Clinical Electrocardiography: Review & Study Guide / Edition 2

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Overview

The best review available for the ECG section of the cardiology boards! This exceptional resource offers 200 full-sized ECGs with accompanying patient histories in a format parallel to the cardiology certification exam. The included ECGs range from simple to complex, reflecting conditions common and rare.

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Editorial Reviews

From The Critics
Reviewer: Sammy Khatib, MD (Ochsner Clinic Foundation)
Description: This is a study guide which facilitates the interpretation of ECGs with a particular emphasis on preparing for the cardiology board examinations. The book is structured to simulate test exams, with ECGs and a clinical scenario given. Subsequently, there is a summation of the abnormalities of the ECG, followed by a short explanation. There is also a listing of the answers that one would be expected to give on the board certification examinations.
Purpose: The purpose is to "provide physicians with a clinically relevant approach to the interpretation of electrocardiograms." The objectives include helping the reader recognize common and uncommon ECG diagnoses, learn the principles of interpreting cardiac arrhythmias, identify areas of weakness, and correlate ECG data with clinically relevant information. The book is successful in facilitating the recognition of common and uncommon ECG patterns, as well as helping the reader identify weaknesses which need to be improved. It is also moderately successful in correlating ECG data with clinically relevant information.
Audience: The book is designed for any physician interpreting ECGs. The author is a credible authority on this subject, as evidenced by the quality of the work.
Features: "The main strength of this book is its format, which is designed to assist the reader in preparing for the cardiology boards. It allows for as close a simulation of the examination as possible. The ECGs used are relevant and run the spectrum from the basic with minimal abnormalities to complex. I was very happy to see an index that allows one to look at particular ECGs with certain abnormalities. This feature is lacking in other books using a similar format. "
Assessment: This will be a valuable addition to the medical library of any physician involved in interpreting ECGs. The book would be more useful than others when preparing for the cardiology board examinations, and I would recommend it over other books for this purpose in particular.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780071423021
  • Publisher: McGraw-Hill Companies, The
  • Publication date: 3/5/2004
  • Edition description: Subsequent
  • Edition number: 2
  • Pages: 425
  • Sales rank: 1,249,458
  • Product dimensions: 8.30 (w) x 10.80 (h) x 0.85 (d)

Meet the Author

Dr. Zimmerman is a reviewer for CIRCULATION, POST GRADUATE MEDICINE and the INTERNATIONAL JOURNAL OF CARDIOLGOY. He is also on the editorial board of American Journal of Medicine & Sports.

