The Only EKG Book You'll Ever Need

by Thaler, Malcolm S.

• ISBN13: 9780781741767
• ISBN10: 0781741769
• Edition: 4th
• Format: Paperback
• Copyright: 2002-12-16
• Publisher: LWW

Summary

Now in its updated Fourth Edition, this popular and practical text presents all the information the clinician needs to read EKGs efficiently and accurately. It is an ideal reference for medical students in ICM courses, house officers, or anyone directly involved in patient care, whether student, teacher, or practitioner. This edition includes new information on pacemakers, ischemic heart disease, and myocardial infarction treatment. The book features more than 200 facsimiles of EKG strips and numerous case studies and clinical examples. Also included is a pocket-sized review section that can be removed from the book and added to a pocket notebook.

Author Biography

Malcolm S. Thaler, M.D.: Attending Physician, The Bryn Mawr Hospital, Pennsylvania

Table of Contents

Getting Started	1	(8)
The Basics	9	(52)
Electricity and the Heart	10	(7)
Time and Voltage	17	(2)
P Waves, QRS Complexes, T Waves, and Some Straight Lines	19	(10)
Naming the Straight Lines	29	(2)
Summary: The Waves and Straight Lines of the EKG	31	(1)
Making Waves	32	(5)
The 12 Views of the Heart	37	(9)
A Word About Vectors	46	(1)
The Normal 12-Lead EKG	47	(11)
Summary: Orientation of the Waves of the Normal EKG	58	(2)
Coming Attractions	60	(1)
Hypertrophy and Enlargement of the Heart	61	(34)
Definitions	62	(3)
Axis	65	(7)
Summary: Axis	72	(3)
Axis Deviation, Hypertrophy, and Enlargement	75	(3)
Atrial Enlargement	78	(3)
Summary: Atrial Enlargement	81	(1)
Ventricular Hypertrophy	82	(6)
Secondary Repolarization Abnormalities of Ventricular Hypertrophy	88	(2)
Summary: Ventricular Hypertrophy	90	(5)
Case 1	91	(1)
Case 2	92	(3)
Arrhythmias	95	(60)
The Clinical Manifestations of Arrhythmias	97	(1)
Why Arrhythmias Happen	98	(1)
Rhythm Strips	99	(3)
How To Determine the Heart Rate From the EKG	102	(4)
The Four Basic Types of Arrhythmias	106	(1)
Arrhythmias of Sinus Origin	107	(7)
Ectopic Rhythms	114	(3)
The Four Questions	117	(2)
Ectopic Supraventricular Arrhythmias	119	(11)
Summary: Supraventricular Arrhythmias	130	(1)
Ectopic Ventricular Arrhythmias	131	(7)
Summary: Ventricular Arrhythmias	138	(1)
Summary: Rules of Malignancy for PVCs	138	(1)
Supraventricular Versus Ventricular Arrhythmias	139	(6)
Summary: Ventricular Tachycardia (VT) Versus Paroxysmal Supraventricular Tachycardia (PSVT) With Aberrancy	145	(1)
Programmed Electrical Stimulation	146	(1)
Implantable Defibrillators	147	(8)
Case 3	150	(2)
Case 4	152	(3)
Conduction Blocks	155	(36)
What Is a Conduction Block?	156	(1)
AV Blocks	157	(9)
Summary: AV Block	166	(1)
Bundle Branch Block	167	(6)
Summary: Bundle Branch Block	173	(1)
Hemiblocks	174	(4)
Summary: Criteria for Hemiblock	178	(1)
Combining Bundle Branch Blocks and Hemiblocks	179	(1)
Summary: Criteria for Bifascicular Block	179	(3)
The Ultimate in Playing With Blocks: Combining AV Blocks, Bundle Branch Blocks, and Hemiblocks	182	(2)
Pacemakers	184	(7)
Case 5	188	(3)
Preexcitation Syndromes	191	(12)
What Is Preexcitation?	192	(2)
Wolff-Parkinson-White Syndrome	194	(1)
Lown-Ganong-Levine Syndrome	195	(1)
Associated Arrhythmias	196	(4)
Summary: Preexcitation	200	(3)
Case 6	201	(2)
Myocardial Ischemia and Infarction	203	(42)
What Is a Myocardial Infarction?	204	(1)
How to Diagnose a Myocardial Infarction	205	(12)
Summary: The EKG Changes of an Evolving Myocardial Infarction	217	(1)
Localizing the Infarct	218	(9)
Non-Q Wave Myocardial Infarctions	227	(2)
Angina	229	(2)
Summary: The ST Segment in Cardiac Disease	231	(1)
Limitations of the EKG in Diagnosing an Infarction	232	(1)
Stress Testing	233	(12)
Case 7	238	(7)
Finishing Touches	245	(24)
Electrolyte Disturbances	247	(4)
Hypothermia	251	(1)
Drugs	252	(4)
Other Cardiac Disorders	256	(4)
Pulmonary Disorders	260	(2)
Central Nervous System Disease	262	(1)
The Athlete's Heart	263	(1)
Summary: Miscellaneous Conditions	264	(5)
Case 8	266	(3)
Putting It All Together	269	(22)
The 11-Step Method for Reading EKGs	272	(2)
Review Charts	274	(17)
How Do You Get To Carnegie Hall?*	291	(14)
Practice EKG strips	293	(12)
Subject Index	305