The Only Ekg Book You'll Ever Need

by Thaler, Malcolm S.

• ISBN13: 9780781773157
• ISBN10: 0781773156
• Edition: 5th
• Format: Paperback
• Copyright: 2006-09-19
• Publisher: LWW

Summary

This popular and practical text presents all the information clinicians need to use the EKG in everyday practice and interpret hypertrophy and enlargement, arrhythmias, conduction blocks, pre-excitation syndromes, and myocardial infarction. 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. The book features more than 200 facsimiles of EKG strips and numerous case studies and clinical examples. This Fifth Edition includes updated information on pacemakers and myocardial infarction treatment and more practice EKGs.

Table of Contents

Getting Started	1	(8)
The Basics	9	(52)
Electricity and the Heart	10	(2)
The Cells of the Heart	12	(5)
Time and Voltage	17	(2)
P Waves, QRS Complexes, T Waves, and Some Straight Lines	19	(9)
Naming the Straight Lines	28	(2)
Summary: The Waves and Straight Lines of the EKG	30	(2)
Making Waves	32	(5)
The 12 Views of the Heart	37	(8)
A Word About Vectors	45	(1)
The Normal 12-Lead EKG	46	(11)
Summary: Orientation of the Waves of the Normal EKG	57	(2)
Coming Attractions	59	(2)
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	(1)
Case 1	91	(2)
Case 2	93	(2)
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 Five Basic Types of Arrhythmias	106	(1)
Arrhythmias of Sinus Origin	107	(7)
Ectopic Rhythms	114	(1)
Reentrant Rhythms	115	(2)
The Four Questions	117	(3)
Supraventricular Arrhythmias	120	(11)
Summary: Supraventricular Arrhythmias	131	(1)
Ventricular Arrhythmias	132	(6)
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	(1)
External Defibrillators	148	(2)
Case 3	150	(3)
Case 4	153	(2)
Conduction Blocks	155	(38)
What Is a Conduction Block?	156	(1)
AV Blocks	157	(10)
Summary: AV Blocks	167	(2)
Bundle Branch Block	169	(6)
Summary: Bundle Branch Block	175	(1)
Hemiblocks	176	(4)
Summary: Criteria for Hemiblock	180	(1)
Combining Right Bundle Branch Block and Hemiblocks	181	(1)
Summary: Criteria for Bifascicular Block	181	(3)
Blocks That Underachieve	184	(1)
The Ultimate in Playing With Blocks: Combining AV Blocks, Right Bundle Branch Block, and Hemiblocks	185	(2)
Pacemakers	187	(4)
Case 5	191	(2)
Preexcitation Syndromes	193	(14)
What Is Preexcitation?	194	(2)
Wolff-Parkinson-White Syndrome	196	(2)
Lown-Ganong-Levine Syndrome	198	(1)
Associated Arrhythmias	199	(4)
Summary: Preexcitation	203	(1)
Case 6	204	(3)
Myocardial Ischemia and Infarction	207	(42)
What Is a Myocardial Infarction?	208	(1)
How To Diagnose a Myocardial Infarction	209	(12)
Summary: The EKG Changes of an Evolving Myocardial Infarction	221	(1)
Localizing the Infarct	222	(9)
Non--Q Wave Myocardial Infarctions	231	(2)
Angina	233	(2)
Summary: The ST Segment in Ischemic Cardiac Disease	235	(1)
Limitations of the EKG in Diagnosing an Infarction	236	(1)
Stress Testing	237	(5)
Case 7	242	(7)
Finishing Touches	249	(24)
Electrolyte Disturbances	251	(4)
Hypothermia	255	(1)
Drugs	256	(4)
Other Cardiac Disorders	260	(4)
Pulmonary Disorders	264	(2)
Central Nervous System Disease	266	(1)
The Athlete's Heart	267	(1)
Summary: Miscellaneous Conditions	268	(2)
Case 8	270	(3)
Putting It All Together	273	(22)
The 11-Step Method for Reading EKGs	276	(2)
Review Charts	278	(17)
How Do You Get to Carnegie Hall?	295	(12)
Practice EKG Strips	295	(12)
Subject Index	307