
ECG review
This page features a collection of ECGs from various pediatric patients. These ECGs showcase a range of normal variants and different pathologies you might encounter in the pediatric population. In this page, we simplify the essentials of pediatric ECG to help you recognize patterns and abnormalities in peds ECG. We will add more strips as we collect more ECGs, so stay tuned.


Sinus rhythm, regular HR 78 Normal axis

Sinus rhythm, regular HR 55 Normal Axis ST elevation in V2-5 consistent with early repolarization

Rhythm sinus, regular HR 125 Normal axis

Sinus rhythm, regular HR 115 Normal axis

Sinus rhythm, regular HR 100 Left axis deviation: lead I is positive, AVF is negative

Sinus rhythm, regular HR 75 Right axis deviation: Lead I is negative, AVF is positive Right bundle branch block: rSR' in V1, QRS duration> 120 ms

Sinus tachycardia, regular HR 130 Extreme axis deviation: Lead I and AVF both negative Right ventricular hypertrophy: Tall R in V1, V2. Deep S in V4, V5

Sinus rhythm, regular HR 80 Normal axis Possible RVH: Tall R in V2, V3 Possible LVH: Tall R in V4, V5 Incomplete RBBB: rR' in V1, QRS duration<120ms

Sinus rhythm, regular HR 84 Normal Axis WPW: short PR interval and delta wave prominent in Lead I, V4-6 LVH: Deep S in V2-3, Tall Q in V4-6