Interviewer: So guys are pediatrician get electrocardiogram. What would I do looking for? What would I find for would give me some concerns of operating care on or having less concerns even licensed the medicine thing you did?
Doctor: First thing we need to say is every pediatrician has a different comfort level with electrocardiograms. We list pediatric cardiologist understand that electrocardiogram is a base line tested in any pediatrician can order without a cardiology consult. There are some pediatricians do electrocardiograms in their office and feel comfortable with interpreting many of the electrocardiograms they have obtained. And those that they do not feel comfortable with there office will send them to a pediatric cardiologist, like myself for another interpretation.
Then that is the group of pediatrician that does not feel comfortable doing electrocardiograms and we as pediatric cardiologist have no problem with the pediatrician. Just reform a child to our office or hospital for electrocardiogram and that electrocardiogram is efficiently read by a pediatric cardiologist.
Other pediatricians are extremely concern if about this problem and we will refer the child with pediatric cardiologist. She gets her more comprehensive with history, physical and electrocardiogram, so in any ways of dealing with the electrocardiogram.
Interviewer: If the electrocardiogram is normal, that is no guarantee if we in clear. It has makes some less likely every post.
Doctor: What has going to understand is we discuss is nothing scientifically proving concerning the risk of sudden cast with these medicines. We for example has mentioned the prolonged huge syndrome, none of these drugs have never been used. Really have the chance of who won the acuity into them.
So a lot most of these is evidence based in a very low level, but because there have been reports of sudden gas, with children or on these medications, these recommendation has come about health having said that, let us talk about the electrocardiogram. When you screen a lot of normal children, you will have things on the electrocardiogram that maybe fairings of normal and mild access deviation, and occasional extra bits. Sometimes the little change in the heart rhythm, these are all things that we recall variations of normal. Those children certain do not require consultation with the pediatric cardiologist if the pediatrician gets that report back.
But now they are some things, that you get honest screen electrocardiogram. My example, hypertrophy of the left ventricle, now hypertrophy of the left ventricle is not necessary means the child has intrinsic muscle. It is only one thing that leads you to say “Let us get that child seen by a pediatric cardiologist”.
Next level, Wolfe Parkinson White is basically an electrical short circuit in the heart. There are people that they have their whole lives never know they have it. But if you screen many, many health in children and young adolescent, you will find Wolfe Parkinson White on the electrocardiogram.
In addition, if you screen normal children you will get children who are QT interval. We called carotid QT interval or off the normal character. It was not just getting invasions, I have the normal rate.
Again, that is not an invitation.
Interviewer: What does the QT interval mean?
Doctor: It means that it is an electrical medical determines on an electrocardiogram which increases the volume mobility to a life threatening cardiac or rythmea.
Interviewer: What is the hat doing on the QT interval was interpreted?
Doctor: Okay, when I QT if the heart in vulnerable stage, right as soon as relaxation phase and then atopic P or an X or V which falls in a certain area on the heart make horse a very, very demonstrating in fact. However, most people will have it for an elongation of QT interval and not like does something. It is also important to recognize that things I just have mentioned, I have mentioned three things have courtesy of the left ventricle to electrocardiogram. Short circuit in the heart and for a long QT, all of those three things will be something that one would say, “Let us have pediatric cardiologist look at the child”. However, there is nothing to say that even with those bunions, the child would be denied use of a truck as they need specifically the medication.
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