Sanches M, Coelho A, Oliveira E, Lopes A
Serviço de Pediatria, Hospital Distrital de Santarém, Santarém, Portugal.
Unidade de Saúde Familiar Santiago, Centro de Saúde Arnaldo Sampaio, Leiria, Portugal.
Semergen. 2014 Sep;40(6):334-40. doi: 10.1016/j.semerg.2013.10.007. Epub 2014 Jun 5.
A properly interpreted electrocardiogram (ECG) provides important information and is an inexpensive and easy test to perform. It continues to be the method of choice for the diagnosis of arrhythmias. Although the principles of cardiac electrophysiology are the same, there are anatomical and physiological age-dependent changes which produce specific alterations in the paediatric ECG, and which may be misinterpreted as pathological. The intention of this article is to address in a systematic way the most relevant aspects of the paediatric ECG, to propose a possible reading scheme of the ECG and to review the electrocardiograph tracings most frequently found in the paediatric age group.
一份解读正确的心电图（ECG）能提供重要信息，且是一项成本低廉、操作简便的检查。它仍然是诊断心律失常的首选方法。尽管心脏电生理学原理相同，但存在与年龄相关的解剖学和生理学变化，这些变化会导致小儿心电图出现特定改变，且这些改变可能被误诊为病理性改变。本文旨在系统阐述小儿心电图最相关的方面，提出一种可能的心电图解读方案，并回顾小儿年龄组中最常见的心电图描记图。
