Understanding paediatric ECGs

Abstract 

The ability to interpret the paediatric electrocardiogram (ECG) correctly is a skill of value to all doctors who treat children, whether acutely or electively. Furthermore, basic ECG interpretation is a common component of paediatric postgraduate examinations. In this article we have aimed to arm the reader with the essential principles of paediatric ECG interpretation, highlighting age-specific variation. As with any other area of medicine, practice makes perfect. The reader would do well to inspect a number of normal and abnormal ECGs across the paediatric age range, keeping in mind the clinical background against which the investigation was performed. A comprehensive assessment of the paediatric ECG can then be made by cross-referencing ECG observations against the framework presented herein.

Keywords:  Electrocardiogram, Diagnosis