SYSTEMATIC APPROACH

INTERPRETATION OF ECG
IN INFANT & CHILDREN

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 SUCCESSIVE APPROXIMATION METHOD

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 SUCCESSIVE APPROXIMATION METHOD

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 INTERVALS

• PR interval
• QRS interval
• QT interval

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 NORMAL VALUES FOR ECG PARAMETERS BY AGE

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 PR INTERVAL
• PR interval is the time required for atrial depolarization and
the physiologic delay of the impulse in the AV node
• Varies with HR

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 QRS INTERVAL
• QRS interval / duration represents the time required
for ventricular depolarization
• It is short in the young infant and increases with age

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 QT INTERVAL
• The time required for both ventricular
depolarization and ventricular repolarization
• Varies with heart rate
• Normal QTc interval : 0.40 sec
• Bazzett formula :
Qtc= Qt measured
RR interval

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 QT INTERVAL

The QT interval decreases in striking accordance with the increasing heart rate

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 MORPHOLOGY
The appearance of the P wave, QRS complex, Q
wave, ST segment and T waves is analyzed

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 QRS AMPLITUDE
• Low voltage :
the limb lead
deflections
< 5 mm

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 R/S RATIO
• In RPLs ●In LPLs
> ULN suggests RVH > ULN suggests LVH
< LLN suggests LVH < LLN suggests RVH

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 Q WAVE

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 T WAVE

• T wave represents the ventricular repolarization

process
• The amplitude best measured in the LPLs
• N less than:
– V6
• <1 yr : 5 mm
• > 1yr : 7 mm

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 Daeng & Dara
Jantung

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