Marriott's Practical Electrocardiography

by Wagner, Galen S.

• ISBN13: 9780781797382
• ISBN10: 0781797381
• Edition: 11th
• Format: Paperback
• Copyright: 2007-10-31
• Publisher: LWW

Summary

The gold standard text on interpretation of ECG recordings is now in its revised Eleventh Edition. Coverage of arrhythmiasthe largest portion of the bookhas been thoroughly updated for this edition, and more than 400 new illustrations have been added. The book is filled with ECG recordings, anatomical drawings, and dozens of tables, and has a reader-friendly design with strategic use of a second color. Glossaries at the end of each chapter reinforce new terms. For this edition, the author has created a more functional layout. A bound-in CD-ROM includes animations correlated with ECGs. "Doody's Core Titles 2009."

Table of Contents

Contributors
Preface
Basic Concepts
Cardiac Electrical Activity	p. 1
The Book: Marriott's Practical Electrocardiography, 11th Edition	p. 2
The Electrocardiogram	p. 3
Anatomic Orientation of the Heart	p. 4
The Cardiac Cycle	p. 6
Cardiac Impulse Formation and Conduction	p. 10
Recording Long Axis (Base-Apex) Cardiac Electrical Activity	p. 12
Recording Short-Axis (Left Versus Right)Cardiac Electrical Activity	p. 17
Recording the Electrocardiogram	p. 21
The Standard 12-Lead Electrocardiogram	p. 22
Alternative Displays of the 12 Standard Electrocardiogram Leads	p. 31
Alternative Electrode Placement	p. 34
Other Practical Points for Recording the ECG	p. 39
Interpretation of the Normal Electrocardiogram	p. 43
Electrocardiographic Features	p. 44
Rate and Regularity	p. 46
P-Wave Morphology	p. 49
The PR Interval	p. 50
Morphology of the QRS Complex	p. 51
Morphology of the ST Segment	p. 56
T-Wave Morphology	p. 60
U-Wave Morphology	p. 62
QTc Interval	p. 63
Cardiac Rhythm	p. 65
Abnormal Wave Morphology
Chamber Enlargement	p. 71
Chamber Enlargement	p. 72
Atrial Enlargement	p. 73
Systematic Approach to the Evaluation of Atrial Enlargement	p. 76
Ventricular Enlargement	p. 78
Right-Ventricular Dilation	p. 80
Right-Ventricular Hypertrophy	p. 81
Left-Ventricular Dilation	p. 84
Left-Ventricular Hypertrophy	p. 86
Combined Right- and Left-Ventricular Hypertrophy	p. 88
Systematic Approach to the Evaluation of Ventricular Enlargement	p. 91
Typical Electrocardiographic Changes in Selected Congenital Heart Diseases	p. 94
Intraventricular Conduction Abnormalities	p. 97
Normal Conduction	p. 98
Bundle-Branch and Fascicular Blocks	p. 99
Unifascicular Blocks	p. 103
Bifascicular Blocks	p. 110
Systematic Approach to the Analysis of Bundle-Branch and Fascicular Blocks	p. 115
Clinical Perspective on Intraventricular-Conduction Disturbances	p. 119
Ventricular Pre-excitation	p. 125
Historical Perspective	p. 126
Clinical Perspective	p. 127
Pathophysiology	p. 129
Electrocardiographic Diagnosis of Ventricular Pre-excitation	p. 132
Electrocardiographic Localization of the Pathway of Ventricular Pre-excitation	p. 135
Ablation of Accessory Pathways	p. 138
Myocardial Ischemia, Injury, and Infarction	p. 141
Introduction to Ischemia and Infarction	p. 142
Electrocardiographic Changes	p. 145
Increased Myocardial Demand	p. 153
Changes in the ST Segment	p. 154
Insufficient Blood Supply	p. 163
Changes in the ST Segment	p. 164
Changes in the T Wave	p. 174
Changes in the QRS Complex	p. 176
Myocardial Infarction	p. 179
Phases of the Infarction Process	p. 180
Infarcting Phase	p. 181
Reperfusing Phase	p. 186
Healing Phase	p. 190
Chronic Phase	p. 194
Myocardial Salvage	p. 205
Miscellaneous Conditions	p. 210
Cardiomyopathies	p. 211
Pericardial Abnormalities	p. 213
Pulmonary Abnormalities	p. 218
Intracranial Hemorrhage	p. 223
Endocrine and Metabolic Abnormalities	p. 224
Electrolyte Abnormalities	p. 226
Drug Effects	p. 232
