Approach to Peds ECG
Check for:
P Waves
Age appropriate Axis
Age appropriate T waves
Age appropriate QRS progression
Axis
Usually Right until age 8
Due to large Right Ventricle
T waves
Inverted in V2 - V3 until age 8-12
Due to large Right Ventricle
QRS
Large in early precordial leads (V1 - V3)
Due to large Right Ventricle