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12-Lead ECG The Art of Interpretation

ISBN-10: 0763712841
ISBN-13: 9780763712846
Edition: 2001
List price: $134.95 Buy it from $38.85
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Description: Most electrocardiography textbooks were created for either beginners or advanced students, but leave the intermediate student, or persons with some knowledge of 12-lead and arrhythmia recognition, out of the picture. This text was written for  More...

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Book details

List price: $134.95
Copyright year: 2001
Publisher: Jones & Bartlett Learning, LLC
Publication date: 12/7/2000
Binding: Paperback
Pages: 536
Size: 8.25" wide x 10.50" long x 0.75" tall
Weight: 2.640
Language: English

Most electrocardiography textbooks were created for either beginners or advanced students, but leave the intermediate student, or persons with some knowledge of 12-lead and arrhythmia recognition, out of the picture. This text was written for beginner, intermediate, and advanced students alike.The result is an all-encompassing text designed to bring you from your current level of electrocardiographic knowledge to a fully advanced interpreter of ECGs. Whether you are an EMT, nurse, medical student, or physician wanting to learn or brush up on your knowledge of electrocardiography, this book will meet your needs.

The Basics
Anatomy
Gross Anatomy
Anterior View
The Heart in Cross Section
The Heart as a Pump
Pump Function Simplified
The Electrical Conduction System
Pacemaker Function
Pacemaker Settings
The Sinoatrial (SA) Node
The Internodal Pathways
The Atrioventricular (AV) Node
The Bundle of His
The Left Bundle Branch (LBB)
The Right Bundle Branch (RBB)
The Left Anterior Fascicle (LAF)
The Left Posterior Fascicle (LPF)
The Purkinje System
Chapter in Review
Electrophysiology
Mechanics of Contraction
Ion Movement and Polarity
Membrane Channels and Action Potential Phases
Chapter in Review
Individual Vectors
Adding and Subtracting Vectors
The Electrical Axis of the Heart
Electrodes and Waves
Leads Are Like Pictures of the Heart
Lead Placement (Where to Put the "Cameras")
How the Machine Manipulates the Leads
The Two Lead Systems
The Hexaxial System
The Precordial System
The Heart in Three Dimensions
Localizing an Area: Inferior Wall
Localizing Other Areas
Chapter in Review
The Actual EGG: Paper and Ink
Boxes and Sizes
Calibration
Where Is Each Lead Represented?
Temporal Relationship of the ECG
Why Is Temporal Spacing Important?
Chapter in Review
ECG Tools
Calipers: The ECG Interpreter's Best Friend
How to Use Your Calipers
Comparing Wave Heights
Adding Wave Heights
Comparing Widths
Axis-Wheel Ruler
ECG Rulers
Straight Edge
The Basic Beat
Introduction to Basic Components
Wave Nomenclature
Individual Components of the ECG Complex
The P Wave
The Tp Wave
The PR Segment
The PR Interval
The QRS Complex
The ST Segment
The T Wave
The QT Interval
The U Wave
Additional Intervals
Looking Ahead
Chapter in Review
The Rate
Establishing the Rate
Normal and Fast Rates
Bradycardic Rates
Chapter in Review
Rhythms
Major Concepts
General
P Waves
QRS Complexes
Individual Rhythms
Supraventricular Rhythms
Ventricular Rhythms
Heart Blocks
Chapter in Review
ECG Interpretation
The P Wave
Overview
ECG Case Study: P Wave Basics
P Wave Morphology
ECG Case Studies: P Wave Morphology
Abnormal P Waves
P-mitrale
ECG Case Studies: P-mitrale
P-pulmonale
ECG Case Studies: P-pulmonale
Intraatrial Conduction Delay (IACD)
ECG Case Studies: Biphasic P Waves
Biatrial Enlargement
ECG Case Studies: Biatrial Enlargement
Chapter in Review
The PR Interval
Conduction Overview
PR Depression
ECG Case Study: PR Interval Depression
Measuring the Interval
Short PR Interval
ECG Case Study: Short PR Interval
Wolff-Parkinson-White Syndrome (WPW)
ECG Case Studies: WPW
WPW Syndrome--Advanced Information
Prolonged PR Interval
ECG Case Studies: Prolonged PR Interval
Chapter in Review
The QRS Complex
