Hubbard Joyce - Pediatric Arrhythmias and EKGs for the Health Care Provider

i Pediatric Arrhythmias and EKGs for the Health Care Provider

ii Kathleen Joan Prater, CCT, became a certified cardiac technician through Cardiovascular Credentialing International in 1993 and had a career in cardiac testing that spanned 35 years. She assisted cardiologists with various cardiac researches, and taught nurses and technicians at Riley Hospital for Children at Indiana University Health, at the Medical Center in Indianapolis, for 15 years. Ms. Prater instructed staff in how to obtain EKGs and rhythm strips on children and how to interpret pediatric arrhythmias. Along with Dr. Joyce Hubbard, she developed a manual to teach these procedures, which is the foundation for this book.

Joyce Ellis Hubbard, MD, was an assistant clinical professor of pediatrics, Section of Pediatric Cardiology, and a pediatric cardiologist at Riley Hospital for Children at Indiana University Health, at the Medical Center in Indianapolis, from 1988 to 2014. Her subspecialty was electrophysiology: electrophysiology studies, ablations, defibrillators, pacemakers, event monitoring transmissions, EKGs, treadmill testing, tilt table testing, and all other testing that involved the heartbeat. She was respected for her knowledge, experience, and advice.

Riley Hospital for Children was ranked among the top childrens hospitals nationwide by U.S. News and World Report (20132014). The Riley Heart Center is Indianas only comprehensive cardiac inpatient unit that was designed specifically for children. The hospitals nurses and cardiac technicians perform approximately 10,000 EKGs a year. Pediatric Arrhythmias and EKGs for the Health Care Provider contains the revised informational manual plus 50 EKGs, increased numbers of rhythm strips, information on dysrhythmias and the conditions associated with them, and explanations about the basics of pediatric arrhythmias and their interpretations. This book provides the health care practitioner with a comprehensive guide to the recognition and mastering of arrhythmias.

Kathleen J. Prater, CCT

Joyce E. Hubbard, MD

iv Copyright 2017 Springer Publishing Company, LLC

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ISBN: 978-0-8261-9446-6

e-book ISBN: 978-0-8261-9447-3

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The author and the publisher of this Work have made every effort to use sources believed to be reliable to provide information that is accurate and compatible with the standards generally accepted at the time of publication. Because medical science is continually advancing, our knowledge base continues to expand. Therefore, as new information becomes available, changes in procedures become necessary. We recommend that the reader always consult current research and specific institutional policies before performing any clinical procedure. The author and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in part, from the readers use of, or reliance on, the information contained in this book. The publisher has no responsibility for the persistence or accuracy of URLs for external or third-party Internet websites referred to in this publication and does not guarantee that any content on such websites is, or will remain, accurate or appropriate.

Library of Congress Cataloging-in-Publication Data

Names: Prater, Kathleen J., author. | Hubbard, Joyce, author.

Title: Pediatric arrhythmias and EKGs for the health care provider / Kathleen J. Prater, Joyce E. Hubbard.

Description: New York, NY : Springer Publishing Company, LLC, [2017] | Includes bibliographical references and index.

Identifiers: LCCN 2017000291| ISBN 9780826194466 | ISBN 9780826194473 (eBook)

Subjects: | MESH: Arrhythmias, Cardiacdiagnosis | Child | Electrocardiographyinstrumentation | Electrocardiographymethods

Classification: LCC RC683.5.E5 | NLM WG 330 | DDC 616.1/207547dc23 LC record available at https://lccn.loc.gov/2017000291

Printed in the United States of America by McNaughton & Gunn.

vi v I dedicate this book, a labor of love, to my parents, Russell and Pauline, who taught me to learn all that I could about a career that I loved and to do the best job that I could.

Kathleen (Conner) Prater

Contents

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Margaret C. Slota, DNP, RN, FAAN

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xv Dr. Joyce Hubbards commitment to pediatric patients is at the heart of this manual. She was dedicated to her patients, treasured the respect and love she received from them, and thought of many of them as her friends. I will always fondly recall the warmth of her smile each time a patient hugged her. The patients and families left the office smiling, too. Dr. Hubbards concern for her patients was evident to all; she showed that same concern for those with whom she worked at Riley Hospital for Children.

I became a better cardiac technician because she expected and demanded only the best. I was gratified that she encouraged my interest in teaching the nurses about arrhythmias and various aspects of the computerized digital EKG machine. Her love of teaching heart rhythms and EKGs has not ended with her passing, but will continue with our book, Pediatric Arrhythmias and EKGs for the Health Care Provider, which Dr. Hubbard believed would benefit health care providers who work with the pediatric population.

A summer teaching endowment in Dr. Hubbards name and memory was initiated at Riley Hospital for Children in 2016. In the summer of 2016, two paid undergraduate premedical students were chosen as the first recipients. They had an amazing opportunity to learn about pediatric cardiology in the place where Dr. Hubbard trained so many students before them.

Thank you, Dr. Joyce Hubbard, for your love of teaching. I am one of many who continue to benefit from your knowledge.

Kathleen J. Prater

Joyce Ellis Hubbard, MD

xvii Rooted in the formation of the American Pediatric Society in 1888 and, later, the American Academy of Pediatrics (1930), practice and knowledge in the specialty of pediatric care grew steadily over the years (American Academy of Pediatrics, 2001). Interest in and development of pediatric cardiology as a specialty discipline developed from the early work with children diagnosed with congenital heart disease. The first subspecialty certification in pediatrics was cardiology, in 1961 (Noonan, 2004). The earliest technology developments focused on diagnostic tools for evaluation and treatment of cardiac defects, including physiological studies, auscultation of pediatric heart sounds, angiography, and extracorporeal circulation. In recent years, imaging tools have progressed significantly, often supplanting the need for cardiac catheterization.