EDUCATION IN HEART
Congenital heart disease
The normal ECG in childhood and adolescence
Correspondence to:
Correspondence to:
Dr David F Dickinson
E floor, Jubilee Building, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK; dfdickinson@boltblue.com
Abbreviations: ECG, electrocardiogram
Keywords: childhood; adolescence
| The first 150 words of the full text of this article appear below. |
An electrocardiogram (ECG) may be requested as part of the investigation of a wide range of problems in paediatrics, often in patients who have no clinical evidence of cardiac disease. Frequently the request is made by practitioners with no particular expertise in cardiology. The basic principles of interpretation of the ECG in children are identical to those in adults, but the progressive changes in anatomy and physiology which take place between birth and adolescence result in some features which differ significantly from the normal adult pattern and vary according to the age of the child. Correct interpretation of the ECG is therefore potentially difficult and a detailed knowledge of these age dependent changes is critically important if errors are to be avoided.
Extensive tables or centile charts of normal values in relation to age of patient are available.1–3 There is the potential for computer support in the
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Heart 2006 92: 400.[Extract] [Full Text] [PDF]
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