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Pediatric Exercise Testing

All About Cardiovascular System and Disorders

Discussion on pediatric exercise testing. Pediatric exercise testing may be used for evaluation of various disorders of cardiac rhythm rather than for inducible ischemia as in adults. Tracing at peak exercise shows an atrial rate of 150/min and ventricular rate of 83/min.

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Ebstein’s Anomaly of Tricuspid Valve

All About Cardiovascular System and Disorders

This is one important cause of supraventricular tachycardia in Ebstein’s anomaly. Ebstein’s anomaly may present with a murmur for evaluation in the pediatric age group or in adults with arrhythmias or heart failure with cyanosis and exercise intolerance.

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Young Man with a Heart Rate of 257. What is it and how to manage?

Dr. Smith's ECG Blog

Here is his 12-lead: There is a wide complex tachycardia with a rate of 257, with RBBB and LPFB (right axis deviation) morphology. Read about Fascicular VT here: Idiopathic Ventricular Tachycardias for the EM Physician Case Continued He was completely stable, so adenosine was administered. See Learning point 1 below.

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Brugada Syndrome: Diagnosis and Risk Stratification

All About Cardiovascular System and Disorders

It is seldom done in pediatric age group. Other parameters which are thought to convey risk in Brugada syndrome are Tpeak-Tend >100 ms in chest leads, early repolarization pattern in inferior leads, post exercise ST segment elevation and diurnal burden of Type 1 ECG pattern on Holter monitoring [4]. mV or R/q ≥ 0.75.