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Pediatric ECG Interpretation Guide

1) Rate Calculation
2) Rhythm
3) QRS Axis
4) P Wave
5) ST Segment
6) QTc
7) QRS Complex
8)
Pediatric ECG Interpretation ... ST Segment 6) QTc ... gracie_leo #ECG ... #peds #cardiology ... #EKG
Hypothermia on EKG
 • J (Osborn) waves
 • PR, QRS, and QT prolongation
 • Various bradyarrythmias
Hypothermia on EKG ... • PR, QRS, and QT ... osborn #waves #EKG ... #ECG #electrocardiogram ... #clinical
Brugada syndrome with non-sustained VT; sodium channel blocking drugs (e.g. amio, procainamide) can be dangerous here!

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Brugada syndrome ... blocking drugs (e.g ... #Electrocardiogram ... #ECG #EKG #Clinical ... #Cardiology #NSVT
TCA Overdose on EKG
 • Sinus tachycardia
 • QRS prolongation
 • QT prolongation
 • Rightward deviation
TCA Overdose on EKG ... prolongation • QT ... antidepressants #EKG ... #ECG #electrocardiogram ... #clinical #criteria
Normal QT Interval Measurement
General rule: QT interval should be < 1/2 RR interval
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Normal QT Interval ... General rule: QT ... = QT / Sqrt(RR) ... #diagnosis #ecg ... #ekg #electrocardiogram
QT / QTc Interval Measurement in Wide QRS Complex
 - A wide QRS complex will lead
QT / QTc Interval ... increase in the QT ... interval that is not clinically ... #diagnosis #ecg ... #ekg #electrocardiogram
QT / QTc Interval Measurement in Irregular Rhythms
2 Approaches:
 • Measure and calculate the QTc for
QT / QTc Interval ... the associated QT ... intervals on the EKG ... #diagnosis #ecg ... #ekg #electrocardiogram
The JT Interval and Pro-Arrhythmic Risk
Measured from the J-point to the end of the T-wave, the
JTc=QTc-QRS When ... than prolonged QT ... #electrocardiogram ... pathophysiology #ekg ... #ecg #cardiology
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
(EKG) Digoxin ... Digoxin effect on ECG ... waves - Short QT ... #EKG #Cardiology ... #Digitalis #ECG
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... • ↓ Mg - long QT ... #ECG #EKG #Checklist ... #electrocardiogram