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Morning Report

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EKGs

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EKG Case #1

16 y/o M athlete arrives for a sports physical. He has hadpalpitations and an episode of near-syncope, which he thoughtwas due to overexerting himself. No previous workup as aresult. What is the interpretation of his EKG?

http://www.heartpearls.com/tag

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EKG Case #1

In the event of acute SVT, all of the followingmedications should be avoided except:

http://www.heartpearls.com/tag

A. DigoxinB. ProcainamideC. AdenosineD. Metoprolol

E. Verapamil

A. DigoxinB. Procainamide wide-complexC. AdenosineD. Metoprolol

E. Verapamil

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EKG WPW

http://www.heartpearls.com/tag

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Wolff-Parkinson-White Syndrome

http://www.washingtonhra.com

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WPW Pathyophysiology

http://www.washingtonhra.com

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WPW Reentrant tachycardias

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WPW Treatment

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WPW Treatment

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EKG Case #2

16 y/o M athlete presents to you in clinic with

syncope while standing at home. Has not beenfeeling well fever, headache, myalgias,arthralgias, chest pain.

What is the interpretation of this EKG?

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EKG Case #2

Interpret this EKG.

A. Sinus tachycardiaB. PericarditisC. Normal variant pediatric EKG

D. Sinus rhythm with left ventricular hypertrophyE. Acute ST-segment elevation myocardial infarction

A. Sinus tachycardiaB. PericarditisC. Normal variant pediatric EKG

D. Sinus rhythm with left ventricular hypertrophyE. Acute ST-segment elevation myocardial infarction

http://reference.medscape.com

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EKG Case #2

ST-segment elevations in

precordial leadsbenign earlyrepolarization with J-point elevation (normal

variant in peds)Elevated lateral R-wave voltagesbenign, common in

young, thinathletes

http://reference.medscape.com

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EKG Case #2

Name other causes of ST-segment elevation otherthan myocardial infarction?

Normal variant Acute myocarditis or pericarditis Hyperkalemia

Pulmonary embolism Left ventricular hypertrophy Left bundle branch block Ventricular aneurysm

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EKG Case #3

DOL 1 newborn with central cyanosis. Not inrespiratory distress. What is the diagnosis?

http://cardiophile.org/

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Tricuspid Atresia

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Tricuspid Atresia Symptoms

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Tricuspid Atresia Findings

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Tricuspid Atresia Treatment

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Objectives

Review how to read an EKGReview the EKG findings for:

WPWNormal athleteTricuspid atresia

R f

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References Westrol, M, Kapitanyan, R. Pediatric ECG Cases: Benign Variants or Life-Threatening Abnormalities?

http://reference.medscape.com/features/slideshow/ped-ecg?src=nl_slide. Wolff-Parkinson White Syndrome and Atrioventricular reciprocating tachycardia.

www.washingtonhra.com/38.html.

Ellis, CR, et al. Wolff-Parkinson-White Syndrome. emedicine. May 26, 2011. Rao, PS, et al. Pediatric Tricuspid Atresia. emedicine. October 15, 2011.