The Electrocardiogram in Emergency and Acute Care

Clear, practical guidance in mastering ECG interpretation in the critically ill patient

The Electrocardiogram in Emergency and Acute Care contains clear, practical guidance on mastering both single-lead and 12 lead ECGs, covering the full range of complexities and including a section on differential diagnosis of more common ECGs, with over 200 tracings from which to learn and self-test.

The editors place an emphasis on readability and accessibility, with clearly written chapters and excellent illustrations that serve as a primary source of information for students, trainees, and practicing emergency physicians in all areas.

In The Electrocardiogram in Emergency and Acute Care, readers can expect to find detailed information on topics such as:

Clinical applications, impact, and interpretation of the electrocardiogram, plus variants of the normal, lead misplacement, and electrocardiographic artifact encountered in clinical practice
Cardiac rhythms and cardiac dysrhythmias, covering cardiac rhythms with normal rates, narrow QRS complex tachycardia, wide QRS complex tachycardia, and bradycardia
Anatomic and physiologic considerations of ischemic heart disease, historical development of the prehospital electrocardiogram, and electrocardiographic findings in acute coronary syndrome
Special populations, high-risk presentation scenarios, and advanced electrocardiographic techniques, covering electrocardiograms in pediatric and poisoned patients

The Electrocardiogram in Emergency and Acute Care is ideally suited to medical students, residents, and physicians in training, but is also a useful reference for established physicians as a review and reference text, along with all other health professionals working in this field.

Korin B. Hudson, MD, FACEP, FAAEM, CAQ-SM is Professor of Clinical Emergency Medicine in the Department of Emergency Medicine, Georgetown University School of Medicine and MedStar Health, Washington, D.C. USA.

Amita Sudhir, MD, FACEP is Associate Professor and Program Director of Emergency Medicine, University of Virginia Health System, Charlottesville, USA.

George Glass, MD is Assistant Professor of Emergency Medicine, University of Virginia Health System, Charlottesville, USA.

William J. Brady, MD, FACEP, FAAEM is Professor of Emergency Medicine, Medicine (Cardiovascular), and Nursing and Vice Chair for Faculty Affairs, The David A. Harrison Distinguished Educator, University of Virginia Health System, Charlottesville, USA. He is also EMS Physician and Operational Medical Director, Albemarle County Fire Rescue, Charlottesville, USA.

Editors

Contributors

Foreword

Preface

Section 1 The ECG in Clinical Care

1 Clinical Applications of the Electrocardiogram (ECG)

George Glass

2 Clinical Impact of the Electrocardiogram (ECG)

Robert C. Schutt, William J. Brady, Korin B. Hudson, and Steven H. Mitchell

3 Interpretation of the Electrocardiogram – Single-, Multi-, and 12-Lead Analysis

Robert C. Reiser, Robert C. Schutt, Korin B. Hudson, and William J. Brady

4 Variants of the Normal, Lead Misplacement, and Electrocardiographic Artifact Encountered in Clinical Practice

Robert C. Reiser, Robert C. Schutt, Korin B. Hudson, and William J. Brady

Section 2 Cardiac Rhythms and Cardiac Dysrhythmias

5 Cardiac Rhythms with Normal Rates

Korin B. Hudson and William J. Brady

6 Narrow QRS Complex Tachycardia

Courtney B. Saunders and Jeffrey D. Ferguson

7 Wide QRS Complex Tachycardia

Michael Levy and Francis X. Nolan Jr

8 Bradycardia

Korin B. Hudson, J. Aidan Boswick, and William J. Brady

9 Atrioventricular Conduction Block

Steven H. Mitchell, Korin B. Hudson, and William J. Brady

10 Intraventricular Conduction Block: Bundle Branch Block and Other Conduction Abnormalities

Steven H. Mitchell, Richard B. Utarnachitt, and William J. Brady

11 Atrial and Ventricular Ectopic Beats

Jeffrey D. Ferguson, Michael Levy, J. Aidan Boswick, and William J. Brady

Section 3 Acute Coronary Syndrome and the 12-Lead ECG

12 Ischemic Heart Disease: Anatomic and Physiologic Considerations

Peter Pollak, Peter Monteleone, Kelly Williamson, David Carlberg, and William J. Brady

13 Electrocardiographic Findings in Acute Coronary Syndrome

Peter Monteleone, Peter Pollak, David Carlberg, and William J. Brady

Section 4 | Special Populations, High-Risk Presentation Scenarios, and
Advanced Electrocardiographic Techniques

14 The Electrocardiogram in the Pediatric Patient

Robert Rutherford, Robin Naples, and William J. Brady

15 The Electrocardiogram in the Poisoned Patient

Steven H. Mitchell, Christopher P. Holstege, and William J. Brady

16 The Electrocardiogram in Hyperkalemia

Steven H. Mitchell and William J. Brady

17 Life-Threatening Electrocardiographic Patterns

Steven H. Mitchell, Richard B. Utarnachitt, and William J. Brady

18 The Electrocardiogram in Patients with Implanted Devices