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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 ... 7) QRS Complex ... #Pediatrics #peds ... #cardiology #Electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... QT via long ST ... QT, assoc withlK ... QT (>480-500ms) ... #diagnosis #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
ICD/pacer - QTc ... DANGER - Short QT ... 360 ms: ↑ca - Long ... QT: "antis and ... #interpretation
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
QT Syndrome: Illness ... **Get baseline EKG ... in new syncope/ ... - QT prolonging ... Syndrome #Diagnosis #Cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... Flattened T waves QT ... • QT interval is ... = QT / √ RR - ... thumb: a normal QT
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... Repolarisation as found in long ... QT syndrome but ... is also a short QT ... #Cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
Section: QT interval ... This includes long ... QT syndrome or ... short QT syndrome ... interpretation.
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
., long QT syndrome ... 300 = NSVT EKG ... Findings: • Broad QRS ... direction from the QRS ... #differential #cardiology