ECG in Congenital Heart Disease: Difference between revisions
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==Dextrocardia== | ==Dextrocardia== | ||
*[[Rhythm]]: | *[[Rhythm]]: NSR; P-wave axis 105° to 165° with situs inversus | ||
*[[Conduction|PR interval]]: | *[[Conduction|PR interval]]: Normal | ||
*[[Heart axis|QRS axis]]: | *[[Heart axis|QRS axis]]: RAD | ||
* QRS Configuration: | * QRS Configuration: Inverse depolarization and repolarization | ||
* Atrial Enlargement: | * Atrial Enlargement: Not with situs inversus | ||
*[[Chamber_Hypertrophy_and_Enlargment|Ventricular hypertrophy]]: | *[[Chamber_Hypertrophy_and_Enlargment|Ventricular hypertrophy]]: LVH: tall R V<sub>1</sub>–V<sub>2</sub>; RVH: deep Q, small R V<sub>1</sub> and tall R right lateral | ||
*Particularities: | *Particularities: Situs solitus: normal P-wave axis and severe CHD | ||
==ALCAPA== | ==ALCAPA== | ||
Revision as of 02:32, 20 December 2010
Secundum atrial septal defect
- Rhythm: normal sinus rhythm, increased risk of AF with age
- PR interval: first degree AV block in 6-19%
- QRS axis: 0° to 180°; RAD; LAD in Holt-Oram or LAHB
- QRS Configuration: rSr´ or rsR´ with RBBBi>RBBBc
- Atrial Enlargement: RAE 35%
- Ventricular hypertrophy: Uncommon
- Particularities: "Crochetage" pattern
Ventricular Septal Defect
- Rhythm: normal sinus rhythm, PVCs
- PR interval:
- QRS axis:
- QRS Configuration:
- Atrial Enlargement:
- Ventricular hypertrophy:
- Particularities:
AV canal defect
- Rhythm:
- PR interval:
- QRS axis:
- QRS Configuration:
- Atrial Enlargement:
- Ventricular hypertrophy:
- Particularities:
Patent ductus arteriosus
- Rhythm:
- PR interval:
- QRS axis:
- QRS Configuration:
- Atrial Enlargement:
- Ventricular hypertrophy:
- Particularities:
Pulmonary stenosis
- Rhythm:
- PR interval:
- QRS axis:
- QRS Configuration:
- Atrial Enlargement:
- Ventricular hypertrophy:
- Particularities:
Aortic coarctation
- Rhythm:
- PR interval:
- QRS axis:
- QRS Configuration:
- Atrial Enlargement:
- Ventricular hypertrophy:
- Particularities:
Ebstein’s anomaly
- Rhythm:
- PR interval:
- QRS axis:
- QRS Configuration:
- Atrial Enlargement:
- Ventricular hypertrophy:
- Particularities:
Surgically repaired TOF
- Rhythm:
- PR interval:
- QRS axis:
- QRS Configuration:
- Atrial Enlargement:
- Ventricular hypertrophy:
- Particularities:
Congenitally corrected TGA
- Rhythm:
- PR interval:
- QRS axis:
- QRS Configuration:
- Atrial Enlargement:
- Ventricular hypertrophy:
- Particularities:
Complete TGA/intra-atrial baffle
- Rhythm:
- PR interval:
- QRS axis:
- QRS Configuration:
- Atrial Enlargement:
- Ventricular hypertrophy:
- Particularities:
UVH with Fontan
- Rhythm:
- PR interval:
- QRS axis:
- QRS Configuration:
- Atrial Enlargement:
- Ventricular hypertrophy:
- Particularities:
Dextrocardia
- Rhythm: NSR; P-wave axis 105° to 165° with situs inversus
- PR interval: Normal
- QRS axis: RAD
- QRS Configuration: Inverse depolarization and repolarization
- Atrial Enlargement: Not with situs inversus
- Ventricular hypertrophy: LVH: tall R V1–V2; RVH: deep Q, small R V1 and tall R right lateral
- Particularities: Situs solitus: normal P-wave axis and severe CHD
ALCAPA
- Rhythm: NSR
- PR interval: Normal
- QRS axis: Possible LAD
- QRS Configuration: Ant-lat Q waves; possible ant-sept Q waves
- Atrial Enlargement: Possible LAE
- Ventricular hypertrophy: Selective hypertrophy of posterobasal LV
- Particularities: Possible ischemia