Medicina

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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