Evaluation of the child with an arrhythmia.

Several recent technologic innovations will expand the therapeutic alternatives available to children with arrhythmia. Despite these advances, the management of these patients still requires a solid foundation of clinical skill and judgment. The primary care pediatric practitioner is often the first one to recognize the symptoms and signs of an arrhythmia. Careful assessment of the history, physical examination, and electrocardiogram is necessary for making the correct diagnosis.