Chou's Electrocardiography in Clinical Practice: Adult and Pediatric / Edition 6

by Borys Surawicz MD, MACC, Timothy Knilans MD

Overview

Widely considered the optimal electrocardiography reference for practicing physicians, and consistently rated as the best choice on the subject for board preparation, this is an ideal resource for mastering the fundamental principles and clinical applications of ECG.

Product Details

ISBN-13:	9781416037743
Publisher:	Elsevier Health Sciences
Publication date:	03/05/2008
Edition description:	6th ed.
Pages:	752
Product dimensions:	7.25(w) x 10.25(h) x (d)

About the Author

Table of Contents

Adult Electrocardiography     1
Normal Electrocardiogram: Origin and Description     1
Origin of the Electrocardiogram
Methods of Recording
Normal ECG
Common Normal Variants
Atrial Abnormalities     29
Atrial Depolarization
Right Atrial Abnormalities
Left Atrial Abnormality
Biatrial Enlargement: Diagnostic Criteria
Atrial Enlargement in the Presence of Atrial Fibrillation
Atrial Repolarization
Ventricular Enlargement     45
Left Ventricular Enlargement (Hypertrophy and Dilation)
Right Ventricular Hypertrophy and Dilation
Combined Ventricular Hypertrophy
Left Bundle Branch Block     75
Recognition of Myocardial Ischemia and Myocardial Infarction in the Presence of LBBB
Functional Bundle Branch Block
Right Bundle Branch Block     95
Complete Right Bundle Branch Block
Incomplete Right Bundle Branch Block
Other Intraventricular Conduction Disturbances     108
Fascicular Blocks
Bilateral, Bifascicular, and Trifascicular Bundle Branch Block
Intraventricular Conduction Disturbances Associated with Myocardial Infarction and Periinfarction Block
Nonspecific Intraventricular Conduction Disturbances
Acute Ischemia: Electrocardiographic Patterns     124
Systolic and Diastolic Currents of Injury
Depression and Elevation of the ST Segment
PQ Segment Elevation and Depression
Localization of ST Segment Elevation and Reciprocal ST Segment Depression
Myocardial Infarction and Electrocardiographic Patterns SimulatingMyocardial Infarction     162
Myocardial Infarction
Evolution of ECG Patterns for Acute Q Wave MI
Thrombolytic Treatment and Primary Angioplasty in Acute MI
Sensitivity and Specificity of the ECG
ECG Abnormalities Simulating MI
Non-Q Wave Myocardial Infarction, Non-ST Elevation Myocardial Infarction, Unstable Angina Pectoris, Myocardial Ischemia     205
Non-ST Elevation Myocardial Infarction (NSTEMI)
Non-Q Wave Myocardial Infarction (NQMI)
Unstable Angina Pectoris (UAP)
Repolarization Abnormalities Simulating Myocardial Ischemia
T Wave Abnormalities
Silent Myocardial Ischemia
Atrial Infarction
Stress Test   Borys Surawicz   Morton Tavel     221
Introduction
Indications and Contraindications
Safety of the Exercise Test
Graded Exercise Test
Blood Pressure Response to Exercise
Heart Rate Response to Exercise
Cardiac Auscultation
Recording Techniques
Diagnostic Accuracy of the Exercise Test in CAD: Sensitivity and Specificity of the Conventional Criteria
Predictive Value of a Test Result
Criteria for a Positive Exercise Test
Positive Exercise Tests in the Absence of Obstructive CAD
Causes of False-Negative Responses
Exercise Testing in Patients with Abnormal Resting ECGs
Pharmacologic Stress Tests
Prognostic Value of Exercise Testing
Exercise Testing after MI
Can the ECG Stress Test Rule Out Presence of Significant CAD?
Exercise Testing and Arrhythmias
Pericarditis and Cardiac Surgery     256
Pericarditis
ECG Changes after Cardiac Surgery
Diseases of the Heart and Lungs     273
Valvular Heart Disease
Cardiomyopathies
Connective Tissue Diseases
Endocrine Disorders
Metabolic Disturbances
Miscellaneous Conditions
Granulamatous and Infectious Cardiomyopathies
Heart Transplantation
Pulmonary Diseases
Congenital Heart Disease in Adults
Sinus Rhythms     327
Initiation of the Sinus Impulse
Sinus Rate
Sinus Arrhythmias
Sick Sinus Syndrome
Detection of Sinus Node Dysfunction
Heart Rate Variability
Heart Rate Turbulence
Atrial Rhythms     345
Premature Atrial Impulses: Atrial Extrasystoles, Premature Atrial Depolarizations
Ectopic Atrial Rhythm, Accelerated Atrial Rhythm
Automatic Ectopic Atrial Tachycardia
Intraatrial Reentry Tachycardia
Paroxysmal Atrial Tachycardia with Block
Atrial Standstill
Multifocal Atrial or Chaotic Tachycardia
Atrial Parasystole
Atrial Dissociation
Atrial Flutter and Atrial Fibrillation     361
Atrial Flutter
Atrial Fibrillation
Atrioventricular Junctional Rhythms     384
Coronary Sinus Rhythm
Passive AV Junctional Impulses and Rhythms
Active-Type AV Junctional Rhythm and Junctional Tachycardia
AV Dissociation
AV Nodal Reentry
Reciprocal Impulses
Ventricular Arrhythmias     405
Premature Ventricular Complexes
Aberrant Intraventricular Conduction
Heart Rate Turbulence
Clinical Correlation
Ventricular Parasystole
Monomorphic VT (Paroxysmal VT)
Ventricular Escape Complexes and Idioventricular Rhythm
Idiopathic VT
Role of Programmed Electrical Stimulation
Mechanisms of Ventricular Arrhythmias
Torsade de Pointes, Ventricular Fibrillation, and Differential Diagnosis of Wide QRS Tachycardias     440
Torsade de Pointes
Ventricular Flutter and Fibrillation
Commotio Cordis
Differential Diagnosis of Tachycardia with Wide QRS Complex
Atrioventricular Block; Concealed Conduction; Gap Phenomenon     456
Atrioventricular Block
Concealed Conduction
Gap Phenomenon
Ventricular Preexcitation (Wolff-Parkinson-White Syndrome and Its Variants)     481
Wolff-Parkinson-White ECG Pattern
Clinical Significance
Tachyarrhythmias
Anatomic Findings: Localization of the AP by Routine ECG
Reentrant Tachycardia Associated with a Short PR Interval and Lown-Ganong-Levine Syndrome
Mahaim-Type Preexcitation
Ventricular Hypertrophy, BBB, and MI in the Presence of the WPW Pattern
Effects of Drugs
Radiofrequency Ablation of APs
Effect of Drugs on the Electrocardiogram     509
Antiarrhythmia Drugs
Digitalis
Miscellaneous Drugs
Electrolytes, Temperature, Central Nervous System Diseases, and Miscellaneous Effects     532
Electrolytes
Temperature
Miscellaneous Compounds
Central Nervous System Diseases
T Wave Abnormalities     555
Secondary T Wave Abnormalities
Primary T Wave Abnormalities
Concomitant ST-T Abnormalities
Nonspecific ST and T Abnormalities
Computerized Analysis of T Wave Morphology and Spatial Orientation of the T Wave
QT Interval, U Wave Abnormalities, and Cardiac Alternans      569
QT Interval
Abnormal U Wave
Electrical Alternans
Misplacement of Leads and Electrocardiographic Artifacts     586
Misplacement of the Limb Lead
Recognition of Lead Misplacement: Summary
Artifacts
Electrocardiography of Artificial Electronic Pacemakers   Borys Surawicz   Lawrence E. Gering     598
Pacemakers Components
Pacemaker Nomenclature
Pacemaker Stimulus Artifact
Morphology of ECG Complexes
Dual-Chamber Pacing
Rate-Responsive Pacing
Adaptive AV Delay, Rate Hysteresis, Fallback Response, Rate Smoothing, Rate-Responsive AV Delay, Mode Switching, Autocapture
Pacing Failure
ECG Signs of Malfunction of Ventricular Pacing
ECG Signs of Malfunction of the AV Universal (DDD) Pacemakers
Pacemaker Syndrome
Ambulatory Monitoring in Patients with Pacemakers
Ambulatory Electrocardiography     631
Event Recorders
Networking and Databases
Ambulatory Recording in Normal Subjects
Correlation with Symptoms of Palpitations, Dizziness, and Syncope
Chest Pain
Clues to the Arrhythmia Mechanism
Patients with Specific Problems
Heart Rate Variability
Pediatric Electrocardiography     647
Normal Electrocardiograms in the Fetus, Infants, and Children     647
Heart Rate
P Waves
PR Interval
QRS Complex: Morphology, Duration, and Axis
Q Waves
R Waves
S Waves
ST Segment
T Waves
QT Interval
Indications for Performance of ECGs in Pediatrics
Abnormal Electrocardiograms in the Fetus, Infants, and Children      658
Atrial Abnormalities
Ventricular Hypertrophy
Ventricular Conduction Abnormalities
QT Interval Prolongation
Axis Deviation
Abnormal Q Waves
ST and T Abnormalities
The Electrocardiogram in Congenital Heart Disease     671
Acyanotic Lesions
Cyanotic Lesions
Cardiac Arrhythmias in the Fetus, Infants, Children, and Adolescents with Congenital Heart Disease     694
Definitions
Sinus Rhythms
Atrial Arrhythmias
AV Junctional Arrhythmias
AV Reentrant Arrhythmias
Ventricular Arrhythmias
AV Block
Index     721

