Arrhythmias in Children - 1st Edition - ISBN: 9780323779074, 9780323779081

Arrhythmias in Children

1st Edition

A Case-Based Approach

Authors: Vincent Thomas Balaji Seshadri
eBook ISBN: 9780323779081
Paperback ISBN: 9780323779074
Imprint: Elsevier
Published Date: 13th April 2021
Page Count: 180

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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.

Table of Contents

  1. Newborn/Infant
    1. Newborn nursery infant that has bradycardia
      1. What am I thinking about?
      2. History and Physical
      3. Differential Diagnosis
        1. Fetus with premature beats
        2. Newborn with complete heart block
        3. Hypothyroidism
        4. Medication-induced
        5. Apnea

      4. Tests to Order
      5. Practical Plan of Action

    2. NICU infant noted to have extrasystoles on cardiac monitor
    3. Full-term infant noted to have persistent tachycardia
    4. 2-month-old presenting to the ER with tachycardia, fussy, unable to eat
    5. 4-month-old with extrasystoles on auscultation at pediatrician’s office
    6. 9-month-old with recurrent episodes of supraventricular tachycardia despite medical therapy

  2. Child
    1. 2-year-old presents to ER with an episode of "passing out" and "turning blue"
    2. 3-year-old is noted by pediatrician to have a low resting heart rate
    3. 4-year-old presents to ER with supraventricular tachycardia
    4. 7-year-old presents to ER with recurrent SVT
    5. 8-year-old presents with ADHD presents to cardiology office with ECG in hand for "cardiac clearance" to start stimulants
    6. 10-year-old presents to ER with dizziness and bradycardia with a pacemaker that does not appear to be functioning
    7. 11-year-old whose father recently died at the age of 45
    8. 5-year-old, asymptomatic, with ECG obtained for physical demonstrating WPW

  3. Pre-teen/Teenager
    1. 13-year-old with syncope while standing in line for lunch
    2. 15-year-old with intentional ingestion of grandparent’s calcium channel blockers
    3. 16-year-old with premature ventricular contractions noted during athletic participation physical.
    4. 14-year-old cross country runner presents with syncope during a race
    5. 15-year-old with syncope while playing soccer
    6. 17-year-old with palpitations and dizziness while playing football
    7. 14-year-old who had to be pulled from the pool during a swim meet

  4. Special Circumstances
    1. Maternal fetal evaluation reveals fetus with tachycardia
    2. Maternal fetal evaluation reveals fetus with premature beats
    3. A newborn infant with complete heart block noted immediately after birth
    4. A 3-month old child with complete heart block after surgery for AV canal defect
    5. A 4-month old post-operative ventricular septal defect with junctional ectopic tachycardia
    6. A 2-year old child who took an overdose of grandmother’s digoxin pills
    7. A 10-year old child with a "pacemaker" who is dizzy and had a syncope episode
    8. An 11-year old child resuscitated from sudden collapse, found to have a long QT on ECG
    9. A 12-year old with hypertrophic cardiomyopathy presents to the emergency room with syncope
    10. A 13-year old with repaired tetralogy of Fallot with frequent PVCs
    11. A 15-year old presents to ER after successful resuscitation with an AED for documented ventricular fibrillation
    12. A 16-year old teen with a defibrillator who received a shock


No. of pages:
© Elsevier 2021
13th April 2021
eBook ISBN:
Paperback ISBN:

About the Authors

Vincent Thomas

Affiliations and Expertise

Pediatric Cardiologist and Electrophysiologist Medical Safety Officer Johnson & Johnson

Balaji Seshadri

Affiliations and Expertise

Professor, Department of Pediatrics Division of Cardiology