ECG INTERPRETATION in CHILDREN

By
Dr. Muhammad Shahid
Professor of Pediatrics
LGH/PGMI/AMC
HYPER AND HYPO
KALEMIA

LONG QT Syndrome
CARDIAC IMPULSE
 HOW TO READ ECG

• WAVES
• QRS COMPLEX
• INTERVALS
• SEGMENTS
LEAD II
AXIS
 At Birth Mitral Regurgitation
TOF Aortic Regurgitation
Hypo plastic left heart VSD
RVOT obstruction Long standing Hypertension
Pulmonary stenosis Cardiomyopathy
Tricuspid regurgitation Epstein Anomaly
Corpulmonale
 NORMAL RHYTHM

• Every P-wave is followed by QRS

complex
• P-P and R-R intervals are fixed
HR < 90 in neonates
HR > 60 in older children
0.1 MG/KG MAX
DOSE 6 MG
2.5-5 MG/KG/DOSE IN 30-60 MINS
MAY REPEAT 3 TIMES
CONTINOUS INFUSION CAN BE
GIVEN
different
??????????????????
Post surgical
electrolyte Imbalance Post surgical

Marenal SLE
Upright T – wave in
V1-V3 up to 6 years
RSR pattern in V1
1
2 10
Case no 3: 16 months old infant has come to you with
central cyanosis and clubbing. On examination he is having an
ejection systolic murmur at LUSB
TOF
 CASE # 4 A 9 years old boy has come to us with complaints of
chest pain and palpitations. He also has history of frequent syncopal
attacks. His grandfather also had similar illness and he died at an
early age
The Answer is Long QT syndrome
QT > 0.44 sec
cQT > 0.47 sec
 MANAGEMENT
INVESTIGATIONS :

ECG, HOLTER monitoring

Echocardiography
Electrophysiological studies

TREATMENT:
ABC
Drugs (Beta Blockers)
Pacemaker
Dc Cardioversion
Catheter Ablation (Atrial arrhythmias,
SVT, VT)
ICD (Implantable Cardiac Defibrillator)
THANK YOU