ABSTRACT
Description of the progression of the normal newborn and neonatal electrocardiogram (ECG) in the first year of life include dare the mechanisms for the changes in the muscle masses of the pulmonary and systemic circulations and the resulting affect on the electrocardiogram included also is a description of the T wave detailed as well is a description from data from northern Italy of the QT interval using a large population base.
Subject(s)
Aging/physiology , Electrocardiography/methods , Heart Conduction System/physiology , Heart Rate/physiology , Female , Humans , Infant, Newborn , Male , Reproducibility of Results , Sensitivity and SpecificityABSTRACT
BACKGROUND: Fewer electrodes on more easily located places would facilitate electrocardiogram (ECG) recording. To investigate the possibility of simplifying ECG recording in children, we compared the diagnostic conclusions when interpreting standard versus EASI-derived 12-lead ECGs. Our hypothesis was that the variation of the interpretation of standard versus EASI-derived 12-lead ECGs was not greater than the intrareader variation of the interpretation of standard ECGs. METHODS: The study included 221 children. The 2 lead systems were recorded simultaneously. Two experienced pediatric cardiologists interpreted the ECGs. First, the reader interpreted a set of 221 ECGs with randomly allocated standard and EASI-derived 12-lead ECGs. Next, the reader interpreted the complementary ECG set without having access to the first set. Finally, the reader reinterpreted the standard ECGs from 98 children. RESULTS: The variation of the interpretation of standard versus EASI-derived 12-lead ECGs was only slightly larger than the intrareader variation of the interpretation of standard ECGs. CONCLUSIONS: For most of the electrocardiographic diagnoses, the conclusions from EASI-derived 12-lead ECGs were similar to those from standard ECGs. These findings support the suggestion that the EASI lead system is a potential alternative to the standard ECG in children.
