Interactive Paediatric ECG Course

Time and location:

15 May 2024, 09:00 – 13:30

London, Dickens Room (350yds from Great Ormond Street Hospital main entrance), 5 Richbell Pl, London WC1N 3LA, UK

Course description:

This half-day face-to-face course will take you through all practical aspects of paediatric ECG interpretation. It will provide you with useful tips to quickly and easily navigate the ECG basics and explain to you the differences between paediatric and adult traces.

The course will also give you the confidence and skills to identify different types of tachyarrhythmias and bradyarrhythmias, from minor pathologies to true emergencies. Signs of atrial enlargement and ventricular hypertrophy will also be discussed.

The final part of the course will focus on repolarization changes with special emphasis on the differential diagnosis of myocardial ischemia and other potentially serious patterns not to be missed in daily practice. In order to best meet the learning objectives, the course will have a limited number of participants.

Target audience:

Paediatric, A&E, neonatal – consultants, trainees and ANPs

Paediatric cardiology trainees and ANPs

Learning aims:

The Interactive Paediatric ECG Course is specifically designed for those who want to become confident in the interpretation of paediatric ECG. Learning will be enhanced by in-depth review of a very large number of traces covering the full spectrum of ECG abnormalities.

Learning outcomes:

By the end of this course, delegates will be able to:

  • Understand the characteristics of a normal ECG
  • Make the difference between adult and paediatric ECG
  • Develop an approach to tachycardias (irregular / regular, narrow / wide complex)
  • Discuss the indications and contraindications of Adenosine
  • Know how to approach atrial / ventricular ectopy
  • Understand blocks (sinoatrial, atrioventricular, fascicular, bundle branch blocks)
  • Recognise signs of atrial enlargement and ventricular hypertrophy
  • Explore the differential diagnosis of ST-segment changes
  • Recognise various types of T-wave abnormalities
  • Practise and assess your knowledge and skills by reviewing a large number of ECG traces

Speaker details:

Dr Filip Kucera, Consultant in Paediatric Cardiology, Great Ormond Street Hospital


8 55 – 9 00 Introduction

9 00 – 9 20 ECG basics

  • Characteristics of the normal ECG, paediatric vs adult ECG
  • Heart rate – ways for fast calculation (regular vs irregular rhythms)
  • QRS axis – what is still a normal axis and how to determine it easily
  • Interactive practice exercises, questions

9 20 – 10 30 Tachycardias

  • Mechanisms of tachycardias
  • Irregular vs regular narrow complex tachycardias
  • Wide complex tachycardias – when what looks like a VT is not always a VT
  • Adenosine – when to give it, when to avoid it
  • Interactive practice exercises, questions

10 30 – 10 45 Ectopy

  • Atrial ectopy – how much is too much
  • Ventricular ectopy – when to worry
  • Interactive practice exercises, questions

10 45 – 11 00 BREAK

11 00 – 11 45 Conduction blocks

  • Conductive tissue of the heart, escape rhythms
  • Sinoatrial blocks
  • Atrioventricular blocks
  • Fascicular and bundle branch blocks
  • Interactive practice exercises, questions

11 45 – 12 15 Atrial enlargement, ventricular hypertrophy

  • Right, left, bi-atrial enlargement
  • Right, left ventricular hypertrophy
  • Interactive practice exercises, questions

12 15 – 12 30 BREAK

12 30 – 13 10 ST-segment changes

  • Myocardial ischaemia – never miss an ischaemic trace
  • Pericarditis – different stages explained
  • Early repolarization pattern
  • Brugada syndrome – patterns to always remember
  • Other conditions associated with ST changes
  • Interactive practice exercises, questions

13 10 – 13 30 T-wave changes, long QT syndrome

  • T wave abnormalities
  • Long QT syndrome – not just about QTc prolongation
  • Interactive practice exercises, questions

13 30 – 13 35 Final remarks

For more information, and to register, please visit our webpage: Interactive Paediatric ECG Course (face to face) | Medical Courses (