Description
Pediatric arrhythmias present numerous challenges to pediatric cardiologists and other practitioners who see pediatric patients, including pediatricians, family physicians, emergency physicians, residents, fellows, and other clinicians. Arrhythmias in Children: A Case-Based Approach features practical methods for diagnosing and treating arrhythmias in these patients across all settings. Nearly three dozen real-world scenarios are presented, followed by a discussion of the diagnosis, clinical thinking process involved, treatment options, expected outcomes, and how to manage anticipated and unanticipated outcomes. These practical, realistic cases provide a unique and engaging way of approaching these challenging patient scenarios.- Uses a case-based approach for a full spectrum of pediatric arrythmias in the newborn, child, pre-teen, and teenager.- Presents history and physical, differential diagnoses, tests to order, and practical plans of action.- Includes a section on arrythmias in special circumstances.- Models clinical thinking skills for a wide number of real-world patient situations.- Reviews pertinent clinical guidelines, treatment, and follow up.
Table of Contents
- Newborn/Infant- Newborn nursery infant that has bradycardia- What am I thinking about?- History and Physical- Differential Diagnosis- Fetus with premature beats- Newborn with complete heart block- Hypothyroidism- Medication-induced- Apnea- Tests to Order- Practical Plan of Action- NICU infant noted to have extrasystoles on cardiac monitor- Full-term infant noted to have persistent tachycardia- 2-month-old presenting to the ER with tachycardia, fussy, unable to eat- 4-month-old with extrasystoles on auscultation at pediatrician's office- 9-month-old with recurrent episodes of supraventricular tachycardia despite medical therapy- Child- 2-year-old presents to ER with an episode of "passing out" and "turning blue"- 3-year-old is noted by pediatrician to have a low resting heart rate- 4-year-old presents to ER with supraventricular tachycardia- 7-year-old presents to ER with recurrent SVT- 8-year-old presents with ADHD presents to cardiology office with ECG in hand for "cardiac clearance" to start stimulants- 10-year-old presents to ER with dizziness and bradycardia with a pacemaker that does not appear to be functioning- 11-year-old whose father recently died at the age of 45- 5-year-old, asymptomatic, with ECG obtained for physical demonstrating WPW- Pre-teen/Teenager- 13-year-old with syncope while standing in line for lunch- 15-year-old with intentional ingestion of grandparent's calcium channel blockers- 16-year-old with premature ventricular contractions noted during athletic participation physical.- 14-year-old cross country runner presents with syncope during a race- 15-year-old with syncope while playing soccer- 17-year-old with palpitations and dizziness while playing football- 14-year-old who had to be pulled from the pool during a swim meet- Special Circumstances- Maternal fetal evaluation reveals fetus with tachycardia- Maternal fetal evaluation reveals fetus with premature beats- A newborn infant with complete heart block noted immediately after birth- A 3-month old child with complete heart block after surgery for AV canal defect- A 4-month old post-operative ventricular septal defect with junctional ectopic tachycardia- A 2-year old child who took an overdose of grandmother's digoxin pills- A 10-year old child with a "pacemaker" who is dizzy and had a syncope episode- An 11-year old child resuscitated from sudden collapse, found to have a long QT on ECG- A 12-year old with hypertrophic cardiomyopathy presents to the emergency room with syncope- A 13-year old with repaired tetralogy of Fallot with frequent PVCs- A 15-year old presents to ER after successful resuscitation with an AED for documented ventricular fibrillation- A 16-year old teen with a defibrillator who received a shock
