12-Lead Ecg: The Art of Interpretation

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12-Lead Ecg: The Art of Interpretation

Format:  Paperback,

536 pages

Publisher: Jones & Bartlett Learning

Publish Date: Jan 2001

ISBN-13: 9780763712846

ISBN-10: 0763712841

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Book Information

The following content was provided by the publisher.
This Book Features 200+ Full-Size, Real-Life Ecgs Accompanied By Thorough Explanations And Analyses. Presented In A Clear And Casual Writing Style, The Book'S Leveled Approach Takes A Complex Subject And Makes It Simple. LEARN MORE AT WWW.12LEADECG.COM.


Publisher: Jones & Bartlett Learning
Publish Date: Jan 2001
ISBN-13: 9780763712846
ISBN-10: 0763712841
Format: Paperback
Number of Pages: 536
Shipping Weight (in pounds): 2.65
Product in Inches (L x W x H): 8.25 x 10.5 x 0.75

Chapter outline

The Basicsp. 1
Anatomyp. 3
Gross Anatomyp. 3
Anterior Viewp. 3
The Heart in Cross Sectionp. 4
The Heart as a Pumpp. 4
Pump Function Simplifiedp. 5
The Electrical Conduction Systemp. 6
Pacemaker Functionp. 7
Pacemaker Settingsp. 7
The Sinoatrial (SA) Nodep. 8
The Internodal Pathwaysp. 8
The Atrioventricular (AV) Nodep. 9
The Bundle of Hisp. 9
The Left Bundle Branch (LBB)p. 10
The Right Bundle Branch (RBB)p. 10
The Left Anterior Fascicle (LAF)p. 11
The Left Posterior Fascicle (LPF)p. 11
The Purkinje Systemp. 12
Chapter in Reviewp. 13
Electrophysiologyp. 15
Mechanics of Contractionp. 15
Ion Movement and Polarityp. 16
Membrane Channels and Action Potential Phasesp. 18
Chapter in Reviewp. 20
Individual Vectorsp. 21
Adding and Subtracting Vectorsp. 21
The Electrical Axis of the Heartp. 22
Electrodes and Wavesp. 22
Leads Are Like Pictures of the Heartp. 23
Lead Placement (Where to Put the "Cameras")p. 23
How the Machine Manipulates the Leadsp. 24
The Two Lead Systemsp. 24
The Hexaxial Systemp. 24
The Precordial Systemp. 25
The Heart in Three Dimensionsp. 25
Localizing an Area: Inferior Wallp. 26
Localizing Other Areasp. 27
Chapter in Reviewp. 28
The Actual EGG: Paper and Inkp. 29
Boxes and Sizesp. 29
Calibrationp. 30
Where Is Each Lead Represented?p. 30
Temporal Relationship of the ECGp. 31
Why Is Temporal Spacing Important?p. 31
Chapter in Reviewp. 32
ECG Toolsp. 33
Calipers: The ECG Interpreter's Best Friendp. 33
How to Use Your Calipersp. 34
Comparing Wave Heightsp. 34
Adding Wave Heightsp. 35
Comparing Widthsp. 36
Axis-Wheel Rulerp. 36
ECG Rulersp. 36
Straight Edgep. 37
The Basic Beatp. 39
Introduction to Basic Componentsp. 39
Wave Nomenclaturep. 39
Individual Components of the ECG Complexp. 40
The P Wavep. 40
The Tp Wavep. 41
The PR Segmentp. 41
The PR Intervalp. 42
The QRS Complexp. 42
The ST Segmentp. 44
The T Wavep. 44
The QT Intervalp. 46
The U Wavep. 46
Additional Intervalsp. 47
Looking Aheadp. 47
Chapter in Reviewp. 48
The Ratep. 49
Establishing the Ratep. 49
Normal and Fast Ratesp. 49
Bradycardic Ratesp. 50
Chapter in Reviewp. 52
