ECG Case 073
ECG of a 7 year old boy presenting with intermittent feeling of ‘butterflies fluttering’ in his chest.
Describe and interpret this ECG
ECG ANSWER and INTERPRETATION
- Normal sinus rhythm, rate 96 bpm
- Short PR interval ~100ms
- Slightly broad QRS
- Apparent delta waves, best visualised in inferior leads
CLINICAL PEARLS
Features suggestive of Wolff-Parkinson-White syndrome
Paediatric ECGs are challenging with normal intervals and morphology differing from both adult ECGs and by patient age. If in doubt as to the presence of pathology review of the ECG by a paediatric cardiologist is desirable
FURTHER READING
- Wiesbauer F, Kühn P. ECG Mastery: Yellow Belt online course. Understand ECG basics. Medmastery
- Wiesbauer F, Kühn P. ECG Mastery: Blue Belt online course: Become an ECG expert. Medmastery
- Kühn P, Houghton A. ECG Mastery: Black Belt Workshop. Advanced ECG interpretation. Medmastery
- Rawshani A. Clinical ECG Interpretation ECG Waves
- Smith SW. Dr Smith’s ECG blog.
- Wiesbauer F. Little Black Book of ECG Secrets. Medmastery PDF
TOP 100 ECG Series
Emergency Medicine Specialist MBChB FRCEM FACEM. Medical Education, Cardiology and Web Based Resources | @jjlarkin78 | LinkedIn |
2 Comments
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I wonder about Lown-Ganong-Levine in this case . As short pr interval without delta wave
but in this case, QRS is slightly broad so it might be WPW