Pediatrik Elektrokardiyografinin Değerlendirilmesi (ECG)-İMAEH Zoom Dersleri-9
Автор: Pediatrik Kardiyoloji
Загружено: 2023-10-21
Просмотров: 1684
Electrocardiogram interpretation in paediatric patients is challenging. The heart of a neonate differs significantly physiologically from an adult’s; the developing heart also undergoes continuous change until adulthood.
At birth, the right ventricle is dominant because of the high pulmonary vascular resistance present in utero; this domi-nance can persist up to the age of 3 yrs. This is reflected on the ECG by the presence of a right axis and dominant R waves in the right precordial leads. (R wave voltages are greater than S wave voltages, but do not exceed normal limits for age.) T waves are upright for the first week after birth, and then become inverted. The T waves gradually become upright again during adolescence. The physician needs to be aware of the effects that normal physiological changes will have on the ECG, and use age-appropriate reference ranges when interpreting a paediatric ECG. (https://doi.org/10.1016/j.bjae.2020.0...)
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