Marriott's Practical Electrocardiography

by Wagner, Galen S.

• ISBN13: 9780683307467
• ISBN10: 0683307460
• Edition: 10th
• Format: Paperback
• Copyright: 2000-10-17
• Publisher: LWW

Summary

For over four decades the Marriott name has been a synonym for quality education in electrocardiography. As Practical Electrocardiography's new author, Galen Wagner proved a worthy successor to Barney Marriott with an innovative Ninth Edition of this classic text. The new Tenth Edition features two-color ECGs so readers can see ECG strips as they appear in clinical practice. Extensive updates to chapters on ischemia and infarction provide a current view of these critical areas. The text is revised with more consistent terminology, and a complete approach to the topic that gives the reader a better understanding of electrocardiography in today's medicine.

Table of Contents

Preface	xi
I. Basic Concepts
Cardiac Electrical Activity
The Book: Marriott's Practical Electrocardiography, 10th Edition	2	(1)
The Electrocardiogram	3	(1)
Anatomic Orientation of the Heart	4	(3)
The Cardiac Cycle	7	(5)
Cardiac Impulse Formation and Conduction	12	(2)
Recording Long Axis (Base-Apex) Cardiac Electrical Activity	14	(5)
Recording Short Axis (Left-Right) Cardiac Electrical Activity	19	(7)
Recording the Electrocardiogram
Evolution of Frontal Plane Leads	26	(4)
Transverse-Plane Leads	30	(3)
Correct and Incorrect Lead Placement	33	(2)
Other Practical Points for Recording the ECG	35	(1)
Alternative Lead Placement	36	(2)
Display of the 12 Standard Electrocardiogram Leads	38	(6)
Interpretation of the Normal Electrocardiogram
Electocardiographic Features	44	(2)
Rate and Regularity	46	(2)
P-Wave Morphology	48	(1)
The PR Interval	49	(1)
Morphology of the QRS Complex	50	(7)
Morphology of the ST Segment	57	(2)
T-Wave Morphology	59	(2)
U-Wave Morphology	61	(1)
QTc Interval	62	(2)
Cardiac Rhythm	64	(8)
II. Abnormal Wave Morphology
Chamber Enlargement
Atrial Enlargement	72	(3)
Systematic Approach to the Evaluation of Atrial Enlargement	75	(1)
Ventricular Enlargement	76	(2)
Right-Ventricular Dilation	78	(1)
Right-Ventricular Hypertrophy	79	(3)
Left-Ventricular Dilation	82	(2)
Left-Ventricular Hypertrophy	84	(2)
Combined Right- and Left-Ventricular Hypertrophy	86	(4)
Systematic Approach to the Evaluation of Ventricular Enlargement	90	(2)
Typical Electrocardiographic Changes in Selected Congenital Heart Diseases	92	(4)
Intraventricular Conduction Abnormalities
Normal Conduction	96	(1)
Bundle-Branch and Fascicular Blocks	97	(3)
Unifascicular Blocks	100	(7)
Bifascicular Blocks	107	(5)
Systematic Approach to the Analysis of Bundle-Branch and Fascicular Blocks	112	(5)
Clinical Perspective on Intraventricular Conduction Disturbances	117	(7)
Ventricular Preexcitation
Historical Perspective	124	(1)
Clinical Perspective	125	(6)
Electrocardiographic Diagnosis of Ventricular Preexcitation	131	(3)
Electrocardiographic Localization of the Pathway of Ventricular Preexcitation	134	(2)
Ablation of Accessory Pathways	136	(4)
Myocardial Ischemia and Infarction
Introduction to Ischemia and Infarction	140	(2)
Electrocardiographic Changes During Myocardial Ischemia, Injury, and Infarction	142	(6)
Ischemia and Injury Due to Increased Myocardial Demand
Changes in the ST Segment	148	(9)
Changes in the T Wave	157	(7)
Ischemia and Injury Due to Insufficient Blood Supply
Changes in the ST Segment	164	(9)
Changes in the T Wave	173	(2)
Changes in the QRS Complex	175	(5)
Myocardial Infarction
Changes in the QRS Complex	180	(2)
QRS Complex Criteria for Diagnosis of Infarction	182	(2)
QRS Complex Criteria for Localizing Infarction	184	(8)
QRS Complex Criteria for Estimating Infarct Size	192	(4)
Changes in the ST Segment	196	(2)
Changes in the T Wave	198	(7)
Miscellaneous Conditions
Cardiomyopathies	205	(3)
Pericardial Abnormalities	208	(6)
Pulmonary Abnormalities	214	(5)
Intracranial Hemorrhage	219	(1)
Endocrine and Metabolic Abnormalities	220	(2)
Electrolyte Abnormalities	222	(7)
Drug Effects	229	(7)
III. Abnormal Rhythms