How Are the Waves Made?
What to Look for in the QRS Complex
QRS Height (Amplitude)
Abnormal Amplitude
ECG Case Studies: Pericardial Effusion
ECG Case Study: Large QRS Complexes
Left Ventricular Hypertrophy (LVH)
Electrocardiogram Criteria for LVH
Identifying LVH, Step by Step
ECG Case Studies: Left Ventricular Hypertrophy
Right Ventricular Hypertrophy (RVH)
RVH and the ECG
ECG Case Studies: RVH
QRS Duration
ECG Case Studies: QRS Duration
The Wide-QRS Differential, Simplified
QRS Morphology
ECG Case Studies: QRS Morphology
Q Wave Significance
Benign Q Waves
Respiratory Variation of Q Waves
ECG Case Studies: Q Wave Significance
Significant (Pathological) Q Waves
Transition Zone
ECG Case Studies: Transition Zone
QRS Notching
Osborn (J) Waves
ECG Case Studies: QRS Notching and Osborn Waves
Chapter in Review
The Electrical Axis
How to Calculate the Electrical Axis
Isolating the Axis
Find the Quadrant
Isolate the Isoelectric Lead
Isolate the Closest Lead
Isolate the Vector
Double-Check Your Findings
Causes of Axis Deviation
Right Axis Deviation (RAD)
Left Axis Deviation (LAD)
The Z Axis
The Z Axis Precordial Lead System
More Examples: Adding the Z Axis
Z Axis: Other Approaches
Chapter in Review
Bundle Branch Blocks and Hemiblocks
Right Bundle Branch Block
ECG Findings in Right Bundle Branch Blocks
The QR' Wave
ECG Case Studies: Right Bundle Branch Block
Left Bundle Branch Block
Criteria for Diagnosing LBBB
ECG Case Studies: Left Bundle Branch Block
Intraventricular Conduction Delay (IVCD)
Summary Comments on Bundle Branch Blocks
ECG Case Studies: Intraventricular Conduction Delay
Hemiblocks
Left Anterior Hemiblock
ECG Case Studies: Left Anterior Hemiblock
Left Posterior Hemiblock
ECG Case Studies: Left Posterior Hemiblock
Bifasciular Blocks
ECG Case Studies: Bifascicular Block
Chapter in Review
ST Segment and T Waves
Basics
Where Is the J Point?
ST Elevation or Depression
ST Segment Shapes
The T Wave
ECG Case Studies: ST Segments and T Waves
Ischemia and Injury
ECG Case Studies: Ischemia and Injury
Strain Pattern
Right Ventricular Strain Pattern
ECG Case Studies: Right Ventricular Strain Pattern
Left Ventricular Strain Pattern
ECG Case Studies: Left Ventricular Strain Pattern
ECG Comparisons: Benign Changes Versus Infarct
Pericarditis Revisited
ECG Case Studies: Pericarditis
STs and T Waves in Blocks
ECG Case Studies: STs and Ts in Blocks
Chapter in Review
Acute Myocardial Infarction
Introduction
Zones of Ischemia, Injury, and Infarction
Infarct and Q Waves
Q Wave Infarct
Non-Q Wave Infarct
ECG Progression in Infarct
Reciprocal Changes
Infarct Regions on the ECG
Infarct Regions in Combination
ECG Case Studies: Anteroseptal AMI
ECG Case Studies: Anteroseptal AMI with Lateral Extension
ECG Case Study: Lateral Wall AMI
ECG Case Studies: Inferior Wall AMI
ECG Case Studies: Inferolateral AMI
ECG Case Studies: Apical AMI
ECG Case Studies: Right Ventricular Infarction
ECG Case Studies: Posterior Wall AMI
ECG Case Studies: Inferoposterior AMI
ECG Case Studies: Inferior-RV-Posterior AMI
Chapter in Review
Electrolyte and Drug Effects
Hyperkalemia and Its Effects
The Spectrum of Hyperkalemia
T Wave Abnormalities in Hyperkalemia
ECG Case Studies: T Wave Changes in Hyperkalemia
IVCD and Hyperkalemia
P Waves and Hyperkalemia
ECG Case Studies: IVCD and P Waves in Hyperkalemia
Other Electrolyte Abnormalities
Hypokalemia
Hypercalcemia
Hypocalcemia
ECG Case Studies: Other Electrolyte Abnormalities
Drug Effects
Digoxin
ECG Case Studies: Drug Effects
Chapter in Review
Putting It All Together
New Ground
The 10 Questions of the Gram
What Is My General Impression?
Is There Anything That Sticks Out?
What Is the Rate?
What Are the Intervals?
What Is the Rhythm?
What Is the Axis?
Is There Any Hypertrophy
Is There Any Ischemia or Infarction?
What Is the Differential Diagnosis of the Abnormality?
How Can I Put It All Together with the Patient?
The Big Picture
Acronyms
Additional Readings
Glossary
Index

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