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Marriott's Practical Electrocardiography

9781496397454
ISBN/ISSN
9781496397454
Publication Date
December 30, 2020
2020-12-30
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9781496397454
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  • Description
    Selected as a Doody's Core Title for 2021!

    Providing a solid foundation in current ECG technology as well as the newest diagnostic applications, Marriott’s Practical Electrocardiography, Thirteenth Edition, delivers the information you need to quickly improve your ECG interpretive skills. Authors Dr. David G. Strauss and Dr.  Douglas D. Schocken offer medical students, residents and fellows a detailed explanation of the ECG, rhythm analysis, and how to rapidly and accurately interpret ECG results. Helpful diagrams, tables, animations, and videos, plus new ECG quizzes online, improve your understanding and skills. 
     
    • Includes new, interactive and topical ECG quizzes available online through the eBook bundled with this text. 

    • Offers extensive content updates throughout, including substantial updates to the abnormal rhythms section of the book along with chapters on chamber enlargement, drugs and electrolytes, a new chapter on adult congenital heart disease, and more. 

    • Contains summary illustrations with each chapter to that allow you to quickly grasp concepts in an easy-to-understand, telegraphic style. 

    • Numerous animations throughout to help illustrate cardiovascular disease processes, their effects on the heart muscle, and their clinical manifestations on ECG readings. 

    • Uses ECG recordings, anatomical drawings, glossary terms, and animations, and tables to provide comprehensive guidance on ECG interpretation, with convenience glossaries at the end of each chapter that reinforce key terminology. 

    • Pairs diagnostic images with corresponding ECGs to enhance understanding. 

    Enrich Your eBook Reading Experience 

    • Read directly on your preferred device(s), such as computer, tablet, or smartphone. 

    • Easily convert to audiobook, powering your content with natural language text-to-speech. 

  • Specs
    Edition
    13
    ISBN/ISSN
    9781496397454
    Product Format
    PB-Paperback
    Trim Size
    7 x 10
    Pages
    536
    Table
    0
    Edition
    13
    Publication Date
    December 30, 2020
    Weight
    1.9
  • David G. Strauss MD, PhD
    Medical Officer, U.S. Food and Drug Administration, Silver Spring, Maryland; Affiliated Researcher, Karolinska Institutet, Stockholm, Sweden
    Douglas D. Schocken
  • Table of contents
    iv
    Contents
    Digital Contents: Quizzes, Animations and Videos List x
    Contributors xii
    Preface xvi
    SECTION I: BASIC CONCEPTS
    CHAPTER 1 CARDIAC ELECTRICAL ACTIVITY 1
    Tobin H. Lim and David G. Strauss
    The Book: Marriott’s Practical Electrocardiography , 13th Edition 2
    The Electrocardiogram 3
    Anatomic Orientation of the Heart 4
    The Cardiac Cycle 6
    Cardiac Impulse Formation and Conduction 10
    Recording Long-Axis (Base-Apex) Cardiac Electrical Activity 12
    Recording Short-Axis (Left Versus Right) Cardiac Electrical Activity 17
    CHAPTER 2 RECORDING THE ELECTROCARDIOGRAM 23
    David G. Strauss, Tobin H. Lim, and Douglas D. Schocken
    The Standard 12-Lead Electrocardiogram 24
    Correct and Incorrect Electrode Placements 31
    Alternative Displays of the 12 Standard Electrocardiogram Leads 34
    Alternative Electrode Placement 40
    Other Practical Points for Recording the Electrocardiogram 41
    CHAPTER 3 INTERPRETATION OF THE NORMAL
    ELECTROCARDIOGRAM 45
    David G. Strauss, Tobin H. Lim, and Douglas D. Schocken
    Electrocardiographic Features 46
    Rate and Regularity 48
    P-wave Morphology 50
    The PR Interval 51
    Morphology of the QRS Complex 52
    Morphology of the ST Segment 59
    T-wave Morphology 61
    U-wave Morphology 63
    QT and QTc Intervals 64 Contents v
    Cardiac Rhythm 65
    A Final Word 69


