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Abstract
Cardiac arrhythmias in children in the pediatric cardiovascular intensive care unit are a function of the interaction between the intrinsic disease, complications of successful palliation and treatment, and the moment-to-moment homeostatic state of the patient (autonomic tone, electrolyte balance, hemodynamic status, therapeutic agents). Knowledge regarding all three factors are critical for the successful management of arrhythmias in patients in the pediatric cardiovascular intensive care unit. Continuous electrocardiographic monitoring with an archival system is essential for instantaneous and accurate detection of potentially life-threatening tachy and bradyarrhythmias. Intensivists, cardiologists and intensive care nursing personnel must constantly process data that lead to rapid diagnosis and definitive management of an abnormal cardiac rhythm in these highly vulnerable children.
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