Christopher Wren 
Concise Guide to Pediatric Arrhythmias 

Concise Guide to Pediatric Arrhythmias

Written by one of the foremost pediatric cardiologists in the UK, this essential new book is a clear, practical, highly visual guide to the recognition of arrhythmias and their management. This innovative new reference:

* Covers the full range of arrhythmias encountered in pediatric patients

* Presents each arrhythmia – from identification to management options – as well as showing how to make a precise non-invasive diagnosis from the ECG

* Makes use of real ECG strips – not perfect redrawn examples – to show what readers will actually encounter in the clinical setting

In addition, the book discusses arrhythmias encountered in various clinical settings – early and late after operation, and in congenital heart disease or cardiomyopathy – as well as brief overview of the use of invasive EP studies, catheter ablation, pacemakers and defibrillators.

Whereas other books on this important topic are aimed and tailored for the needs of experts in pediatric cardiology, this book is ideal for pediatricians, pediatric intensivists, trainees in pediatrics, pediatric cardiology and pediatric intensive care, as well as for clinical support staff involved in the cardiac care of children.

Table of Content

Foreword vi

Preface vii

Abbreviations viii

1 Anatomy, physiology, and epidemiology of arrhythmias 1

2 ECGs and other recording devices 5

3 Other diagnostic techniques 9

4 The normal ECG and variants 12

5 Interpretation of the ECG in tachycardia 16

6 Adenosine in the diagnosis of tachycardias 26

7 Atrial tachycardia 30

8 Multifocal atrial tachycardia 36

9 Atrial flutter 40

10 Atrial fibrillation 43

11 Atrial premature beats 46

12 Atrioventricular re-entry tachycardia 49

13 Wolff-Parkinson-White syndrome 55

14 Permanent junctional reciprocating tachycardia 61

15 Atriofascicular re-entry tachycardia 64

16 Atrioventricular nodal re-entry tachycardia 67

17 Junctional ectopic tachycardia 71

18 Ventricular tachycardia 74

19 Neonatal ventricular tachycardia 81

20 Incessant idiopathic infant ventricular tachycardia 84

21 Idiopathic left ventricular tachycardia 87

22 Idiopathic right ventricular tachycardia 90

23 Ventricular premature beats 93

24 Ventricular fibrillation 96

25 Long QT syndrome 99

26 Catecholaminergic polymorphic ventricular tachycardia 108

27 Brugada syndrome 111

28 First- and second-degree atrioventricular block 114

29 Complete atrioventricular block 118

30 Sinus node dysfunction and sinoatrial disease 124

31 Early postoperative arrhythmias 127

32 Late postoperative arrhythmias 136

33 Arrhythmias in congenital heart defects 147

34 Arrhythmias in cardiomyopathies 151

35 Syncope 155

36 Sudden death 160

37 Antiarrhythmic drug treatment 163

38 Pacemakers and implantable defibrillators 170

39 Catheter ablation 177

40 Artifacts 180

Appendix 183

Index 185

About the author

Christopher Wren, MD, Consultant Pediatric Cardiologist, Department of Cardiothoracic Services, Freeman Hospital (NHS), Newcastle-upon-Tyne, UK