Title Pediatric Arrhythmias and EKGs for the Health Care Provider
Author Kathleen J. Prater, Joyce E. Hubbard
ISBN 9780826194466
List price USD 45.00
Price outside India Available on Request
Original price
Binding Paperback
No of pages 296
Book size 204 X 254 mm
Publishing year 2017
Original publisher Springer Publishing Company
Published in India by Springer Publishing Company
Exclusive distributors .
Sales territory Bangladesh, India, Pakistan, Sri Lanka
Status New Arrival
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This time-tested publication has successfully trained numerous pediatric nurses from a leading children’s hospital. Pediatric advanced practice registered nurses and clinical nurse specialists working in acute or critical care settings, as well as physician assistants and medical residents, need to understand the principles of accurate pediatric EKG interpretation and the appropriate follow-up steps necessary for the best patient care. With a total of 100 EKGs, rhythm strips, and interpretations, this comprehensive but concise text analyzes all levels of arrhythmias to allow pediatric health care providers to interpret normal and abnormal pediatric EKGs and rhythm strips with confidence.

This user-friendly, quick reference outlines the basic rules for pediatric arrhythmias and EKG interpretations using a multitude of different EKGs and rhythm strips and basic but critical figures and tables. With the use of a systematic checklist for standard evaluation, the text walks the reader through the essential signs that health care providers must learn to recognize when examining the EKGs and rhythm strips of their pediatric patients. This book culminates in a robust selection of 50 EKGs and additional rhythm strips for practice and a self-test on the material presented in the preceding chapters. The answers can be compared with the cardiologist’s interpretations for reinforcement of understanding and application.

Pediatric Arrhythmias and EKGs for the Health Care Provider teaches readers in a quick, at-a-glance approach:

  • To obtain an interpretable pediatric tracing
  • To implement a proper measurement method
  • To understand both normal and abnormal EKGs
  • To learn the quickest and most accurate QTc method
  • To follow an organized format for rhythm analysis
  • To systematically use tables, diagrams, figures, and graphs for interpretation
  • To interpret with confidence even very complicated tracings
  • To know which tracings need a pediatric cardiologist’s attention


In Memory of Joyce Ellis Hubbard, MD 
Margaret C. Slota, DNP, RN, FAAN
Important Aspects of EKG Interpretation
Share Pediatric Arrhythmias and EKGs for the Health Care Provider 

Section I. Mechanics

Chapter 1. The EKG Machine • Computerized Digital EKG Machine • Key Points When Operating an EKG Machine • EKG Settings • Some Reasons for Ordering an EKG

Chapter 2. How to Produce Quality Tracings • Distractions • Limitations • Artifacts • Artifact Example • Residue • EKG Machine Representative

Section II. Criteria for Pediatric Rhythms and EKGs

Chapter 3. Technique • Pediatric EKG Hookup Diagram • Pediatric EKG Hookup Instructions • Standardizations • Correct Labeling of Pediatric EKGs • Systematic Checklist • Rhythm Strip Use and Lengths • Dextrocardia • Dextrocardia Hookup and Explanation

Chapter 4. Fundamentals • Electrical Pathways • Heartbeat Components and Explanations • Normal Pediatric Heart Rates • Determining Heart Rate • Electrocardiographic Paper Grid Dimensions • Tools for Heartbeat Measurement • Determining the Axis of the Heart • Axis Quadrants • Heart Rates of Some Dysrhythmias • Premature Ventricular Complex/Contraction (PVC) Frequency Events Chart

Section III. Pediatric Rhythm Strips and Interpretations

Chapter 5. Arrhythmias Associated With Specific Medical Conditions or Drugs • Sinus Bradycardia (SB) • Sinus Tachycardia (ST) • Supraventricular Tachycardia (SVT) • Atrial Flutter (AFL) • Atrial Fibrillation (AF) • Junctional Rhythms (JR) • Long QT Syndrome (LQTS) • Ventricular Tachycardia (VT) • Ventricular Fibrillation (VF) • First-Degree Atrioventricular (AV) Block • Second-Degree AV Block Mobitz I • Second-Degree AV Block Mobitz II • Third-Degree AV Block • Left Ventricular Hypertrophy (LVH) • Right Ventricular Hypertrophy (RVH) • Wolff–Parkinson–White (WPW) Syndrome

