Tachycardic Infant in Viral Season: Could it be ALCAPA? EKG Clues for Diagnosis W/ Meghan Chlebowski
With Dr. Meghan Chlebowski
Chapter 1 of 1 · Diagnosis & Workup
ALCAPA EKG findings
EKG Recognition of ALCAPA in Tachycardic Infants
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Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
What the experts said
Viruses are usually at the top of the differential when kids present to their pediatrician or the emergency department this winter.
The most important part of this EKG is the fact that there are very abnormal Q waves.
Q waves are quite abnormal, especially in lead aVL.
Abnormal Q waves are characteristic of ALCAPA (anomalous left coronary artery origin from the pulmonary artery).
On echocardiography, ALCAPA can easily be missed.