ECG of the Week – 9th April 2018 – Interpretation

By | 11 april 2018

The following ECG is from an 18 month old female following a potential accidental medication ingestion.



Click to enlarge


Rate:

  • 108 bpm

Rhythm:

  • Regular
  • Sinus rhythm 

Axis:

  • Inferior (+90 deg)

Intervals:

  • PR – Normal (~130ms)
  • QRS – Normal (100ms)
  • QT – 320 ms

Additional:

  • Dominant R wave V1-3
  • T wave inversion leads V1-4
  • Inferior Q wave – maximal in lead III
Interpretation:
  • Age appropriate ECG 
  • No concerning toxicological features
  • Normal paediatric features including:
    • Heart Rate
    • T-wave changes
    • Right precordial QRS voltages & T wave changes


Variations in Paediatric ECG features

The paediatric ECG has a range of normal variants that are different from the adult ECG and are also dependent on the child’s age.
For a great overview of paediatric ECG variants and normal ranges check out:


References / Further Reading

 
Life in the Fast Lane
 

Textbook

 

  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005

Geef een reactie

Deze website gebruikt Akismet om spam te verminderen. Bekijk hoe jouw reactie gegevens worden verwerkt.

ECG of the Week – 9th April 2018 – Interpretation

By | 11 april 2018

The following ECG is from an 18 month old female following a potential accidental medication ingestion.



Click to enlarge


Rate:

  • 108 bpm

Rhythm:

  • Regular
  • Sinus rhythm 

Axis:

  • Inferior (+90 deg)

Intervals:

  • PR – Normal (~130ms)
  • QRS – Normal (100ms)
  • QT – 320 ms

Additional:

  • Dominant R wave V1-3
  • T wave inversion leads V1-4
  • Inferior Q wave – maximal in lead III
Interpretation:
  • Age appropriate ECG 
  • No concerning toxicological features
  • Normal paediatric features including:
    • Heart Rate
    • T-wave changes
    • Right precordial QRS voltages & T wave changes


Variations in Paediatric ECG features

The paediatric ECG has a range of normal variants that are different from the adult ECG and are also dependent on the child’s age.
For a great overview of paediatric ECG variants and normal ranges check out:


References / Further Reading

 
Life in the Fast Lane
 

Textbook

 

  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005

Geef een reactie

Deze website gebruikt Akismet om spam te verminderen. Bekijk hoe jouw reactie gegevens worden verwerkt.