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ECG in Congenital Heart Disease: Difference between revisions
ECG in Congenital Heart Disease (view source)
Revision as of 13:41, 20 December 2010
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==AV canal defect== | ==AV canal defect== | ||
*[[Rhythm]]: | *[[Rhythm]]: normal sinus rhythm, PVCs 30% | ||
*[[Conduction|PR interval]]: 1° AVB >50% | *[[Conduction|PR interval]]: 1° AVB >50% | ||
*[[Heart axis|QRS axis]]: Moderate to extreme LAD; normal with atypical | *[[Heart axis|QRS axis]]: Moderate to extreme LAD; normal with atypical | ||
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==Patent ductus arteriosus== | ==Patent ductus arteriosus== | ||
*[[Rhythm]]: | *[[Rhythm]]: normal sinus rhythm, ↑ IART/AF with age | ||
*[[Conduction|PR interval]]: ↑ PR 10% to 20% | *[[Conduction|PR interval]]: ↑ PR 10% to 20% | ||
*[[Heart axis|QRS axis]]: Normal | *[[Heart axis|QRS axis]]: Normal | ||
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==Pulmonary stenosis== | ==Pulmonary stenosis== | ||
*[[Rhythm]]: | *[[Rhythm]]: normal sinus rhythm | ||
*[[Conduction|PR interval]]: Normal | *[[Conduction|PR interval]]: Normal | ||
*[[Heart axis|QRS axis]]: Normal if mild; RAD with moderate/severe | *[[Heart axis|QRS axis]]: Normal if mild; RAD with moderate/severe | ||
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==Aortic coarctation== | ==Aortic coarctation== | ||
*[[Rhythm]]: | *[[Rhythm]]: normal sinus rhythm | ||
*[[Conduction|PR interval]]: Normal | *[[Conduction|PR interval]]: Normal | ||
*[[Heart axis|QRS axis]]: Normal or LAD | *[[Heart axis|QRS axis]]: Normal or LAD | ||
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==Ebstein’s anomaly== | ==Ebstein’s anomaly== | ||
*[[Rhythm]]: | *[[Rhythm]]: normal sinus rhythm, possible EAR, SVT; AF/IART 40% | ||
*[[Conduction|PR interval]]: 1° AVB common; short if WPW | *[[Conduction|PR interval]]: 1° AVB common; short if WPW | ||
*[[Heart axis|QRS axis]]: Normal or LAD | *[[Heart axis|QRS axis]]: Normal or LAD | ||
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==Surgically repaired TOF== | ==Surgically repaired TOF== | ||
*[[Rhythm]]: | *[[Rhythm]]: normal sinus rhythm, PVCs; IART 10%; VT 12% | ||
*[[Conduction|PR interval]]: Normal or mild ↑ | *[[Conduction|PR interval]]: Normal or mild ↑ | ||
*[[Heart axis|QRS axis]]: Normal or RAD; LAD 5% to 10% | *[[Heart axis|QRS axis]]: Normal or RAD; LAD 5% to 10% | ||
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==Congenitally corrected TGA== | ==Congenitally corrected TGA== | ||
*[[Rhythm]]: | *[[Rhythm]]: normal sinus rhythm | ||
*[[Conduction|PR interval]]: 1° AVB >50%; AVB 2%/year | *[[Conduction|PR interval]]: 1° AVB >50%; AVB 2%/year | ||
*[[Heart axis|QRS axis]]: LAD | *[[Heart axis|QRS axis]]: LAD | ||
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==Dextrocardia== | ==Dextrocardia== | ||
*[[Rhythm]]: | *[[Rhythm]]: normal sinus rhythm, P-wave axis 105° to 165° with situs inversus | ||
*[[Conduction|PR interval]]: Normal | *[[Conduction|PR interval]]: Normal | ||
*[[Heart axis|QRS axis]]: RAD | *[[Heart axis|QRS axis]]: RAD | ||
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==ALCAPA== | ==ALCAPA== | ||
*[[Rhythm]]: | *[[Rhythm]]: normal sinus rhythm | ||
*[[Conduction|PR interval]]: Normal | *[[Conduction|PR interval]]: Normal | ||
*[[Heart axis|QRS axis]]: Possible LAD | *[[Heart axis|QRS axis]]: Possible LAD | ||