What People are Saying About This

From the Publisher

Accurately interpret today's full range of ECG findings

Editorial Reviews

Reviewer: Carlos D Giraldo, MD (Ochsner Clinic Foundation)
Description: Leading experts in adult and pediatric electrocardiography provide this timely update to the 2001 edition.
Purpose: This book provides a foundation to understand the genesis of diverse ECG patterns. The authors wanted to update readers on clinical advances in ST- elevation myocardial infarction, non-ST-elevation myocardial infarction, stress testing, QT intervals, and pacemaker. They also sought to update the area of pediatric arrhythmias.
Audience: Medical students, physician assistants, nurse practitioners, physicians in training, and practicing clinicians are the intended audience.
Features: The book thoroughly reviews adult and pediatric electrocardiography with an emphasis on the clinical manifestations of disease and the scientific basis for the electrocardiogram. New chapters cover ICD and pacemaker tracings with expanded coverage on stress testing. New sections explore the rhythm problems associated with pediatric obesity, heart failure, and athletics.
Assessment: The authors have created a useful new edition that is an indispensable reference source for ECG principles and applications. It delivers clinically relevant guidance on all of today's electrocardiographic applications, provides many useful illustrations, and is full of sample ECGs.

Doody's Review Service

"The book thoroughly reviews adult and pediatric electrocardiography with an emphasis on the clinical manifestations of disease and the scientific basis for the electrocardiogram. New chapters cover ICD and pacemaker tracings with expanded coverage on stress testing. New sections explore the rhythm problems associated with pediatric obesity, heart failure, and athletics. The authors have created a useful new edition that is an indispensable reference source for ECG principles and applications. It delivers clinically relevant guidance on all of today's electrocardiographic applications, provides many useful illustrations, and is full of sample ECGs." - Doody's ***

From the Publisher

4 Stars! from Doody