Chapter 6. Normal to Advanced Rhythms • Normal Sinus Rhythm (NSR) • Sinus Arrhythmia (SA) • Sinus Bradycardia (SB) • Sinus Tachycardia (ST) • Wandering Atrial Pacemaker (WAP) • Supraventricular Ectopic (SVE) Beat • Supraventricular Tachycardia (SVT) • SVT Pre-Adenosine • SVT Post-Adenosine • Atrial Flutter (AFL) • Wolff–Parkinson–White (WPW) Syndrome • Junctional Rhythm (JR) Morphologies • Premature Junctional Complexes/Contraction (PJC) • Junctional Rhythm (JR) • Junctional Escape Rhythm (JER) • Accelerated Junctional Rhythm (AJR) • Junctional Tachycardia (JT) • Premature Ventricular Complexes/Contractions (PVC) • Multiform Ventricular Couplet • Ventricular Tachycardia (VT) • Torsades de Pointes (TdP) • Ventricular Flutter and Fibrillation (VFL and VF) • Ventricular Fusion Beat (VFB) • First-Degree Atrioventricular (AVB) Block • Second-Degree Atrioventricular Block (AVB) Wenckebach Mobitz I • Second-Degree Atrioventricular (AVB) Block Mobitz II • Third-Degree Atrioventricular (AV) Heart Block (Complete Heart Block) • Long QT Syndrome (LQTS) • Three Interesting Rhythm Strips • Answers to the Three Interesting Rhythm Strips

Section IV. EKGs and Interpretations

Chapter 7. Pediatric Standards • Tables of Normal Values • Measurement of QT and Calculation for QTc • Sudden Death From Inherited Long QT Syndrome (LQTS)

Chapter 8. Normal to Advanced EKGs and Interpretations • Normal Sinus Rhythm • Normal Sinus Rhythm Interpretation • Sinus Arrhythmia (SA) • SA Interpretation • Sinus Bradycardia (SB) • SB Interpretation • Sinus Tachycardia (ST) • ST Interpretation • Wandering Atrial Pacemaker (WAP) • WAP Interpretation • Premature Atrial Complexes (PACs) • PACs Interpretation • Supraventricular Tachycardia (SVT) • SVT Interpretation • SVT Pre-Adenosine • SVT Pre-Adenosine Interpretation • Post-Adenosine • Post-Adenosine Interpretation • Junctional Escape Rhythm (JER) • JER Interpretation • Accelerated Junctional Rhythm (AJR) Preceding SB • AJR Preceding SB Interpretation • Junctional Tachycardia (JT) • JT Interpretation • Junctional Ectopic Tachycardia (JET) • JET Interpretation • Permanent Form of Junctional Reciprocating Tachycardia (PJRT) • PJRT Interpretation • Atrial Flutter (AFL) With 2:1 Atrioventricular (AV) Conduction • AFL With 2:1 AV Conduction Interpretation • AFL With 4:1 and 6:1 AV Conduction • AFL With 4:1 and 6:1 AV Conduction Interpretation • Atrial Flutter/Fibrillation (AFL/AF) • AFL/AF Interpretation • Atrial Tachycardia With 2:1 AV Conduction • Atrial Tachycardia With 2:1 AV Conduction Interpretation • First-Degree AV Block • First-Degree AV Block Interpretation • Second-Degree AV Block Mobitz I • Second-Degree AV Block Mobitz I Interpretation • Second-Degree AV Block Mobitz II • Second-Degree AV Block Mobitz II Interpretation • Third-Degree AV Block • Third-Degree AV Block Interpretation • Premature Ventricular Complexes/Contractions (PVCs) • PVCs Interpretation • PVCs as Ventricular Couplets • PVCs as Ventricular Couplets Interpretation • Ventricular Tachycardia (VT) • VT Interpretation • Wide QRS Tachycardia • Wide QRS Tachycardia Interpretation • Possible Ventricular Fibrillation (VF) • Possible VF Interpretation • Ventricular Fusion Beat (VFB) • VFB Interpretation • Hyperkalemia • Hyperkalemia Interpretation • Hypokalemia • Hypokalemia Interpretation • Long QT Syndrome (LQTS) • LQTS Interpretation • T Wave Inversion • T Wave Inversion Interpretation • Left Axis Deviation (LAD) • LAD Interpretation • Right Axis Deviation (RAD) • RAD Interpretation • Left Ventricular Hypertrophy (LVH) • LVH Interpretation • Right Ventricular Hypertrophy (RVH) • RVH Interpretation • RVH and Intraventricular Conduction Delay (IVCD) • RVH and IVCD Interpretation • Biventricular Hypertrophy (BVH) • BVH Interpretation • Left Atrial Enlargement (LAE) • LAE Interpretation • Right Atrial Enlargement (RAE) • RAE Interpretation • Biatrial Enlargement (BAE) • BAE Interpretation • Wolff–Parkinson–White (WPW) Syndrome • WPW Syndrome Interpretation • Lown–Ganong–Levine (LGL) Syndrome • LGL Syndrome Interpretation • Left Bundle Branch Block (LBBB) • LBBB Interpretation • Right Bundle Branch Block (RBBB) • RBBB Interpretation • Dextrocardia • Dextrocardia Interpretation • Deep Q Waves • Deep Q Waves Interpretation • Heart Transplant • Heart Transplant Interpretation • Junctional Rhythm (JR), LAD, and RBBB • JR, LAD, and RBBB Interpretation • Sinus Tachycardia (ST), LAD, and Possible RBBB • ST, LAD, and Possible RBBB Interpretation

