Morning Report

EKGs

EKG Case #1
16 y/o M athlete arrives for a sports physical. He has had palpitations and an episode of near-syncope, which he thought was due to overexerting himself. No previous workup as a result. What is the interpretation of his EKG?

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EKG Case #1
In the event of acute SVT, all of the following medications should be avoided except:

A. B. C. D. E.

Digoxin Procainamide wide-complex Adenosine Metoprolol Verapamil

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EKG WPW

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Wolff-Parkinson-White Syndrome

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WPW Pathyophysiology

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WPW Reentrant tachycardias

WPW Treatment

WPW Treatment

EKG Case #2
16 y/o M athlete presents to you in clinic with syncope while standing at home. Has not been feeling well fever, headache, myalgias, arthralgias, chest pain. What is the interpretation of this EKG?

EKG Case #2
Interpret this EKG.

http://reference.medscape.com

A. B. C. D. E.

Sinus tachycardia Pericarditis Normal variant pediatric EKG Sinus rhythm with left ventricular hypertrophy Acute ST-segment elevation myocardial infarction

EKG Case #2

ST-segment elevations in precordial leads benign early repolarization with Jpoint elevation (normal variant in peds) Elevated lateral Rwave voltages benign, common in young, thin athletes

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EKG Case #2
Name other causes of ST-segment elevation other than myocardial infarction?

Normal variant Acute myocarditis or pericarditis Hyperkalemia Pulmonary embolism Left ventricular hypertrophy Left bundle branch block Ventricular aneurysm

EKG Case #3
DOL 1 newborn with central cyanosis. Not in respiratory distress. What is the diagnosis?

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Tricuspid Atresia

Tricuspid Atresia Symptoms

Tricuspid Atresia Findings

Tricuspid Atresia Treatment

Objectives
Review how to read an EKG Review the EKG findings for: WPW Normal athlete Tricuspid atresia

References
Westrol, M, Kapitanyan, R. Pediatric ECG Cases: Benign Variants or Life-Threatening Abnormalities? http://reference.medscape.com/features/slideshow/ped-ecg?src=nl_slide. Wolff-Parkinson White Syndrome and Atrioventricular reciprocating tachycardia. www.washingtonhra.com/38.html. Ellis, CR, et al. Wolff-Parkinson-White Syndrome. emedicine. May 26, 2011. Rao, PS, et al. Pediatric Tricuspid Atresia. emedicine. October 15, 2011.