    eChapter I: INTERPRETATION OF THE
    ELECTROCARDIOGRAM IN 3D
    Charles W. Olson, E. Harvey Estes Jr, Vivian P. Kamphuis,
    Esben Andreas Carlsen, David G. Strauss, and Galen S. Wagner (deceased)
    SECTION II: CHAMBER ENLARGEMENT AND
    CONDUCTION ABNORMALITIES
    CHAPTER 4 CHAMBER ENLARGEMENT 73
    Douglas D. Schocken, Ljuba Bacharova, and David G. Strauss
    Atrial Enlargement 75
    Electrocardiogram Pattern With Atrial Enlargement 78
    Ventricular Enlargement 80
    Electrocardiogram QRS Changes With Ventricular Enlargement 82
    Left-Ventricular Dilation 83
    Left-Ventricular Hypertrophy 85
    Electrocardiogram Pattern With Left-Ventricular Hypertrophy 86
    Right-Ventricular Hypertrophy 90
    Biventricular Hypertrophy 95
    Scoring Systems for Assessing LVH and RVH 97
    CHAPTER 5 INTRAVENTRICULAR CONDUCTION
    ABNORMALITIES 101
    David G. Strauss and Tobin H. Lim
    Normal Conduction 102
    Bundle-Branch and Fascicular Blocks 103
    Unifascicular Blocks 107
    Bifascicular Blocks 115
    Systematic Approach to the Analysis of Bundle-Branch and
    Fascicular Blocks 124
    Clinical Perspective on Intraventricular-Conduction Disturbances 127
    SECTION III: ISCHEMIA AND INFARCTION
    CHAPTER 6 INTRODUCTION TO MYOCARDIAL ISCHEMIA
    AND INFARCTION 135
    David G. Strauss, Douglas D. Schocken, and Tobin H. Lim
    Introduction to Ischemia and Infarction 136
    Electrocardiographic Changes 140 vi Contents
    CHAPTER 7 SUBENDOCARDIAL ISCHEMIA FROM
    INCREASED MYOCARDIAL DEMAND 149
    David G. Strauss and Tobin H. Lim
    Changes in the ST Segment 150
    CHAPTER 8 TRANSMURAL MYOCARDIAL ISCHEMIA
    FROM INSUFFICIENT BLOOD SUPPLY 163
    David G. Strauss and Tobin H. Lim
    Changes in the ST Segment 164
    Changes in the T Wave 175
    Changes in the QRS Complex 176


    TRANSMURAL MYOCARDIAL ISCHEMIA
    FROM INSUFFICIENT BLOOD SUPPLY:
    ONLINE SUPPLEMENT
    David G. Strauss and Tobin H. Lim
    Estimating Extent, Acuteness, and Severity of Ischemia
    CHAPTER 9 MYOCARDIAL INFARCTION 181
    David G. Strauss and Tobin H. Lim
    Infarcting Phase 182
    Chronic Phase 189


