Electrocardiography in Ischemic Heart Disease : Clinical and Imaging Correlations and Prognostic Implications

by Antonio Bayes de Luna (Hospital Santa Creu i Sant Pau, Barcelona, Spain); Miquel Fiol-Sala (Hospital Son Dureta, Palma, Mallorca)

• ISBN13: 9780470695494
• ISBN10: 0470695498
• Format: eBook
• Copyright: 2008-04-01
• Publisher: Wiley-Blackwell

Summary

The ECG is a fundamental diagnostic tool in cardiology, allowing accurate diagnosis and monitoring of acute and chronic ischemic heart disease. In this most comprehensive book of its kind, internationally renowned authors correlate electrocardiographic recordings with anatomical patterns of myocardial ischemia to improve the diagnosis and management of patients with ischemic heart disease.The book is structured in two sections. Part One covers electrocardiographic patterns of ischemia, injury and infarction.- Each chapter discusses a different ECG abnormality in turn, clearly explaining the ischemic insults and electrophysiological mechanisms underlying each pattern to promote rapid and accurate interpretation of the ECG in the clinical setting. - ECG abnormalities are correlated with myocardial anatomy and coronary angiography to produce a series of practical diagnostic algorithms that allow the clinician to identify not only the occluded artery but the precise location of the occlusion within the artery, facilitating appropriate therapeutic decisions. - The authors also propose a new classification of Q-wave myocardial infarctions based on imaging correlations with advanced techniques such as contrast-enhanced cardiac magnetic resonance.Part Two of the book covers the ECG in clinical practice. Each chapter focuses on a different clinical syndrome, describing the role of the ECG in a global approach to the diagnosis, prognosis and risk stratification of patients with acute and chronic ischemic heart disease and guiding clinical decision-making.Extensively referenced and illustrated throughout, this book is highly recommended for any clinician involved in the diagnosis and management of ischemic heart disease.

Table of Contents

Foreword

Foreword

Introduction

The ECG in different clinical settings of ischaemic heart disease: correlations and prognostic

implications

Anatomy of the heart: the importance of imaging techniques correlations

Electrocardiographic changes secondary to myocardial ischaemia

Electrocardiographic pattern of ischaemia: T-wave abnormalities

Electrocardiographic pattern of injury: ST-segment abnormalities

Electrocardiographic pattern of necrosis: abnormal Q wave

The ECG in different clinical settings of ischaemic heart disease: correlations and prognostic implications

Acute and chronic ischaemic heart disease: definition of concepts and classification

Patients with acute chest pain: role of the ECG and its correlations

Acute coronary syndrome: unstable angina and acute myocardial infarction

Myocardial infarction with Q wave

Myocardial infarction without Q waves or equivalent: acute and chronic phase

Clinical settings with anginal pain, outside the ACS

Silent ischaemia

Usefulness and limitations of the ECG in chronic ischaemic heart disease

The ECG as a predictor of ischaemic heart disease

References

Index

Colour plate, facing page 12

Table of Contents provided by Publisher. All Rights Reserved.