This is secondary to an intermittent failure of conduction through the AV node so that some P waves are not followed by QRS complexes. First degree A-V block could be one of the cardiac manifestations of rheumatic fever (Figure).įigure demonstrating an EKG with first degree AV block It is usually reversible and does not require any treatment. This indicates prolongation of the PR interval more than 95 th percentile for age and heart rate and is due to impairment in the AV node conduction caused by increased vagal tone, AV nodal ischemia or drugs such as digoxin and beta-blockers. Atrioventricular Block First degree AV block In symptomatic bradycardia, the underlying cause should be treated and a pacemaker placement may be considered if there is no response to medical therapy. Pathological sinus bradycardia is usually secondary to an underlying condition such as hypothyroidism or medications such as beta-blockers.Īsymptomatic physiologic sinus bradycardia requires no treatment. Trained athletes may normally have sinus bradycardia due to increased vagal tone. The normal range of heart rate depends on the age of the individual, ranging from 120-160 beat/min in the newborn to 60-80 beat/min in the adult. Arrhythmias may occur in children with normal hearts and/or may be associated with CHD, medications or electrolyte disturbances. Arrhythmias result from abnormal impulse formation, abnormal impulse conduction, or both. Quick Checks - Kawasaki Disease, Endocarditis, Rheumatic feverĪrrhythmias are defined as disturbances in heart rate and/or conduction.General treatment of the acute episode:.Antimicrobial prophylaxis: (2007 AHA guidelines).Classic KD is diagnosed by the following criteria:.Kawasaki Disease (Mucocutaneous Lymph Node Syndrome).Premature ventricular contractions (PVCs).

Hypertrophic Obstructive Cardiomyopathy.Ebstein Anomaly of the Tricuspid Valve (EA).Pulmonary Atresia with Intact Ventricular Septum (PA-IVS).Clinical presentation, EKG and, imaging.Total Anomalous Pulmonary Venous Connection (TAPVC).

Corrected Transposition of the Great Arteries (L-TGA).

Complete Transposition of the Great Arteries (D-TGA).

Systolic Murmur Grades based on the intensity of the murmur.

Does a flutter have p waves