ECG of the Week - 16th May 2016 - Interpretation

This ECG is from a 3yr old male who presented with increasing shortness of breath.

Click to enlarge

Rate:

• ~126 bpm

Rhythm:

• Sinus rhythm
• Subtle sinus arrhythmia

Axis:

• Normal (~85 deg)

Intervals:

• PR - Normal for age (100ms)
• QRS - Normal (80ms)
• QT - 280ms (QTc Bazette 420 ms)

Additional:

• rSr' pattern V1
• Baseline artefact
• P wave in II notched but normal height (<3mm) and duration (<90ms)
• U wave in lead V3
• Apparent high voltageds in precordial leads
• Leads II.III,V1,V5,V6 within normal limits for age adjustment

Interpretation:

• Normal age adjusted ECG
• Read more about the ECG changes associated with paediatric ECG's at the Life in the Fast Lane ECG library link below.

What happened ?

The patient has a viral induced wheexe and required admission for ongoing bronchodilator therapy and supplemental oxygen. References / Further Reading

Life in the Fast Lane

• Paediatric ECG Interpretation

Textbook

• Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.