Pædiatric RVH

Report:

Sinus rhythm 175/min (upper limit for up to two years)

Right atrial abnormality, P congenitale type

Right axis deviation +170o

Right ventricular hypertrophy

RV1 > 5 mm

Comment:

The infant had a complex anatomy, not predictable per se on her ECG: common atrium, double-outlet RV, mitral atresia, hypoplastic LV, large VSD, partial anomalous venous drainage. Pulmonary artery was banded, palliatively.

Lead 2 is usually negative in pædiatric RAD as well as LAD; it’s 1 and aVF that distinguish them.

279. 69 year old man with locked in syndrome.

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