Introduction to Arrhythmias
Approach to Arrhythmia Diagnosis	236	(2)
Problems of Automaticity	238	(2)
Problems of Impulse Conduction: Block	240	(1)
Problems of Impulse Conduction: Reentry	241	(3)
Clinical Methods for Detecting Arrhythmia	244	(1)
Dynamic (Holter) Monitoring	245	(2)
Transtelephonic Monitoring	247	(1)
Memory-Loop Monitoring	248	(1)
Invasive Methods of Recording the Electrocardiogram	249	(3)
Incidences of Arrhythmias in Normal Populations	252	(1)
Ladder Diagrams	253	(5)
Premature Beats
Premature Beat Terminiology	258	(2)
Differential Diagnosis of Wide Premature Beats	260	(1)
Mechanisms of Production of Premature Beats	261	(1)
Atrial Premature Beats	262	(5)
Junctional Premature Beats	267	(2)
Ventricular Premature Beats	269	(5)
The Rule of Bigeminy	274	(1)
Right- versus Left-Ventricular Premature Beats	275	(3)
Multiform Ventricular Premature Beats	278	(1)
Groups of Ventricular Premature Beats	279	(1)
Ventricular Premature Beats Inducing Ventricular Fibrillation	280	(1)
Prognostic Implications of Ventricular Premature Beats	281	(7)
Accelerated Automaticity
Sinus Tachycardia	288	(3)
Atrial Tachyarrhythmias: Accelerated Atrial Rhythm, Paroxysmal Atrial Tachycardia with Block, and Multifocal Atrial Tachycardia	291	(2)
Accelerated Junctional Rhythm	293	(2)
Accelerated Ventricular Rhythm	295	(6)
Reentrant Atrial Tachyarrhythmias---The Atrial Flutter/Fibrillation Spectrum
Paroxysmal Atrial Tachycardia	301	(1)
Atrial Rate and Regularity in Atrial Flutter/Fibrillation	302	(2)
Ventricular Rate and Regularity in Atrial Flutter/Fibrillation	304	(3)
Onset of Atrial Flutter/Fibrillation	307	(1)
Termination of Atrial Flutter/Fibrillation	308	(2)
Atrial Flutter	310	(2)
Patterns of Atrioventricular Conduction	312	(4)
Atrial Fibrillation	316	(1)
Characteristics of the f Waves of Atrial Fibrillation	317	(2)
Patterns of Atrioventricular Conduction	319	(2)
Atrial Flutter/Fibrillation with Ventricular Preexcitation	321	(9)
Reentrant Junctional Tachyarrhythmias
Varieties of Reentrant Junctional Tachyarrhythmias	330	(2)
Conduction Through the Atria and Ventricles	332	(1)
Natural History of Reentrant Junctional Tachyarrhythmias	333	(1)
Differentiation from Other Tachyarrhythmias	334	(3)
Differentiation Between Atrioventricular Nodal and Atrioventricular Bypass Tachycardia	337	(4)
The Two Varieties of Atrioventricular-Nodal Tachycardia	341	(1)
Slow--Fast Atrioventricular-Nodal Tachycardia	342	(1)
Fast--Slow Atrioventricular-Nodal Tachycardia	343	(4)
Reentrant Ventricular Tachyarrhythmias
Ventricular Tachycardia	347	(1)
Etiology	348	(1)
Diagnosis	349	(20)
Left- versus Right-Ventricular Tachycardia	369
Variations of Duration of Ventricular Tachycardia	363	(2)
Variations in the Electrocardiographic Appearance of Ventricular Tachycardia---Torsades de Pointes	365	(1)
Ventricular Flutter/Fibrillation	366	(9)
Ventricular versus Supraventricular with Aberrant Conduction
Circumstances Producing Aberrancy	375	(2)
Characteristics of Aberrancy	377	(5)
Ventricular Aberration Complicating Atrial Flutter/Fibrillation	382	(6)
Critical Rate	388	(4)
Marriott's General Approach to the Diagnosis of Regular Wide-QRS-Complex Tachyarrhythmias	392	(5)
Decreased Automaticity
Mechanisms of Bradyarrhythmias of Decreased Automaticity	397	(6)
Sinoatrial Block	403	(1)
Perspective on Sinus Pauses	404	(5)
Atrioventricular Block
Severity of Atrioventricular Block	409	(10)
Location of Atrioventricular Block	419	(1)
Consideration of the Variability of Atrioventricular Conduction Times	420	(1)
Atrioventricular-Nodal Block	421	(5)
Infranodal (Purkinje) Block	426	(9)
Artificial Cardiac Pacemakers
Wesley K. Haisty Jr.
Scott A. Robertson
Galen S. Wagner
Basic Concepts of the Artificial Pacemaker	435	(4)
Pacemaker Modes and Dual-Chamber Pacing	439	(7)
Pacemaker Evaluation	446	(5)
Myocardial Location of the Pacing Electrode	451	(5)
Dr. Marriott's Systematic Approach to the Diagnosis of Arrhythmias
Dr. Marriott's Systematic Approach to the Diagnosis of Arrhythmias	456	(9)
Subject Index	465