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- 84 bpm
- Sinus rhythm
- Right Axis Deviation
- PR - Normal (120ms)
- QRS - Normal (100ms)
- QT - 360ms
- Notching in the terminal portion of the T wave in leads V2&3 - not visible in other leads
- Prominent R waves in right precordial leads - V1-3
- Normal paediatric ECG
Variations in Paediatric ECG features
The paediatric ECG has a range of normal variants that are different from the adult ECG and are also dependent on the child's age.
For a great overview of paediatric ECG variants and normal ranges check out:
What's happening in leads V2 & 3 ?
There is clear notching within the T wave in these leads that looks unusual. This is something I've seen in quite a few paediatric ECG and finally find some information from Calabro et al in the Italian Journal of Paediatrics.
- Calabrò MP1, Barberi I, La Mazza A, Todaro MC, De Luca FL, Oreto L, Russo MS, Cerrito M, Bruno L, Oreto G. Bifid T waves in leads V2 and V3 in children: a normal variant. Ital J Pediatr. 2009 Jun 26;35(1):17.
In a group of 604 normal children bifid / notched T waves were seen in 18.3% of children, with a peak incidence in the 5yr old group with 53% exhibiting T wave changes in leads V2-3.
References / Further Reading
Life in the Fast Lane
- Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.