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Sensible Analysis of the 12-Lead ECG

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ISBN-10: 0766805247

ISBN-13: 9780766805248

Edition: 2000

Authors: Kathleen A. Handal, Kathryn M. Lewis

List price: $146.95
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Description:

This text provides an in-depth introduction to the analysis of the 12-lead electrocardiogram. It offers a comprehensive review of cardiac anatomy and relates pathology to the ECG findings.
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Book details

List price: $146.95
Copyright year: 2000
Publisher: Delmar Cengage Learning
Publication date: 1/26/2000
Binding: Paperback
Pages: 275
Size: 8.50" wide x 10.75" long x 0.50" tall
Weight: 1.298
Language: English

Dr. Lewis is the President of KACEL, Inc. Professional and Community Education. She is also adjunct faculty within the Maricopa County Community College District where she is accredited to teach in all level of EMS courses and is an Examiner for the National Registry of EMTs. After serving as EMT/FSC Department Chair at Phoenix College since 1986, Dr. Lewis retired in 2005. During that time she was also a member of the Arizona EMS Council (Governor's Appointment), and member of the National EMS Curriculum Development Group. She has worked as a critical care nurse and educator, has authored several articles and contributed to texts on nursing care, education theory and techniques, as well as…    

The Heart's Conductive System
Introduction
The Electrical Conduction System
The SinusNode
The AV Junction
The Bundle Branch System
The Purkinje Fibers
Electrophysiolgy Of The Heart
The Phases of the Cardiac Cycle
Properties of the Specialized Cells
Pacemakers, Escape Rhythms, and Ectopic Foci
Summary
Self Assessment
Introduction
The ECG Leads: A Point of View
Limb Leads
Precoridal (Chest) Leads
Monitoring the Posterior Surface of the Heart
MCL Leads
Hazards of Improper Placement of Leads
Summary
Self Assessment
Rate, Rhythm, and Wave Forms
Introduction
Calculating Rhythm
Wave Forms, Complexes, and Intervals
Waves
The PR Interval
QRS Complex
Segment
The T Wave
The QT Interval
The U Wave
Abnormal Wave Forms
Abnormal P Waves
Abnormal PR Interval
Abnormal QRS Complexes
Abnormal QT Interval
Abnormal U Waves
Alterations in ECG Wave Forms
Drug-induced Changes on the ECG
Hyperkalemia
Hypokalemia
Hypercalcemia
Hypocalcemia
Low Voltage QRS
Pericarditis
Pericardial Effusion
Ventricular Aneurysm
Hypertrophic Cardiomyopathy (HCM)
Increased Intracranial Pressure
Pulmonary Embolism
Summary
Self Evaluation
Axis Determination and Implications
Introduction
Normal Axis
Axis Deviation
Right Axis Deviation
Left Axis Deviation
Calculation of Axis
Normal and Abnormal Values
The Lewis Circle
Summary
Self Assessment
Sinus Rhythm and the Arrhythmias
Introduction
How to Look at and Analyze the Wave Forms
Labeling the ECG
How to Assess a Monitor Pattern
The Sinus Mechanisms
Sinus Tachycardia
Sinus Bradycardia
Sinus Arrhythmia
Sinus Arrest
Sinoatrial (SA) Block
The Junctional Mechanisms
Junctional Rhythm
Premature Junctional Complex
Accelerated Junctional Rhythm and Junctional Tachycardia
The Atrial Mechanisms
Premature Atrial Complex (PAC)
Atrial Tachycardia
Supraventricular Tachycardia
Atrial Flutter
Atrial Fibrillation
The Ventricular Mechanisms
Characteristics of a Ventricular Ectopic
Narrow Complex PVCs
Vriations in PVCs
Ventricular Tachycardia
Intermittent Ventricular Tachycardia
Polymorphic Ventricular Tachycardia
Ventricular Fibrillation
Ventricular Escape: Idioventricular Rhythm
Accelerated Idioventricular Rhythm
Aberrant Ventricular Conduction
Aystole
A Conduction Defects
Sinus Rhythm with First-Degree AV Block
Sinus with second degree AV Block, The Intermittent Conduction Defects
Second-degree AV Block, The Wenckebach Phnomenon aka Type I AV Block
Second Degree AV Block with Wide QRS complex (Type II)
Second degree AV Block, AV Block with 2:1 Conduction as Fixed Rate Second Degree AV Block
Sinus with High-Grade (Advanced AV Block)
Sinus with Complete AV Block
Arrhythmias Due to Abnormal Conduction Pathways
The ECG Wave Forms Affected by Preexcitation
Degrees of Preexcitation
Arrhythmias with Preexcitation
Lown-Gannong-Levine Syndrome
Wolff-Parkinson-White (WPW) Syndrome
Summary
Self Assessment
Myocardial Perfusion Deficits and ECG Changes
Introduction
Coronary Artery Perfusion
Pathophysiology of Acute Myocardial Infarction
Consequences of Coronary Artery Occlusion
Montoring of Myocardial Ischemia, Injury, and Necrosis on the ECG
Reflecting and Reciprocal Leads
Changes in Wave Forms
Inferior Wall (Diaphragmatic) Myocardial Infarction
Clinical Implications of Inferior Wall Myocardial Infarction
Anterior Wall and Anterior-Septal Myocardial Infarction
Clinical Implications for Anterior Wall Myocardial Infarction
Antero-Septal Myocardial Infarction
Anterolateral Myocardial Infarction
Lateral Wall Myocardial Infarction
Clinical Implications of Lateral Wall Myocardial Infarction
Posterior Wall Myocardial Infarction
Clinical Implications for Posterior Wall Myocardial Infarction
Right Ventricular Myocardial Infarction
Clinical Implicat