pediatriskt ekg · 2018-11-02 · 17/10 2018 pediatriskt ekg jens böhmer, md pediatric cardiology...
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17/10 2018
Pediatriskt EKG
Jens Böhmer, MD
Pediatric CardiologyThe Queen Silvia Children’s HospitalSahlgrenska University Hospital
Department of PediatricsInstitution of Clinical SciencesSahlgrenska AcademyUniversity of Gothenburg
Gothenburg, Sweden
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EKG: vad är det för något?
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EKG: vad är det för något?
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EKG hos barn:
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EKG hos barn:
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EKG hos barn:
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Elektrisk axel
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Elektrisk axel
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Elektrisk axel
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Pediatriskt EKG
• PR intervall
‣ Längre med åldern
‣ Olika gränser för AV-block
‣ AV-block I: „normalvariant“
• QRS-duration
‣ Längre med åldern
‣ Olika gränser för skänkelblock
‣ Hö-sidig retledningshinder: normalvariant
• T-vågs progression
‣ Konstig form vid R/S
‣ Toppig hos tonåringar
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Pediatriskt EKG
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Systematisk tolkning
• Hjärtfrekvens
‣ Ta hänsyn till feber etc MEN takykardi måste följas
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Systematisk tolkning
• hjärtfrekvens
• rytm
• Axis
• P-våg/ PQ-tid
• QRS-komplex
• ST/T
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