Neonatal and Pediatric Arrhythmias: Clinical and Electrocardiographic Aspects

Fabrizio Drago; Irma Battipaglia; Corrado Di Mambro

doi:10.1016/j.ccep.2018.02.008

Neonatal and Pediatric Arrhythmias: Clinical and Electrocardiographic Aspects

Card Electrophysiol Clin. 2018 Jun;10(2):397-412. doi: 10.1016/j.ccep.2018.02.008.

Authors

Fabrizio Drago¹, Irma Battipaglia², Corrado Di Mambro²

Affiliations

¹ Paediatric Cardiology and Cardiac Arrhythmias Unit, Department of Paediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital and Research Institute, Piazza Sant'Onofrio 4, Rome 00165, Italy. Electronic address: fabrizio.drago@opbg.net.
² Paediatric Cardiology and Cardiac Arrhythmias Unit, Department of Paediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital and Research Institute, Piazza Sant'Onofrio 4, Rome 00165, Italy.

PMID: 29784491
DOI: 10.1016/j.ccep.2018.02.008

Abstract

Arrhythmias have acquired a specific identity in pediatric cardiology, but for pediatric cardiologists it has always been difficult to recognize and treat them. Changes in anatomy and physiology result in electrocardiogram features that differ from the normal adult pattern and vary according to the age of the child. Sinus arrhythmia, ectopic atrial rhythm, "wandering pacemaker," and junctional rhythm can be normal characteristics in children (15%-25% of healthy children can have these rhythms on the electrocardiogram). Tachyarrhythmias and bradyarrhythmias must be treated according to the severity of symptoms, and the patient's age and weight.

Keywords: Arrhythmias; Bradycardia; Children; ECG; Neonates; Pediatric arrhythmias; Tachycardia.

Publication types

Review

MeSH terms

Arrhythmias, Cardiac / diagnosis*
Arrhythmias, Cardiac / physiopathology
Child
Diagnosis, Differential
Electrocardiography / methods*
Heart Rate / physiology*
Humans
Infant, Newborn