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Pediatric ECG Interpretation: An Illustrative Guide

Spiral-bound paperback


Pediatric ECG Interpretation: An Illustrative Guide

Barbara J. Deal M.D., Christopher L. Johnsrude M.D., Scott H. Buck M.D.

ISBN: 978-1-405-11730-2 July 2004 Wiley-Blackwell 272 Pages


Pattern recognition is an important learning tool in the interpretation of ECGs. Unfortunately, until faced with a patient with an arrhythmia or structural heart disease, pediatric practitioners generally receive limited exposure to ECGs. The ability to clearly distinguish an abnormal ECG pattern from a normal variant in an emergency situation is an essential skill, but one that many pediatricians feel ill-prepared to utilize confidently. In Pediatric ECG Interpretation: An Illustrative Guide, Drs. Deal, Johnsrude and Buck aim to address this issue by illustrating many of the ECG patterns a pediatric practitioner is likely to encounter.

ECG illustrations with interpretations are presented in several categories: normal children of all ages, acquired abnormalities such as hypertrophy or electrolyte disorders, and common congenital heart disease lesions. Later sections cover bradycardia, supraventricular and ventricular arrhythmias, and a basic section on pacemaker ECGs. Simple techniques used to interpret mechanisms of arrhythmias are described as a resource for practitioners in cardiology, adult electrophysiology, or pediatrics who may not have a readily accessible resource for these ECG examples.

Material hosted at can be used:
1 as a self-evaluation tool for interpretation of ECGs
2 as a teaching reference for Cardiology fellows, residents, and house staff
3 as an invaluable resource for the Emergency Room physician or pediatrician who might obtain an ECG on a pediatric patient


Normal ECGs.

Abnormal ECGs.

Acquired Heart Disease.

Congenital Heart Disease.

Bradycardia and Conduction Defects.

Supraventricular Tachycardia.

Ventricular Arrhythmias.


Appendix 1: Age-related normal ECG values in children.

Appendix 2: Criteria for distinguishing VT from SVT.

Appendix 3: Location of accessory atrioventricular connection using initial delta wave polarity.

Appendix 4: Indications for pacing in childhood.


  • An outstanding teaching text to learn how to clearly distinguish an abnormal ECG pattern from a normal variant in the pediatric patient
  • Numerous illustrations of ECG patterns that a clinician is likely to encounter
  • Normal variations of ECGs in children of different ages are presented, followed by examples of ECG abnormalities will serve to complement the basic skills of ECG interpretation