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heart block-2 year old
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heart block-2 year old


Dear all, got the below EKG and holter report for my nearing 2 yr old son, will be grateful if anyone can interpret or give some advise to me,thanks very much.

HOLTER REPORT

Heart rate
35919 beats in bradycardia (1.
0 sec and 52 interval>1.5 sec recorded.
There was a single ventricular extrasystole recorded at 13:54:48. There was no ventricular couplet or run or supraventricular extrasystole recorded.
There was no significant anomaly of ST-T noted. The QTc was within normal limits. Longest R-R interval was 1.88 sec (at 00:37:52, 3:1 AV conduction)

ECHOCARIODGRAPHY REPORT
BSA:0.51M square
Measurement: Aortic annulus-1.00cm
Pulmonary annulus-1.07cm
Right pulmonary artery-0.56cm
Left pulmonary artery-0.53cm
Mitral valve annulus-2.22cm
Tricuspid valve annulus-1.67cm
RVDd-1.50cm

MEASUREMENTS:Normal interventricular septum:
IVSd-0.48cm
IVSs-0.94cm
Normal posterior left ventricular wall:
LVPWd-0.51cm
LVPWs-0.74cm
Dilated left ventricular internal dimension (95th centile)
LVIDd-3.75cm
LVIDs-1.94cm
Normal Cardiac contractility
Ejection fraction-0.73
Fractional shortening-41.10%

LESION: Intact interatrial septum,tricuspid aortic valve,normal proximal coronary arteries
RELATION:Normal spatial relation
DOPPLER:Pulmonary artery flow velocity-1.06m/s, Right pulmonary artery flow velocity -1.38m/s, Peak diastolic pressure gradient across RPA -7.60 mmHg
Mitral valve inflow velocity:E wave -1.72m/s, A wave -0.61m/s
Tricuspid valve inflow velocity: E wave-0.82m/s A wave 0.61m/s
Tricuspid regurgitation jet flow velocity -1.48m/s
Peak systolic pressure gradient across tricuspid valve-8.70mmHg
Ascending aortic flow velocity -1.76m/s
Descending aortic flow velocity-1.83m/s
COLOR FLOW: No flow across interatrial septum, Mild tricuspid regurgitation, mild pulmonary regurgitation, trivial mitral regurgitation


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