Home / Medicine / The Only EKG Book You’ll Ever Need

The Only EKG Book You’ll Ever Need

Edition: 10
9781975185855
ISBN/ISSN:
9781975185855
Publication Date:
January 26, 2022
2022-01-26
9781975185855
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  • Edition
    10
    ISBN/ISSN
    9781975185855
    Product Format
    Vitalsource Interactive eBook
    Edition
    10
    Publication Date
    January 26, 2022
  • Malcolm S. Thaler
  • Getting Started 1
    Chapter 1
    The Basics 9
    Electricity and the Heart 10
    The Cells of the Heart 13
    Time and Voltage 19
    P Waves, QRS Complexes, T Waves, and Some Straight Lines 21
    Naming the Straight Lines 30
    Summary: The Waves and Straight Lines of the EKG 32
    Making Waves 34
    The 12 Views of the Heart 39
    A Word About Vectors 49
    The Normal 12-Lead EKG 51
    Summary: Orientation of the Waves of the Normal EKG 62
    Some Really Important Stuff That You May Be Wondering:
    Part 1: Why Not Just Let the Computer Do It? 64
    Some Really Important Stuff That You May Be Wondering:
    Part 2: How Do I Get the Goop Off My Patient’s Chest Once the EKG Is
    Finished? 66
    Coming Attractions 67
    Chapter 2
    Hypertrophy and Enlargement of the Heart 69
    A Few Introductory Remarks 70
    Definitions 71
    Axis 74
    Summary: Axis 83
    Axis Deviation, Hypertrophy, and Enlargement 86
    ContentsAtrial Enlargement 89
    Summary: Atrial Enlargement 92
    Ventricular Hypertrophy 93
    Secondary Repolarization Abnormalities of Ventricular
    Hypertrophy 99
    Summary: Ventricular Hypertrophy 102
    CASE 1 103
    CASE 2 104
    Chapter 3
    Arrhythmias 107
    The Clinical Manifestations of Arrhythmias 109
    Why Arrhythmias Happen 110
    Rhythm Strips 111
    How to Determine the Heart Rate From the EKG 115
    The Five Basic Types of Arrhythmias 119
    Arrhythmias of Sinus Origin 120
    Summary: Arrhythmias of Sinus Origin 127
    Ectopic Rhythms 129
    Reentrant Rhythms 130
    The Four Questions 132
    Supraventricular Arrhythmias 135
    Summary: Supraventricular Arrhythmias 157
    Ventricular Arrhythmias 158
    Summary: Ventricular Arrhythmias 166
    Supraventricular vs Ventricular Arrhythmias 167
    Summary: Ventricular Tachycardia vs Supraventricular
    Tachycardia With Aberrancy 174
    Electrophysiology Studies (EPS) 175
    Implantable Defibrillators 177
    External Defibrillators 178
    CASE 3 180
    CASE 4 183
    CASE 5 185
    Chapter 4
    Conduction Blocks 189
    What Is a Conduction Block? 190
    AV Blocks 192Summary: AV Blocks 202
    Bundle-Branch Block 204
    Summary: Bundle-Branch Block 210
    Hemiblocks 211
    Combining Right Bundle-Branch Block and Hemiblocks 216
    Blocks That Underachieve 219
    The Ultimate in Playing With Blocks: Combining AV Blocks,
    Right Bundle-Branch Block, and Hemiblocks 220
    Pacemakers 222
    CASE 6 227
    CASE 7 229
    CASE 8 230
    Chapter 5
    Preexcitation Syndromes 233
    What Is Preexcitation? 234
    Wolff-Parkinson-White 235
    A Short PR Interval Without a Delta Wave 237
    Why Do We Care About Preexcitation? 238
    Summary: Preexcitation 244
    CASE 9 245
    Chapter 6
    Myocardial Ischemia and Infarction 247
    Stable Angina and Acute Coronary Syndromes 248
    How to Diagnose a Myocardial Infarction 251
    ST-Segment Elevation Myocardial Infarctions 254
    Summary: The EKG Changes of an Evolving STEMI 266
    Localizing the Infarct 267
    Non–ST-Segment Elevation Myocardial Infarctions 280
    Takotsubo Cardiomyopathy 281
    Angina Without Infarction 283
    Sorting Out the Different Ischemic Syndromes 285
    Limitations of the EKG in Diagnosing an Infarction 287
    Stress Testing 288
    CASE 10 294
    CASE 11 299Chapter 7
    Finishing Touches 301
    Electrolyte Disturbances 303
    Hypothermia 308
    Drugs 310
    More on the QT Interval 315
    Other Cardiac Disorders 317
    Pulmonary Disorders 323
    Central Nervous System Disease 325
    Sleep Disorders 326
    Sudden Cardiac Death 328
    The Athlete’s Heart 331
    Preparticipation Screening for Athletes 332
    The Preoperative Evaluation 334
    Summary: Miscellaneous Conditions 335
    CASE 12 338
    CASE 13 341
    Chapter 8
    Putting It All Together 343
    The 9-Step Method for Reading EKGs 346
    Chapter 9
    How Do You Get to Carnegie Hall? 369
    Index 393
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