Section V. Self-Assessment Workbook

Chapter 9. Review Worksheets and Questions

Chapter 10. Answers


About the Authors:

Kathleen Joan Prater, CCT, became a certified cardiac technician through Cardiovascular Credentialing International in 1993 and had a career in cardiac testing that spanned 35 years. She assisted cardiologists with various cardiac researches, and taught nurses and technicians at Riley Hospital for Children at Indiana University Health, at the Medical Center in Indianapolis, for 15 years. Ms. Prater instructed staff in how to obtain EKGs and rhythm strips on children and how to interpret pediatric arrhythmias. Along with Dr. Joyce Hubbard, she developed a manual to teach these procedures, which is the foundation for this book.

Joyce Ellis Hubbard, MD, was an assistant clinical professor of pediatrics, Section of Pediatric Cardiology, and a pediatric cardiologist at Riley Hospital for Children at Indiana University Health, at the Medical Center in Indianapolis, from 1988 to 2014. Her subspecialty was electrophysiology: electrophysiology studies, ablations, defibrillators, pacemakers, event monitoring transmissions, EKGs, treadmill testing, tilt table testing, and all other testing that involved the heartbeat. She was respected for her knowledge, experience, and advice. Riley Hospital for Children was ranked among the top children’s hospitals nationwide by U.S. News and World Report (2013–2014). The Riley Heart Center is Indiana’s only comprehensive cardiac inpatient unit that was designed specifically for children. The hospital’s nurses and cardiac technicians perform approximately 10,000 EKGs a year. Pediatric Arrhythmias and EKGs for the Health Care Provider contains the revised informational manual plus 50 EKGs, increased numbers of rhythm strips, information on dysrhythmias and the conditions associated with them, and explanations about the basics of pediatric arrhythmias and their interpretations. This book provides the health care practitioner with a comprehensive guide to the recognition and mastering of arrhythmias. 

Target Audience:

Pediatric advanced practice registered nurses and clinical nurse specialists working in acute or critical care settings, as well as physician assistants and medical residents  who need to understand the principles of accurate pediatric EKG interpretation and the appropriate follow-up steps necessary for the best patient care.


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