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Clinicians have a variety of diagnostic methods available for evaluating a child with an arrhythmia. The ECG and Holter ECG remain the cornerstones for a good diagnostic and a correct management. Many pediatric cardiologists have some experience in Holter ECG interpretation, but many are still uncertain about their ability to recognize normal variants and pathological rhythms. This book is written specifically for pediatric cardiologists and provides a short and practical review of the issue. Following a brief introduction of the theoretical basis of the Holter ECG, the chapters give a systematic method to interpretation of ECG signals. Several print screens from the different softwares are included to assist users in more confidently diagnosing arrhythmias. The book's second part provides a comprehensive collection of real-life cases and Holter ECG tracings in an easy-to-use manner. The cases cover the most common arrhythmias seen in pediatrics and will assist build the skills needed to analyse the Holter ECG quickly and effectively in both infants and older children.
Pages i-ix
Front Matter
Pages 1-1
A Brief History of Holter Monitoring
Pages 3-7
Technical Principles of Holter Monitoring
Pages 9-19
Arrhythmia Detection and Interpretation
Pages 21-40
Pages 41-53
Indications for Holter ECG Monitoring
Pages 55-59
Pages 61-71
Front Matter
Pages 73-73
Case 1: Sinus Bradycardia in a Football Player
Pages 75-82
Case 2: Energy Drink-Induced Ventricular Tachycardia
Pages 83-89
Case 3: Low Atrial Rhythm in an 8-Year-Old Girl
Pages 91-97
Case 4: High-Burden PVC Mimicking Preexcitation Pattern in a Newborn
Pages 99-106
Case 5: Paced Rhythm in a 12-Year Old Girl
Pages 107-118
Case 6: Focal Atrial Tachycardia in a Neonate
Pages 119-131
Case 7: How to Differentiate Between Paroxysmal Supraventricular Tachycardia and Sinus Tachycardia?
Pages 133-139
Case 8: Short QT Syndrome with Syncope
Pages 141-149
Case 9: A 2-Month-Old Infant with Recurrent Episodes of Tachycardia
Pages 151-165
Case 10: An 8-Year-Old Football Player with Asymptomatic WPW Pattern
Pages 167-175
Case 11: Low Atrial Rhythm in a 9-Year-Old Girl
Pages 177-185
Case 12: Asymptomatic WPW Syndrome in a 16-Year-Old Competitive Football Player
Pages 187-195
Case 13: WPW Syndrome with PSVT Episodes in COVID Pandemics
Pages 197-208
Case 14: Two Accessory Pathways Revealed by One Holter ECG
Pages 209-223
Case 15: Paced Rhythm in a 2-Year-Old Boy
Pages 225-234
Case 16: Paroxysmal Supraventricular Tachycardia with Right Bundle Branch Block Aberrancy
Pages 235-250
Case 17: A 8-Month-Old Girl with Recurrent Episodes of Fascicular Ventricular Tachycardia
Pages 251-259
Case 18: Low-Risk Accessory Pathway in a 18-Year-Old Male Football Player
Pages 261-277
Case 19: A 12-Month-Old Boy with Prader-Willi Syndrome Is Experiencing Sinus Tachycardia
Pages 279-286
Case 20: Blocked Premature Atrial Contractions in a Neonate
Pages 287-297
Case 21: Postero-septal Accessory Pathway in a 10-Year-Old Girl
Pages 299-317
Case 22: Paroxysmal Supraventricular Tachycardia with Left Bundle Branch Block Aberrancy
Pages 319-337
Case 23: Low-Risk Accessory Pathway in a 6-Year-Old Boy
Pages 339-348
Case 24: Fascicular Premature Ventricular Contractions and Nonsustained VT in a Neonate
Pages 349-355
Case 25: Premature Ventricular Contractions and Fusion Beats in a Neonate
Pages 357-367
Case 26: Ventricular Premature Contractions in a Neonate
Pages 369-379
Case 27: Blocked Premature Atrial Contractions in a Neonate
Pages 381-389
Case 28: Focal Atrial Tachycardia with Tachycardia-Induced Cardiomyopathy
Pages 391-401
Case 29: Idiopathic Neonatal Atrial Flutter
Pages 403-412
Case 30: The Type of Spontaneous Termination of Focal Atrial Tachycardia
Pages 413-424
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