Think Outside the Chest
Fig. 12.1 Apical 4-chamber view demonstrating the dilated right atrium and right ventricle. RA right atrium, RV right ventricle, LA left atrium, LV left ventricle Fig. 12.2 Suprasternal long-axis view…
Coronary Artery Imaging Is Crucial
Fig. 7.1 ECG demonstrating sinus rhythm with lateral T wave inversion and ventricular ectopy Fig. 7.2 Initial echocardiogram demonstrating apparently normally arising LCA (arrow) from the aorta (a) with antegrade…
When Not to Intubate Babies Receiving 100 % Oxygen
Fig. 9.1 Chest x-ray showing a slightly enlarged cardiac shadow and streaky lung fields in case 1 The echocardiogram showed normal situs, atrioventricular and ventricular-arterial connections. The pulmonary veins were…
It’s Enough to Make You Anxious
Fig. 1.1 An ECG at rest showing a narrow complex tachycardia of rate. Although the P wave appears immediately before the QRS, the rhythm is not sinus as the P…
Chest Pain in Children: Not Always Benign
Fig. 6.1 ECG on presentation at the local hospital two and a half years after surgery showing T-wave inversion in mid-precordial leads Three months later he developed sudden shortness of…
Is This Really Bronchiolitis?
Fig. 14.1 (a, b, c) Serial chest radiographs showing a relatively normal cardiothoracic ratio and pulmonary venous congestion It was mid-October and the beginning of annual winter bronchiolitis epidemic in…
Fetal AVSD or Maybe Not?
Fig. 2.1 Four-chamber view of the fetal heart. LV left ventricle, RV right ventricle, RA right atrium. ★ denotes marks enlarged coronary sinus giving false impression of a primum septal…
Pulmonary Resistance: How Best to Measure?
Patient 1 (AVSD) (XMR) Patient 2 (PDA) (conventional catheter) PA pressure at baseline Systemic Systemic Qp:QS at baseline 1.9:1 1.8:1 PVR at baseline 10 WU.m2 8.1–12.4 wu.m2 (based on…
Don’t Ignore Reverse Differential Cyanosis
Fig. 21.1 Schematic showing the structural anomalies in this infant leading to reverese differential cyanosis. Blue represents deoxygenated blood, and red oxygenated blood. RA right atrium, RV right ventricle, LA…
The Test That Gets Forgotten
Fig. 20.1 ECG demonstrating left ventricular hypertrophy Of note, there was a family history of Neurofibromatosis Type 1 (NF1) in the paternal grandfather, although the child’s mother and father were…
