Pediatric ECGs: Difference between revisions

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A excellent description of the neonatal electrocardiogram has been made by Schwarz et al.<cite>schwarz1</cite><cite>schwarz2</cite>
==Heart Axis==
==Heart Axis==
{| class="wikitable" font-size="80%" width="100%" style="border:1px solid #E2ACB1;border-spacing:8px;" border="1"
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<biblio>
<biblio>
#aha pmid=19228822
#aha pmid=19228822
#schwarz1 pmid=12269267
#schwarz2 pmid=12739597
</biblio>
</biblio>

Revision as of 08:59, 8 October 2009

A excellent description of the neonatal electrocardiogram has been made by Schwarz et al.schwarz1schwarz2

Heart Axis

Normal heart axis valuesaha
Age QRS Axis Normal Values Abnormal Values Description
Adult -30° to 90°
<-30°
-30° to -45°
-45° to -90°
90° to 120°
90° to 180°
Left-axis deviation
Moderate left-axis deviation
Marked left-axis deviation
Moderate right-axis deviation
Marked right-axis deviation
8 to 16 years 0° to 120° >120° Right-axis deviation
5 to 8 years 0° to 140° >140°

<0°

Right-axis deviation

Left-axis deviation

1 year to 5 years 5° to 100° >100° Right-axis deviation
1 mo to 1 y 10° to 120° >120°

<10° to -90°

Right-axis deviation

Left-axis deviation

Neonate 30° to 90° >190° to -90°

<30° to <-90°

Extreme right axis deviation

Left axis deviation

Conduction

RBBB: if consistent morphology and if QRS width >90ms in children < 4 years and >100ms in children 4-16 yearsaha LBBB: if consistent morphology and QRS width >90ms in children < 4 years and >100ms in children 4-16 yearsaha

References

<biblio>

  1. aha pmid=19228822
  2. schwarz1 pmid=12269267
  3. schwarz2 pmid=12739597

</biblio>