A 3-month old child with complete heart block after surgery for AV canal defect
Case Sorry to call you this evening but you are on call for pediatric electrophysiology right? I am the ICU fellow covering the CICU tonight along with my attending. We…
A 4-month-old postoperative ventricular septal defect with junctional ectopic tachycardia
Case I have a 4 month old male who underwent VSD repair earlier today. His heart rate has been climbing all afternoon and now he is running a rate of 200….
Maternal fetal evaluation reveals fetus with abnormal rhythm
Case Hi, I’m a new obstetrician in town and I am seeing a mother who is 20 weeks along in her pregnancy. She has been handling the pregnancy well without any…
17-year-old presents to emergency room with “irregularly irregular” rhythm
Case Hello, I’m calling from the ER at the adult hospital across the street. I have a 17-year old male who came in for palpitations. He says that he first…
16-year-old athlete who has syncope during athletic competition
Case I’m calling from the ER with a 16-year old male who was playing in a soccer tournament today and suddenly collapsed on the field. They say that just before…
14-Year-old cross country runner presents with syncope during a race
Case Hi, I’m calling from the ER and sorry to bother you on a weekend. I have this 14-year old female who has been previously healthy and passed out while…
13-Year-old with syncope while standing in line for lunch
Case Hi, we have a 13-year old girl who was brought in by ambulance after she passed out today at school. She was standing in line at the cafeteria during…
16-Year-old with premature ventricular contractions noted during athletic participation physical
Case Thanks for taking my call. I have this 16-year old adolescent male that I have been following for years who now presents for his athletic participation physical. As I…
15-year-old with intentional ingestion of grandparent’s heart rhythm medication
Case I’m calling from the ER and I have a 15-year-old female that has just been brought in by paramedics for a drug overdose. She is responsive to pain but…
7-year-old, asymptomatic, with ECG obtained for physical demonstrating WPW
Case Hi thanks for taking my call. I’m a local psychiatrist and I obtained an ECG on this 7-year-old boy who I follow and was recently diagnosed with ADHD. The…
