Pediatric ecg learning with quiz
- 1. DR KIRAN VS NARAYANA HRUDAYALAYA BANGALORE
- 3. Conduction system Leads and waves How to report? Why ECG alone is useless? How to diagnose with help of ECG? How to evaluate arrhythmias? Answer to win! Conclusion!!
- 12. Standardization: 10 mm high so that 10 mm = 1 mV. Paper speed is correct. Heart rate: 1500/SMALL squares Intervals: PR and QT intervals, width of the QRS complexes. QRS axis: L1 and aVF
- 13. P: there or not? Rate PP: Regular or not? PR: normal or short? QRS: Follows P? Rate QRS: narrow or wide? RR: Regular or not? ST: Normal or not? Normal Sinus Rhythm QT: Normal or long? Put them together
- 18. NEVER diagnose only on ECG! ECG Clinical data ECG Diagnosis Prize!!
- 20. 4-mo old boy Cyanotic, SO2 80% No spells ESM LUSB Your diagnosis:
- 24. 14-year old girl Asymptomatic now Intermittent palpitations, no syncope SO2: 94% Split S2, multiple heart sounds, no murmurs Diagnosis?
- 28. 6-year old boy Asymptomatic SO2: 98% RV apex No click S2 spilt not well appreciated ESM LUSB Your diagnosis in light of ECG?
- 32. 7-day old girl Tachypneoa with recessions SO2 88% Split S2 ESM LUSB Your diagnosis
- 36. 1-year old Cyanotic SO2: 78% Clubbing S2 single ESM LUSB Your diagnosis
- 40. 3-month old Severe LV dysfunction Pulmonary venous congestion CTR 70% LV EF 15% Your diagnosis?
- 44. 3-year old boy Failure to thrive DOE S2 split PSM at apex ESM LUSB Your diagnosis?
- 48. Newborn Severe cyanosis LV apex S2 single No precordial murmur Continuous murmur at LUSB Your diagnosis
- 52. 1-day old boy Tachypneoa Feeble pulses No R-F delay Features of shock RV apex Your diagnosis
- 56. 18-year old boy Exertional breathlessness Baseline SO2: 88%, drops to 80% with minimal effort RV apex Loud S2 Your diagnosis
- 60. 8-year old girl Had cardiac surgery Additional procedure after 3 weeks Asymptomatic now Your diagnosis?
- 65. Are there normal P waves present? Are the QRS complexes wide or narrow? What is the relationship between the P waves and QRS complexes? Is the rhythm regular or irregular?
- 66. ECG per-se is useless Always with clinical scenario “Treat the pt; not the ECG” is cliché Treat pt till ECG is OK! Get a good 12-lead ECG with Rhythm strip for atleast 15 seconds Good luck with ECGs
- 67. Arrhythmia ECGs need analysis “It looks like....?!” : rarely correct More it looks normal, more it is likely to be normal! Analysis of arrhythmia is more important than giving it a named diagnosis Normal ECG is the most important one to learn TRY, PRACTICE, FAIL, RELEARN – ITS GOOD!!
- 68. Hell is empty and all the devils are here. -- Wm. Shakespeare, "The Tempest"