ירחון החברה הישראלית לפדיאטריה אמבולטורית (חיפ"א) גיליון 2018-1

12 Answers: 1. Wolf-Parkinson-White: notice the short pr intervals and delta waves https://www2.luriechildrens.org/ce/online/article.aspx?articleID=294 2. LVH secondary to HCM: pathologies in the left (A): ST depression and deep, inverted T waves; these findings are improved in the ECG on the right (B). http://circimaging.ahajournals.org/content/8/7/e003312 3. Long QT (QTc= QT/√r-r) http://pediatrics.aappublications.org/content/101/2/306 4. Brugada Syndrome: note ST elevation and RBBB http://emedicine.medscape.com/article/163751-overview 5. Arrhythmogenic Right Ventricular Dysplasia This is not an exhaustive list of pathologic findings to be found on pre-sports ECGs . For more comprehensive and in depth review, please see the following articles: Further reading: • Wren, C. Sudden Death in Children and Adolescents. Heart. 2002 Oct; 88(4): 426–431. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1767396/ • Gajewski KK, Saul JP. Sudden cardiac death in children and adolescents (excluding Sudden Infant Death Syndrome). Annals of Pediatric Cardiology . 2010;3(2):107-112. doi:10.4103/0974- 2069.74035. • Maron B, Friedman R, Kligfield P, et al. Assessment of the 12-Lead ECG as a Screening Test for Detection of Cardiovascular Disease in Healthy General Populations of Young People (12–25 Years of Age). A Scientific Statement From the American Heart Association and the American College of Cardiology. Circulation 2014;130:1303-1334. http://dx.doi.org/10.1161/CIR.0000000000000025 • Corrado D, Pelliccia A, Bjørnstad HH, Vanhees L, Biffi A, Borjesson M, et al. Cardiovascular pre- participation screening of young competitive athletes for prevention of sudden death: Proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology.  Eur Heart J.2005;26:516–24. לשאלות