arrhythmia
​
  • NOT Normal Peds EKG Variations
    • Brugada Syndrome
      • EKG: Leads V1-V3
        • RSR’ with ST elevation
      • 3 Types
        • Type 1 – coved
          • Diagnostic
        • Type 2/3 – saddle-back
    • Arrhythmogenic Right Ventricular Dysplasia (ARVD)
      • EKG: Leads V1-V3
        • Epsilon waves
        • Inverted T waves
    • Catecholaminergic Paroxysmal Ventricular Tachycardia (CPVT)
      • EKG:
        • Normal baseline, bidirectional QRS polymorphic Vtach with exertion/excitement
    • Hypertrophic Obstructive Cardiomyopathy (HOCM)
      • EKG: Lateral leads
        • Dagger-like deep narrow Q waves
        • Deep narrow T wave inversions
        • +/- LVH, left axis deviation
    • Wolff-Parkinson-White (WPW)
      • EKG:
        • Delta waves
        • Wide QRS
        • Short PQ segment
    • Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA)
      • EKG:
        • Anterolateral ischemic changes
        • Lateral leads
          • Deep wide Q waves
          • T wave inversions
    • Long QT Syndrome
      • EKG:
        • QTc > 450ms
        • At risk for Torsade de Pointes/Vtach

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​
  • Prospective Applicants
    • 2020 MATCH
    • About CMC
    • Our Curriculum
    • Our Residents
    • Our Fellowships
    • Program Leadership
    • Explore Charlotte
    • Official Site
  • ROTATING STUDENTS
    • Prospective Visiting Students
    • UNC Students
    • Healthcare Disparities Externship
    • Current Students
  • Current Residents
    • Airway Lecture!
    • PGY - 1
    • PGY - 2
    • PGY - 3
    • Simulation Reading
    • Blogs >
      • EM GuideWire
      • CMC ECG Masters
      • Core Concepts
      • #FOAMed
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
    • Board Review
    • Journal Club
    • Resident Wellness
    • Resident Research
  • Top 20
  • Chiefs Corner
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Individualized Interactive Instruction
    • Evaluations/Interview Season
    • Contact Info
    • Resume Builder