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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 ... Interpretation #Pediatrics ... #peds #cardiology ... #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 ... #JTInterval #QTc ... #electrocardiogram ... pathophysiology #ekg ... #ecg #cardiology
QT / QTc Interval Measurement in Irregular Rhythms
2 Approaches:
 • Measure and calculate the QTc for
QT / QTc Interval ... #QTc #Interval ... Irregular #Rhythm #cardiology ... #diagnosis #ecg ... #ekg #electrocardiogram
Normal QT Interval Measurement
General rule: QT interval should be < 1/2 RR interval
   -
Normal QT Interval ... #QTc #Interval ... #Measurement #cardiology ... #diagnosis #ecg ... #ekg #electrocardiogram
QT / QTc Interval Measurement in Wide QRS Complex
 - A wide QRS complex will lead
QT / QTc Interval ... #QTc #Interval ... Measurement #WideQRS #cardiology ... #diagnosis #ecg ... #ekg #electrocardiogram
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Digoxin effect on Electrocardiogram ... waves - Short QT ... interval Dr. ... Digoxin #effect #Electrocardiogram ... #EKG #Cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
/QTC Interval: ... • QT interval is ... Interpretation #ECG ... #Electrocardiogram ... #cardiology #diagnosis
Electrocardiographic Features of Digoxin Toxicity
 • Virtually any arrhythmia is possible. None specific for digoxin toxicity
Shortening of QT ... interval • "Scooped ... digitalis #Toxicity #Electrocardiogram ... #ekg #ecg #toxicology ... #cardiology #diagnosis
QT / QTc Interval Measurement in Prominent U Wave
If the U wave is distinct from the
QT / QTc Interval ... #QTc #Interval ... Measurement #UWave #cardiology ... #diagnosis #ecg ... #ekg #electrocardiogram
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - ... Management Algorithm ... : HR > 180bpm ECG ... AP Stable? ... #peds #Pediatric