Description
Elsevier Arrhythmias in Children A Case-Based Approach 1st Edition by Thomas, Vincent
Pediatric arrhythmias present numerous challenges to pediatric cardiologists and other practitioners who see pediatric patients, including pediatricians, family physicians, emergency physicians, residents, fellows, and other clinicians. Arrhythmias in Children: A Case-Based Approach features practical methods for diagnosing and treating arrhythmias in these patients across all settings. Nearly three dozen real-world scenarios are presented, followed by a discussion of the diagnosis, clinical thinking process involved, treatment options, expected outcomes, and how to manage anticipated and unanticipated outcomes. These practical, realistic cases provide a unique and engaging way of approaching these challenging patient scenarios.Uses a case-based approach for a full spectrum of pediatric arrythmias in the newborn, child, pre-teen, and teenager. Presents history and physical, differential diagnoses, tests to order, and practical plans of action. Includes a section on arrythmias in special circumstances. Models clinical thinking skills for a wide number of real-world patient situations. Reviews pertinent clinical guidelines, treatment, and follow up. Newborn/InfantNewborn nursery infant that has bradycardiaWhat am I thinking about?History and PhysicalDifferential DiagnosisFetus with premature beatsNewborn with complete heart blockHypothyroidismMedication-inducedApneaTests to OrderPractical Plan of ActionNICU infant noted to have extrasystoles on cardiac monitorFull-term infant noted to have persistent tachycardia2-month-old presenting to the ER with tachycardia, fussy, unable to eat4-month-old with extrasystoles on auscultation at pediatrician's office9-month-old with recurrent episodes of supraventricular tachycardia despite medical therapy Child2-year-old presents to ER with an episode of "passing out" and "turning blue"3-year-old is noted by pediatrician to have a low resting heart rate4-year-old presents to ER with supraventricular tachycardia7-year-old presents to ER with recurrent SVT8-year-old presents with ADHD presents to cardiology office with ECG in hand for "cardiac clearance" to start stimulants10-year-old presents to ER with dizziness and bradycardia with a pacemaker that does not appear to be functioning11-year-old whose father recently died at the age of 455-year-old, asymptomatic, with ECG obtained for physical demonstrating WPWPre-teen/Teenager13-year-old with syncope while standing in line for lunch15-year-old with intentional ingestion of grandparent's calcium channel blockers16-year-old with premature ventricular contractions noted during athletic participation physical.14-year-old cross country runner presents with syncope during a race15-year-old with syncope while playing soccer17-year-old with palpitations and dizziness while playing football14-year-old who had to be pulled from the pool during a swim meetSpecial CircumstancesMaternal fetal evaluation reveals fetus with tachycardiaMaternal fetal evaluation reveals fetus with premature beatsA newborn infant with complete heart block noted immediately after birthA 3-month old child with complete heart block after surgery for AV canal defectA 4-month old post-operative ventricular septal defect with junctional ectopic tachycardiaA 2-year old child who took an overdose of grandmother's digoxin pillsA 10-year old child with a "pacemaker" who is dizzy and had a syncope episodeAn 11-year old child resuscitated from sudden collapse, found to have a long QT on ECGA 12-year old with hypertrophic cardiomyopathy presents to the emergency room with syncopeA 13-year old with repaired tetralogy of Fallot with frequent PVCsA 15-year old presents to ER after successful resuscitation with an AED for documented ventricular fibrillationA 16-year old teen with a defibrillator who received a shock