As arrhythmias may be transient and not seen during the shorter recording times of the standard ECG, ECG Holter monitoring allows the physician to make better-informed decisions for the cardiac patient. Here is a case-by-case teaching exercise in interpreting Holter monitors in the paediatric population.
As arrhythmias may be transient and not seen during the shorter recording times of the standard ECG, ECG Holter monitoring allows the physician to make better-informed decisions for the cardiac patient. Here is a case-by-case teaching exercise in interpreting Holter monitors in the paediatric population. The cases reflect the broad spectrum of pediatric arrhythmias that are most frequently encountered. Paediatric cardiologists, paediatricians, and paediatric cardiac physiologists will develop the expertise to analyse the Holter ECG in children of varying ages.
Key Features:
· Covers various cardiac conditions, from supraventricular tachycardia, and pacemakers to premature ventricular contractions.
· Uses real-life examples with patient follow-up explained to enhance the learning experience of students and professionals.
· Educates specialists to identify arrhythmias or artefacts that may be detected during a Holter examination, and to decide when to refer a patient for an arrhythmogenic consultation or an ablation intervention.
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
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.
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