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Normal ECG standards and percentile charts for infants, children and adolescents

Hung-Chi Lue1, Mei-Hwan Wu1, Jou-Kou Wang1

  • 1Department of Cardiology, National Taiwan University Children's Hospital, Taipei, Taiwan.

Pediatrics and Neonatology
|December 4, 2022
PubMed

Insights

This study establishes normal electrocardiogram (ECG) standards for 15 key parameters in children from birth through adolescence. These findings provide essential reference ranges for pediatric cardiology and clinical research.

Area of Science:

  • Pediatric Cardiology
  • Biomedical Engineering
  • Clinical Diagnostics

Background:

  • Existing normal electrocardiogram (ECG) standards often lack comprehensive age coverage from birth to adolescence.
  • Previous studies have not fully addressed the evolving cardiac physiology during growth and development in pediatric populations.
  • There is a need for updated and complete ECG reference ranges across all pediatric age groups.

Purpose of the Study:

  • To establish a comprehensive set of normal electrocardiogram (ECG) standards for pediatric populations.
  • To define age- and sex-specific reference ranges for key ECG parameters from birth through adolescence.
  • To provide updated data for the accurate interpretation of pediatric ECGs.

Main Methods:

  • Selection of 15 key electrocardiogram (ECG) parameters from a large database.
  • Statistical analysis including calculation of mean, standard deviation, and 2nd to 98th percentiles for each parameter.
  • Construction of percentile charts to visualize age- and sex-specific normal ECG ranges.

Main Results:

  • Established the ranges and distributions for 15 key normal electrocardiogram (ECG) parameters.
  • Determined age- and sex-specific means and 2nd to 98th percentiles for all analyzed parameters.
  • Developed percentile charts illustrating normal ECG standards across the pediatric age spectrum.

Conclusions:

  • A complete set of normal electrocardiogram (ECG) standards for 15 key parameters is now available for children from birth to adolescence.
  • These established standards will aid clinicians and researchers in the accurate interpretation and evaluation of pediatric ECGs.
  • This resource supports the understanding of cardiac development and normative values in pediatric populations.
Abstract

Keywords:
children and adolescentsgrowth and developmentinfantsmale and femalenormal ECG values

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