Pattern recognition is an important learning tool in the
interpretation of ECGs. Unfortunately, until faced with a patient
with an arrhythmia or structural heart disease, pediatric
practitioners generally receive limited exposure to ECGs. The
ability to clearly distinguish an abnormal ECG pattern from a
normal variant in an emergency situation is an essential skill, but
one that many pediatricians feel ill-prepared to utilize
confidently. In "Pediatric ECG Interpretation: An Illustrative
Guide," Drs. Deal, Johnsrude and Buck aim to address this issue by
illustrating many of the ECG patterns a pediatric practitioner is
likely to encounter.
ECG illustrations with interpretations are presented in several
categories: normal children of all ages, acquired abnormalities
such as hypertrophy or electrolyte disorders, and common congenital
heart disease lesions. Later sections cover bradycardia,
supraventricular and ventricular arrhythmias, and a basic section
on pacemaker ECGs. Simple techniques used to interpret mechanisms
of arrhythmias are described as a resource for practitioners in
cardiology, adult electrophysiology, or pediatrics who may not have
a readily accessible resource for these ECG examples.
The accompanying CD has been prepared with 3 purposes in
mind:
1 as a self-evaluation tool for interpretation of ECGs
2 as a teaching reference for Cardiology fellows, residents, and
house staff
3 as an invaluable resource for the Emergency Room physician or
pediatrician who might obtain an ECG on a pediatric patient
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