Abnormal Rhythms
Introduction to Arrhythmias	p. 239
Approach to Arrhythmia Diagnosis	p. 240
Problems of Automaticity	p. 242
Problems of Impulse Conduction: Block	p. 244
Problems of Impulse Conduction: Re-entry	p. 245
Clinical Methods for Detecting Arrhythmias	p. 248
Dynamic (Holter) Monitoring	p. 249
Transtelephonic Monitoring	p. 250
Memory-Loop Monitoring	p. 251
Invasive Methods of Recording the Electrocardiogram	p. 252
Incidences of Arrhythmias in Normal Populations	p. 255
Ladder Diagrams	p. 256
Premature Beats	p. 261
Premature Beat Terminology	p. 262
Differential Diagnosis of Wide Premature Beats	p. 264
Mechanisms of Production of Premature Beats	p. 265
Atrial Premature Beats	p. 266
Junctional Premature Beats	p. 270
Ventricular Premature Beats	p. 272
The Rule of Bigeminy	p. 277
Right- Versus Left-Ventricular Premature Beats	p. 278
Multiform Ventricular Premature Beats	p. 281
Groups of Ventricular Premature Beats	p. 278
Ventricular Premature Beats Inducing Ventricular Fibrillation	p. 283
Prognostic Implications of Ventricular Premature Beats	p. 284
Accelerated Automaticity	p. 287
Introduction to Accelerated Automaticity	p. 288
Sinus Tachycardia	p. 290
Atrial Tachyarrhythmias	p. 293
Accelerated Junctional Rhythm	p. 295
Accelerated Ventricular Rhythm	p. 298
Re-entrant Atrial Tachyarrhythmias - The Atrial Flutter/Fibrillation Spectrum	p. 301
Paroxysmal Atrial Tachycardia	p. 303
Atrial Rate and Regularity in Atrial Flutter/Fibrillation	p. 304
Ventricular Rate and Regularity in Atrial Flutter/Fibrillation	p. 306
Onset of Atrial Flutter/Fibrillation	p. 309
Termination of Atrial Flutter/Fibrillation	p. 310
Atrial Flutter	p. 312
Patterns of Atrioventricular Conduction	p. 314
Atrial Fibrillation	p. 318
Characteristics of the f Waves of Atrial Fibrillation	p. 319
Patterns of Atrioventricular Conduction	p. 321
Atrial Flutter/Fibrillation with Ventricular Pre-Excitation	p. 323
Re-entrant Junctional Tachyarrhythmias	p. 327
Introduction to Re-entrant Junctional Tachyarrhythmias	p. 328
Varieties of Re-entrant Junctional Tachyarrhythmias	p. 331
Conduction Through the Atria and Ventricles	p. 332
Differentiation From Other Tachyarrhythmias	p. 333
Differentiation Between AV-Nodal and AV-Bypass Tachycardias	p. 336
The Two Varieties of AV-Nodal Tachycardia	p. 340
The Three Varieties of AV-Bypass Tachycardia	p. 342
Re-entrant Ventricular Tachyarrhythmias	p. 347
Varieties of Ventricular Tachyarrhythmias	p. 348
Description	p. 349
Etiologies	p. 350
Diagnosis	p. 351
Variation of Duration in Ventricular Tachycardia	p. 362
Variations in the Electrocardiographic Appearance of Ventricular Tachycardia: Torsades de Points	p. 363
Ventricular Flutter/Fibrillation	p. 364
Ventricular Versus Supraventricular With Aberrant Conduction	p. 372
Circumstances Producing Aberrancy	p. 373
Characteristics	p. 375
Ventricular Aberration Complicating Atrial Flutter/Fibrillation	p. 379
Critical Rate	p. 385
Paradoxical Critical Rate	p. 388
Decreased Automaticity	p. 392
Mechanisms of Bradyarrhythmias of Decreased Automaticity	p. 392
Sinoatrial Block	p. 398
Perspective on Sinus Pauses	p. 399
Atrioventricular Block	p. 402
Severity of Atrioventricular Block	p. 403
Location of Atrioventricular Block	p. 413
Atrioventricular-Nodal Block	p. 414
Infranodal (Purkinje) Block	p. 417
Artificial Cardiac Pacemakers	p. 423
Basic Concepts of the Artificial Pacemaker	p. 424
Pacemaker Modes and Dual-Chamber Pacing	p. 428
Pacemaker Evaluation	p. 434
Myocardial Location of the Pacing Electrodes	p. 438
Pacing: 2007 and Beyond	p. 441
Dr. Marriott's Systematic Approach to the Diagnosis of Arrhythmias	p. 445
Dr. Marriott's Systematic Approach to the Diagnosis of Arrhythmia	p. 446
Index	p. 456
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