Arrhythmias in Children: A Case-Based Approach

✍ Scribed by Vincent C. Thomas, MD, MHA; Balaji Seshadri; Seshadri Balaji

• Publisher: Elsevier
• Year: 2021
• Tongue: English
• Leaves: 150
• Category: Library

✦ Synopsis

Pediatric arrhythmias present numerous challenges to pediatric cardiologists and other practitioners who see pediatric patients, including pediatricians, family physicians, emergency physicians, residents, fellows, and other clinicians. Arrhythmias in Children: A Case-Based Approach features practical methods for diagnosing and treating arrhythmias in these patients across all settings. Nearly three dozen real-world scenarios are presented, followed by a discussion of the diagnosis, clinical thinking process involved, treatment options, expected outcomes, and how to manage anticipated and unanticipated outcomes. These practical, realistic cases provide a unique and engaging way of approaching these challenging patient scenarios. Uses a case-based approach for a full spectrum of pediatric arrythmias in the newborn, child, pre-teen, and teenager. Presents history and physical, differential diagnoses, tests to order, and practical plans of action. Includes a section on arrythmias in special circumstances. Models clinical thinking skills for a wide number of real-world patient situations. Reviews pertinent clinical guidelines, treatment, and follow up.

✦ Table of Contents

Tittle
Preface
Acknowledgments
1. Newborn nursery infant that has bradycardia
Case
What am I thinking?
History and physical
Diagnostic testing
Action plan
2.NICU infant noted to have NICU infant noted to have extrasystoles on cardiacmonitor
3.Full-term infant noted to have persistenttachycardia
4.2-month-old presenting to the ER with tachycardia,fussy, unable to eat
5.4-month-old with extrasystoles onauscultation at pediatrician’s office
6.9-month-old with recurrent episodes of supraventricular tachycardia despite medical therapy
7.2-year-old presents to ER with an episode of “passing out” and “turning blue”
8.3-year-old is noted by pediatrician to have a low resting heart rate
9.7-year-old presents to ER with recurrent SVT
10.6-year-old presents with mildly elevated heart rate that is persistent
11.8-year-old presents with ADHD presents to cardiology office with ECG in hand for “cardiac clearance” to start stimulants
12.11-year-old whose father recently died at the age of 40
13.7-year-old, asymptomatic, with ECG obtained for physical demonstrating WPW
14.15-year-old with intentional ingestion of grandparent’s heart rhythm medication
15.16-Year-old with premature ventricular contractions noted during athletic participation physical
16.13-Year-old with syncope while standing in line for lunch
17.14-Year-old cross country runner presents with syncope during a race
18.16-year-old athlete who has syncope during athletic competition
19.17-year-old presents to emergency room with “irregularly irregular” rhythm
20.Maternal fetal evaluation reveals fetus with abnormal rhythm
21.A 3-month old child with complete heart block after surgery for AV canal defect
22.A 4-month-old postoperative ventricular septal defect with junctional ectopic tachycardia
23.A 10-year old child with a pacemaker who is dizzy and had a syncope episode
24.An 11-year-old child resuscitated from sudden collapse, found to have a long QT on ECG
25.A 12-year old with hypertrophic cardiomyopathy presents to the emergency room with syncope
26.A 13-year old with repaired tetralogy of Fallot with frequent PVCs
27.A 15-year old presents after successful resuscitation with an AED
28.A 16-year-old teen with a defibrillator who received a shock
29.A 22-year old with history of Fontan palliation presents with mildly elevated heart rate
Index