Rhythmsp. 53
Major Conceptsp. 53
Generalp. 53
P Wavesp. 54
QRS Complexesp. 54
Individual Rhythmsp. 55
Supraventricular Rhythmsp. 55
Ventricular Rhythmsp. 63
Heart Blocksp. 68
Chapter in Reviewp. 70
ECG Interpretationp. 71
The P Wavep. 73
Overviewp. 73
ECG Case Study: P Wave Basicsp. 74
P Wave Morphologyp. 76
ECG Case Studies: P Wave Morphologyp. 77
Abnormal P Wavesp. 82
P-mitralep. 82
ECG Case Studies: P-mitralep. 83
P-pulmonalep. 88
ECG Case Studies: P-pulmonalep. 89
Intraatrial Conduction Delay (IACD)p. 94
ECG Case Studies: Biphasic P Wavesp. 95
Biatrial Enlargementp. 106
ECG Case Studies: Biatrial Enlargementp. 107
Chapter in Reviewp. 112
The PR Intervalp. 113
Conduction Overviewp. 113
PR Depressionp. 115
ECG Case Study: PR Interval Depressionp. 116
Measuring the Intervalp. 118
Short PR Intervalp. 120
ECG Case Study: Short PR Intervalp. 121
Wolff-Parkinson-White Syndrome (WPW)p. 122
ECG Case Studies: WPWp. 123
WPW Syndrome--Advanced Informationp. 125
Prolonged PR Intervalp. 143
ECG Case Studies: Prolonged PR Intervalp. 143
Chapter in Reviewp. 156
The QRS Complexp. 157
How Are the Waves Made?p. 157
What to Look for in the QRS Complexp. 159
QRS Height (Amplitude)p. 159
Abnormal Amplitudep. 160
ECG Case Studies: Pericardial Effusionp. 161
ECG Case Study: Large QRS Complexesp. 164
Left Ventricular Hypertrophy (LVH)p. 166
Electrocardiogram Criteria for LVHp. 166
Identifying LVH, Step by Stepp. 167
ECG Case Studies: Left Ventricular Hypertrophyp. 168
Right Ventricular Hypertrophy (RVH)p. 180
RVH and the ECGp. 181
ECG Case Studies: RVHp. 182
QRS Durationp. 185
ECG Case Studies: QRS Durationp. 186
The Wide-QRS Differential, Simplifiedp. 191
QRS Morphologyp. 191
ECG Case Studies: QRS Morphologyp. 192
Q Wave Significancep. 195
Benign Q Wavesp. 195
Respiratory Variation of Q Wavesp. 195
ECG Case Studies: Q Wave Significancep. 196
Significant (Pathological) Q Wavesp. 201
Transition Zonep. 205
ECG Case Studies: Transition Zonep. 208
QRS Notchingp. 214
Osborn (J) Wavesp. 214
ECG Case Studies: QRS Notching and Osborn Wavesp. 215
Chapter in Reviewp. 222
The Electrical Axisp. 223
How to Calculate the Electrical Axisp. 224
Isolating the Axisp. 227
Find the Quadrantp. 227
Isolate the Isoelectric Leadp. 227
Isolate the Closest Leadp. 228
Isolate the Vectorp. 230
Double-Check Your Findingsp. 233
Causes of Axis Deviationp. 234
Right Axis Deviation (RAD)p. 234
Left Axis Deviation (LAD)p. 234
The Z Axisp. 234
The Z Axis Precordial Lead Systemp. 236
More Examples: Adding the Z Axisp. 237
Z Axis: Other Approachesp. 239
Chapter in Reviewp. 240
Bundle Branch Blocks and Hemiblocksp. 241
Right Bundle Branch Blockp. 241
ECG Findings in Right Bundle Branch Blocksp. 243
The QR' Wavep. 244
ECG Case Studies: Right Bundle Branch Blockp. 244
Left Bundle Branch Blockp. 260
Criteria for Diagnosing LBBBp. 261
ECG Case Studies: Left Bundle Branch Blockp. 262
Intraventricular Conduction Delay (IVCD)p. 277
Summary Comments on Bundle Branch Blocksp. 277
