Arrhythmias in Children: A Case-Based Approach

ISBN-13: 9780323779074 / Angielski / Miękka / 2021

Department of Pediatrics
Division of Seshadri (Professor

Spis treści

1. Newborn/Infant

1. Newborn nursery infant that has bradycardia

1. What am I thinking about?
2. History and Physical
3. Differential Diagnosis

1. Fetus with premature beats
2. Newborn with complete heart block
3. Hypothyroidism
4. Medication-induced
5. Apnea
4. Tests to Order
5. Practical Plan of Action
2. NICU infant noted to have extrasystoles on cardiac monitor
3. Full-term infant noted to have persistent tachycardia
4. 2-month-old presenting to the ER with tachycardia, fussy, unable to eat
5. 4-month-old with extrasystoles on auscultation at pediatrician's office
6. 9-month-old with recurrent episodes of supraventricular tachycardia despite medical therapy
2. Child

1. 2-year-old presents to ER with an episode of "passing out" and "turning blue"
2. 3-year-old is noted by pediatrician to have a low resting heart rate
3. 4-year-old presents to ER with supraventricular tachycardia
4. 7-year-old presents to ER with recurrent SVT
5. 8-year-old presents with ADHD presents to cardiology office with ECG in hand for "cardiac clearance" to start stimulants
6. 10-year-old presents to ER with dizziness and bradycardia with a pacemaker that does not appear to be functioning
7. 11-year-old whose father recently died at the age of 45
8. 5-year-old, asymptomatic, with ECG obtained for physical demonstrating WPW
3. Pre-teen/Teenager

1. 13-year-old with syncope while standing in line for lunch
2. 15-year-old with intentional ingestion of grandparent's calcium channel blockers
3. 16-year-old with premature ventricular contractions noted during athletic participation physical.
4. 14-year-old cross country runner presents with syncope during a race
5. 15-year-old with syncope while playing soccer
6. 17-year-old with palpitations and dizziness while playing football
7. 14-year-old who had to be pulled from the pool during a swim meet
4. Special Circumstances

1. Maternal fetal evaluation reveals fetus with tachycardia
2. Maternal fetal evaluation reveals fetus with premature beats
3. A newborn infant with complete heart block noted immediately after birth
4. A 3-month old child with complete heart block after surgery for AV canal defect
5. A 4-month old post-operative ventricular septal defect with junctional ectopic tachycardia
6. A 2-year old child who took an overdose of grandmother's digoxin pills
7. A 10-year old child with a "pacemaker" who is dizzy and had a syncope episode
8. An 11-year old child resuscitated from sudden collapse, found to have a long QT on ECG
9. A 12-year old with hypertrophic cardiomyopathy presents to the emergency room with syncope
10. A 13-year old with repaired tetralogy of Fallot with frequent PVCs
11. A 15-year old presents to ER after successful resuscitation with an AED for documented ventricular fibrillation
12. A 16-year old teen with a defibrillator who received a shock