1st Edition
Pediatric ECG Holter A Case-Based Approach to Interpretation
Due to the brief nature of arrhythmias, which may not be seen during the short recording periods of a typical ECG, Holter monitoring enables physicians to make more informed decisions on cardiac patients. This book is a case-by-case instructional exercise on interpreting Holter monitorings in the pediatric setting. The cases illustrate the wide range of pediatric arrhythmias that are most commonly observed. Pediatric cardiologists, pediatricians, and pediatric arrhythmologists will develop the ability to analyze Holter ECGs in children of diverse ages.
Key Features:
- Covers various cardiac conditions, from supraventricular tachycardia, to long QT syndrome and cardiac pacemakers
- Uses real-life examples with patient history to enhance the learning experience of students and medical professionals
- Trains professionals to discern arrhythmias from electrical artifacts found during a Holter examination
- Educates clinicians to determine the appropriate timing for referring a patient for arrhythmogenic consultation or ablation procedures
Chapter 1. Asymptomatic Outflow tract ventricular tachycardia
Chapter 2. Tuberous sclerosis with ventricular arrhythmia
Chapter 3. Salvos of atrial tachycardia with heart failure
Chapter 4. Multifocal atrial tachycardia in a newborn
Chapter 5. Junctional rhythm mimicking WPW pattern
Chapter 6. Nonsustained ventricular tachycardia in a patient with Dilated Cardiomyopathy
Chapter 7. Vagal Nerve Stimulation-Induced AV Block in an 11-Year-Old with Epilepsy Chapter 8. Complete AV block with prolonged QT interval and Ventricular Tachycardia
Chapter 9. Prolonged sinus pause in a child with breath-holding spells
Chapter 10. A Newborn with Progressive Atrioventricular Block
Chapter 11Complete AV block with dizziness
Chapter 12 Low atrial rhythm in a 12-years old girl
Chapter 13. Blocked P waves and focal atrial tachcyardia
Chapter 14.Sick sinus syndrome
Chapter 15. Monomorhpic ventricular tachycardia
Chapter 16.Congenital Junctional ectopic tachycardia
Chapter 17. Low atrial rhythm in a newborn
Chapter 18. Corrected dTGA with pacemaker implantation and wide QRS tachycardia
Chapter 19 Asymptomatic Complete AV block
Chapter 20 High burden PVCs in a 7-years old football player
Chapter 21. Junctional escape rhythm in a patient with corrected Double outlet right ventricle
Chapter 22 Incessant focal atrial tachycardia originating from the crista terminalis
Chapter 23. Sinus node disease in a newborn with V141M mutation
Chapter 24.Arrhythmia in a patient with Pulmonary nodule
Chapter 25 WPW syndrome with orthodromic tachycardia in a newborn
Chapter 26. Focal atrial tachycardia
Chapter 27. Artifacts mimicking Ventricular Tachycardia
Chapter 28. Premature atrial contractions with RBBB abberancy, LBBB abberancy and salvos
Chapter 29.Atrial tachycardia with bundle branch aberrancy
Chapter 30. Accelerated idioventricular rhythm
Biography
Dr. Cismaru Gabriel is an adult and pediatric cardiologist specialized in cardiac arrhythmias. He gained his EHRA Certification in Invasive Cardiac Electrophysiology in 2019 and EHRA Certification in Cardiac Implantable Electronic Devices in 2021. During his daily medical activity he implants loop recorders for pediatric patients with syncope or suspicion of arrhythmias, and performs electrophysiological studies and catheter ablation for different types of arrhythmias. He also implants pacemakers in children with bradyarrhythmias and defibrillators for primary or secondary prevention of sudden cardiac death. He is also lecturer of the Cardiology Department of the University of Medicine and Pharmacy Iuliu Hatieganu Cluj-Napoca.
Associate professor Cecilia Lazea is a paediatric cardiologist at Emergency Paediatric Hospital Cluj-Napoca, Romania. She has graduated at University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca in 1996 and she was trained in Paediatrics and Paediatric Cardiology. She has benefited of research grants in France in 2000 and 2009, one of them in the field of Medical Genetics. She has been working at Paediatric Cardiology Department of the hospital since 2003. Her medical activity consists in taking care of the hospitalized patients with cardiovascular diseases and arrhythmia, medical advice and consultation of the patients with arrhythmias in the Emergency Department and Paediatric Intensive Care Unit and follow-up visits of the patients with cardiovascular diseases in the outpatient clinic. She has an extensive experience in paediatric arrhythmia, and she has read a significant number of paediatric ECG Holter monitoring and paediatric ECGs during his current medical activity on the Paediatric Cardiology Department. She is also experienced in genetic basis and molecular analysis of a large variety of arrhythmias and genetic cardiovascular diseases in children.
Dr. Simona-Sorana Cainap is an Associate Professor of Pediatrics at the "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca. She is a specialist in Pediatric Cardiology and her current position is as a consultant in the Pediatric Cardiology Department of Clinic No. 2. In 2012, she was awarded an Erasmus scholarship to study at the Zentrum für Angeborne Herzfeler und Diabeteszentrum NRW Bad Oeynhausen, Germany. Dr. Cainap published articles on congenital heart diseases and pediatric cardiac arrhythmias. She conducted pediatric screenings for children with congenital diseases during her involvement in the POSDRU and HORIZON 2020 European projects, resulting in the collection of extensive databases that have been utilized in numerous publications in the field of pediatric arrhythmias.