ECG Case Studies: Intraventricular Conduction Delayp. 278
Hemiblocksp. 281
Left Anterior Hemiblockp. 282
ECG Case Studies: Left Anterior Hemiblockp. 284
Left Posterior Hemiblockp. 289
ECG Case Studies: Left Posterior Hemiblockp. 290
Bifasciular Blocksp. 297
ECG Case Studies: Bifascicular Blockp. 298
Chapter in Reviewp. 308
ST Segment and T Wavesp. 309
Basicsp. 309
Where Is the J Point?p. 310
ST Elevation or Depressionp. 311
ST Segment Shapesp. 311
The T Wavep. 312
ECG Case Studies: ST Segments and T Wavesp. 314
Ischemia and Injuryp. 340
ECG Case Studies: Ischemia and Injuryp. 341
Strain Patternp. 346
Right Ventricular Strain Patternp. 346
ECG Case Studies: Right Ventricular Strain Patternp. 347
Left Ventricular Strain Patternp. 351
ECG Case Studies: Left Ventricular Strain Patternp. 353
ECG Comparisons: Benign Changes Versus Infarctp. 362
Pericarditis Revisitedp. 390
ECG Case Studies: Pericarditisp. 391
STs and T Waves in Blocksp. 397
ECG Case Studies: STs and Ts in Blocksp. 398
Chapter in Reviewp. 402
Acute Myocardial Infarctionp. 403
Introductionp. 403
Zones of Ischemia, Injury, and Infarctionp. 405
Infarct and Q Wavesp. 406
Q Wave Infarctp. 406
Non-Q Wave Infarctp. 407
ECG Progression in Infarctp. 408
Reciprocal Changesp. 409
Infarct Regions on the ECGp. 410
Infarct Regions in Combinationp. 411
ECG Case Studies: Anteroseptal AMIp. 414
ECG Case Studies: Anteroseptal AMI with Lateral Extensionp. 419
ECG Case Study: Lateral Wall AMIp. 431
ECG Case Studies: Inferior Wall AMIp. 434
ECG Case Studies: Inferolateral AMIp. 438
ECG Case Studies: Apical AMIp. 446
ECG Case Studies: Right Ventricular Infarctionp. 455
ECG Case Studies: Posterior Wall AMIp. 462
ECG Case Studies: Inferoposterior AMIp. 465
ECG Case Studies: Inferior-RV-Posterior AMIp. 470
Chapter in Reviewp. 477
Electrolyte and Drug Effectsp. 479
Hyperkalemia and Its Effectsp. 479
The Spectrum of Hyperkalemiap. 480
T Wave Abnormalities in Hyperkalemiap. 480
ECG Case Studies: T Wave Changes in Hyperkalemiap. 482
IVCD and Hyperkalemiap. 489
P Waves and Hyperkalemiap. 489
ECG Case Studies: IVCD and P Waves in Hyperkalemiap. 490
Other Electrolyte Abnormalitiesp. 500
Hypokalemiap. 500
Hypercalcemiap. 500
Hypocalcemiap. 500
ECG Case Studies: Other Electrolyte Abnormalitiesp. 501
Drug Effectsp. 507
Digoxinp. 507
ECG Case Studies: Drug Effectsp. 508
Chapter in Reviewp. 512
Putting It All Togetherp. 513
New Groundp. 513
The 10 Questions of the Gramp. 513
What Is My General Impression?p. 514
Is There Anything That Sticks Out?p. 515
What Is the Rate?p. 515
What Are the Intervals?p. 516
What Is the Rhythm?p. 517
What Is the Axis?p. 520
Is There Any Hypertrophyp. 521
Is There Any Ischemia or Infarction?p. 521
What Is the Differential Diagnosis of the Abnormality?p. 522
How Can I Put It All Together with the Patient?p. 523
The Big Picturep. 523
Acronymsp. 524
Additional Readingsp. 525
Glossaryp. 526
Indexp. 531

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