Concise Guide to Pediatric Arrhythmias

Christopher Wren, MD, Consultant Pediatric Cardiologist, Department of Cardiothoracic Services, Freeman Hospital (NHS), Newcastle-upon-Tyne, UK

Foreword vi Preface vii Abbreviations viii 1 Anatomy physiology and epidemiology of arrhythmias 1 2 ECGs and other recording devices 5 3 Other diagnostic techniques 9 4 The normal ECG and variants 12 5 Interpretation of the ECG in tachycardia 16 6 Adenosine in the diagnosis of tachycardias 26 7 Atrial tachycardia 30 8 Multifocal atrial tachycardia 36 9 Atrial flutter 40 10 Atrial fibrillation 43 11 Atrial premature beats 46 12 Atrioventricular re-entry tachycardia 49 13 Wolff-Parkinson-White syndrome 55 14 Permanent junctional reciprocating tachycardia 61 15 Atriofascicular re-entry tachycardia 64 16 Atrioventricular nodal re-entry tachycardia 67 17 Junctional ectopic tachycardia 71 18 Ventricular tachycardia 74 19 Neonatal ventricular tachycardia 81 20 Incessant idiopathic infant ventricular tachycardia 84 21 Idiopathic left ventricular tachycardia 87 22 Idiopathic right ventricular tachycardia 90 23 Ventricular premature beats 93 24 Ventricular fibrillation 96 25 Long QT syndrome 99 26 Catecholaminergic polymorphic ventricular tachycardia 108 27 Brugada syndrome 111 28 First- and second-degree atrioventricular block 114 29 Complete atrioventricular block 118 30 Sinus node dysfunction and sinoatrial disease 124 31 Early postoperative arrhythmias 127 32 Late postoperative arrhythmias 136 33 Arrhythmias in congenital heart defects 147 34 Arrhythmias in cardiomyopathies 151 35 Syncope 155 36 Sudden death 160 37 Antiarrhythmic drug treatment 163 38 Pacemakers and implantable defibrillators 170 39 Catheter ablation 177 40 Artifacts 180 Appendix 183 Index 185