    MYOCARDIAL INFARCTION:
    ONLINE SUPPLEMENT
    David G. Strauss and Tobin H. Lim
    Estimating Infarct Size and Infarcts in the Presence of
    Conduction Abnormalities
    Myocardial Infarction and Scar in the Presence of
    Conduction Abnormalities
    SECTION IV: DRUGS, ELECTROLYTES, AND
    MISCELLANEOUS CONDITIONS
    CHAPTER 10 ELECTROLYTES AND DRUGS 203
    Robbert Zusterzeel, Jose Vicente Ruiz, and David G. Strauss
    Cardiac Action Potential 204
    Electrolyte Abnormalities 206
    Drug Effects 212
    CHAPTER 11 MISCELLANEOUS CONDITIONS 223
    Douglas D. Schocken, Tobin H. Lim, and David G. Strauss
    Introduction 224
    Cardiomyopathies 224 Contents vii
    Pericardial Abnormalities 228
    Pulmonary Abnormalities 232
    Intracranial Hemorrhage 237
    Endocrine and Metabolic Abnormalities 238
    CHAPTER 12 CONGENITAL HEART DISEASE 245
    Sarah A. Goldstein and Richard A. Krasuski
    Atrial Septal Defects 246
    Ventricular Septal Defect 251
    Patent Ductus Arteriosus 253
    Pulmonary Stenosis 253
    Aortic Stenosis 253
    Coarctation of the Aorta 253
    Tetralogy of Fallot 254
    Ebstein Anomaly 255
    Congenitally Corrected Transposition of the Great Arteries 256
    Complete Transposition of the Great Arteries 257
    Fontan Circulation 258
    SECTION V: ABNORMAL RHYTHMS
    CHAPTER 13 INTRODUCTION TO ARRHYTHMIAS 263
    Zak Loring, David G. Strauss, Douglas D. Schocken,
    and James P. Daubert
    Introduction to Arrhythmia Diagnosis 264
    Problems of Automaticity 265
    Problems of Impulse Conduction: Reentry 268
    Approach to Arrhythmia Diagnosis 272
    Clinical Methods for Detecting Arrhythmias 280
    Ambulatory Electrocardiogram Monitoring 281
    Invasive Methods of Recording the Electrocardiogram 286
    CHAPTER 14 PREMATURE BEATS 293
    James P. Daubert, Aimée Elise Hiltbold, and Fredrik Holmqvist
    Premature Beat Terminology 294
    Differential Diagnosis of Wide Premature Beats 297
    Mechanisms of Production of Premature Beats 298
    Atrial Premature Beats 299
    Junctional Premature Beats 304
    Ventricular Premature Beats 307
    Right-Ventricular Versus Left-Ventricular Premature Beats 312
    Multiform Ventricular Premature Beats 315
    Groups of Ventricular Premature Beats 316
    Vulnerable Period and R-on-T Phenomenon 317
    Prognostic Implications of Ventricular Premature Beats 317viii Contents
    CHAPTER 15 SUPRAVENTRICULAR TACHYARRHYTHMIAS 321
    Kevin P. Jackson and James P. Daubert
    Introduction 322
    Differential Diagnosis of Supraventricular Tachycardia 324
    Sinus Tachycardia 329
    Atrial Tachycardia 331
    Junctional Tachycardia 334
    Atrioventricular Nodal Reentrant Tachycardia 335
    Accessory Pathway Mediated Tachycardia 338
    CHAPTER 16 ATRIAL FIBRILLATION AND FLUTTER 345
    Jonathan P. Piccini, James P. Daubert, and Tristram D. Bahnson
    Pathophysiology of Atrial Fibrillation and Atrial Flutter 346
    Twelve-Lead Electrocardiographic Characteristics of Atrial Fibrillation 350
    Atrial Flutter 355
    Twelve-Lead Electrocardiographic Characteristics of
    Atypical Atrial Flutter 358
    Clinical Considerations of Atrial Fibrillation and Atrial Flutter 364
    CHAPTER 17 VENTRICULAR ARRHYTHMIAS 369
    Albert Y. Sun and Jason Koontz
    Definitions of Ventricular Arrhythmias 370
    Etiologies and Mechanisms 370
    Diagnosis 371
    CHAPTER 18 BRADYARRHYTHMIAS 391
    Larry R. Jackson II, Camille Genise Frazier-Mills, Francis E. Ugowe,
    and James P. Daubert
    Mechanisms of Bradyarrhythmias: Decreased Automaticity 393
    Atrioventricular Conduction Disease 400
    Severity of Atrioventricular Block 400
    Location of Atrioventricular Block 410
    Atrioventricular Nodal Block 411
    Infranodal (Purkinje) Block 414
    CHAPTER 19 VENTRICULAR PREEXCITATION 421
    Donald D. Hegland, Stephen Gaeta, and James P. Daubert
    Clinical Perspective 423
    Pathophysiology 426
    Electrocardiographic Diagnosis of Ventricular Preexcitation 430
    Ventricular Preexcitation as a “Great Mimic” of Other
    Cardiac Problems 434
    Electrocardiographic Localization of the Pathway of
    Ventricular Preexcitation 435
    Ablation of Accessory Pathways 438 Contents ix
    CHAPTER 20 INHERITED ARRHYTHMIA DISORDERS 445
    John Symons and Albert Y. Sun
    The Long QT Syndrome (LQTS) 446
    LQTS Electrocardiographic Characteristics 446
    Electrocardiogram as Used in Diagnosis for LQTS 448
    The Short QT Syndrome (SQTS) 449
    SQTS Electrocardiographic Characteristics 449
    Electrocardiogram as Used in Diagnosis for SQTS 451
    The Brugada Syndrome 452
    Arrhythmogenic Right-Ventricular Cardiomyopathy/Dysplasia 454
    J-wave Syndrome 458
    Catecholaminergic Polymorphic Ventricular Tachycardia 460
    CHAPTER 21 IMPLANTABLE CARDIAC PACEMAKERS 465
    Brett D. Atwater and Daniel J. Friedman
    Basic Concepts of the Implantable Cardiac Pacemaker 466
    Pacemaker Modes and Dual-Chamber Pacing 472
    Pacemaker Evaluation 478
    Myocardial Location of the Pacing Electrodes 482
    Special Algorithms to Avoid Right-Ventricular Pacing 484
    Cardiac Resynchronization Therapy 485
    Index 493
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