Arrhythmias In Children: A Case-Based Approach 1St Edición

Arrhythmias In Children: A Case-Based Approach 1St Edición
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    1. Newborn/Infant


      1. Newborn nursery infant that has bradycardia



  • What am I thinking about?



        1. History and Physical



        1. Differential Diagnosis



          1. Fetus with premature beats



          1. Newborn with complete heart block



          1. Hypothyroidism



          1. Medication-induced



          1. Apnea



        1. Tests to Order



        1. Practical Plan of Action



      1. NICU infant noted to have extrasystoles on cardiac monitor



      1. Full-term infant noted to have persistent tachycardia




      1. 2-month-old presenting to the ER with tachycardia, fussy, unable to eat



      1. 4-month-old with extrasystoles on auscultation at pediatrician’s office



      1. 9-month-old with recurrent episodes of supraventricular tachycardia despite medical therapy



    1. Child



      1. 2-year-old presents to ER with an episode of "passing out" and "turning blue"



      1. 3-year-old is noted by pediatrician to have a low resting heart rate



      1. 4-year-old presents to ER with supraventricular tachycardia



      1. 7-year-old presents to ER with recurrent SVT



      1. 8-year-old presents with ADHD presents to cardiology office with ECG in hand for "cardiac clearance" to start stimulants



      1. 10-year-old presents to ER with dizziness and bradycardia with a pacemaker that does not appear to be functioning



      1. 11-year-old whose father recently died at the age of 45



      1. 5-year-old, asymptomatic, with ECG obtained for physical demonstrating WPW



    1. Pre-teen/Teenager



      1. 13-year-old with syncope while standing in line for lunch



      1. 15-year-old with intentional ingestion of grandparent’s calcium channel blockers



      1. 16-year-old with premature ventricular contractions noted during athletic participation physical.



      1. 14-year-old cross country runner presents with syncope during a race



      1. 15-year-old with syncope while playing soccer



      1. 17-year-old with palpitations and dizziness while playing football



      1. 14-year-old who had to be pulled from the pool during a swim meet



    1. Special Circumstances



      1. Maternal fetal evaluation reveals fetus with tachycardia



      1. Maternal fetal evaluation reveals fetus with premature beats



      1. A newborn infant with complete heart block noted immediately after birth



      1. A 3-month old child with complete heart block after surgery for AV canal defect



      1. A 4-month old post-operative ventricular septal defect with junctional ectopic tachycardia



      1. A 2-year old child who took an overdose of grandmother’s digoxin pills



      1. A 10-year old child with a "pacemaker" who is dizzy and had a syncope episode



      1. An 11-year old child resuscitated from sudden collapse, found to have a long QT on ECG



      1. A 12-year old with hypertrophic cardiomyopathy presents to the emergency room with syncope



      1. A 13-year old with repaired tetralogy of Fallot with frequent PVCs



      1. A 15-year old presents to ER after successful resuscitation with an AED for documented ventricular fibrillation



    1. A 16-year old teen with a defibrillator who received a shock
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