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Table of Contents

Table of Electrocardiographic Diagnoses

I. RHYTHM ABNORMALITIES

A. Supraventricular Rhythms and Complexes


1. Sinus rhythm


2. Sinus arrhythmia


3. Sinus bradycardia


4. Sinus tachycardia


5. Wandering atrial pacemaker within the sinus node


6. Wandering atrial pacemaker to the AV junction


7. Sinus arrest or pause


8. Sinoatrial exit block


9. Ectopic atrial rhythm


10. Atrial premature complexes, normally conducted


11. Atrial premature complexes, aberrantly conducted


12. Atrial premature complexes, nonconducted


13. Multifocal atrial rhythm


14. Multifocal atrial tachycardia


15. Atrial tachycardia, regular 1:1 conduction, sustained


16. Atrial tachycardia, regular 1:1 conduction, short paroxysms


17. Atrial tachycardia, with non-1:1 conduction (with block)


18. Supraventricular tachycardia, unspecified


19. Atrial flutter


20. Atrial fibrillation

B. AV Junctional Rhythms and Complexes


21. AV junctional rhythm


22. AV junctional escape rhythm


23. AV junctional rhythm, accelerated


24. AV junctional escape complexes


25. AV junctional premature complexes

C. Ventricular Rhythms and Complexes


26. Ventricular premature complex(es), uniform


27. Ventricular premature complex(es), multiform


28. Ventricular premature complexes, paired


29. Ventricular parasystole


30. Ventricular tachycardia


31. Accelerated idioventricular rhythm


32. Ventricular fibrillation


33. Torsades de pointes

D. Pacemaker Function, Rhythms, and Complexes


34. Single-chamber atrial pacing


35. Single-chamber pacemaker, ventricular pacing on demand


36. Single-chamber pacemaker, ventricular pacing with complete control


37. Dual-chamber pacemaker, atrial sensing with ventricular pacing


38. Dual-chamber pacemaker, atrial and ventricular sensing and pacing


39. Pacemaker malfunction, failure to capture atrium or ventricle appropriately


40. Pacemaker malfunction, failure to sense atrial or ventricular complexes appropriately


41. Pacemaker malfunction, failure to fire appropriately on demand (inappropriate sensing of stimuli or complex)

II. AV CONDUCTION ABNORMALITIES


42. AV block, first-degree


43. AV block, second-degree, Mobitz I (Wenckebach)


44. AV block, second-degree, Mobitz II


45. AV block, second-degree, 2:1


46. AV block, high-grade


47. AV block, third-degree or complete


48. Accelerated AV conduction (short PR interval
pattern with normal QRS duration in sinus rhythm)

49. Ventricular preexcitation (WPW pattern)


50. Physiologic AV conduction delay associated with supaventricular tachyarrhythmias.


51. Nonphysiologic AV conduction delay associated with su praventricular tachyarrhythmias

III. MISCELLANEOUS AV RELATIONSHIPS


52. Ventriculophasic sinus arrhythmia


53. AV dissociation


54. Reciprocal (echo) complexes


55. Retrograde atrial activation from a ventricular focus


56. Fusion complexes


57. Ventricular capture complexes


58. Interpolation of ventricular premature complexes

IV. P-WAVE ABNORMALITIES


59. Right atrial abnormality


60. Left atrial abnormality


61. Biatrial abnormality


62. Nonspecific atrial abnormality


63. PR depression

V. ABNORMALITIES OF QRS AXIS OR VOLTAGE


64. Left axis deviation


65. Right axis deviation


66. Poor R-wave progression


67. Low voltage, limb leads


68. Low voltage, precordial leads


69. Electrical alternans

VI. INTRAVENTRICULAR CONDUCTION ABNORMALITIES,


70. Right bundle branch block, complete


71. Right bundle branch block, incomplete


72. Left anterior fascicular block


73. Left posterior fascicular block


74. Left bundle branch block, complete


75. Left bundle branch block, incomplete


76. Intraventricular conduction delay, nonspecific (includes IVCD associated with chamber enlargement)


77. Probable aberrant intraventricularconduction associated with supraventricular arrhythmia

VII. VENTRICULAR HYPERTROPHY OR ENLARGEMENT


78. Left ventricular hypertrophy by voltage criteria, with or without associated ST-T-wave abnormalities


79. Right ventricular hypertrophy


80. Combined ventricular hypertrophy

VIII. Q-WAVE MYOCARDIAL INFARCTION


81. Anteroseptal, acute or recent


82. Anteroseptal, old or of indeterminate age


83. Anterior, acute or recent


84. Anterior, old or of indeterminate age


85. Anterolateral, acute or recent


86. Anterolateral, old or of indeterminate age


87. Extensive anterior, acute or recent


88. Extensive anterior, old or of indeterminate age


89. Lateral or high lateral, acute or recent


90. Lateral or high lateral, old or of indeterminate age


91. Inferior or diaphragmatic, acute or recent


92. Inferior or diaphragmatic, old or of indeterminate age


93. Posterior, acute or recent,


94. Posterior, old or of indeterminate age


95. Suggestive of ventricular aneurysm

IX. ST-, T-, U-WAVE ABNORMALITIES


96. Normal variant, isolated J-point elevation (early repolarization pattern)


97. Isolated J-point depression


98. Normal variant, RSR’ pattern lead V1


99. Normal variant, persistent juvenile T-wave pattern
100. ST- and/or T-wave abnormalities suggesting acute or recent myocardial injury


101.ST- and/or T-wave abnormalities suggesting either reciprocal change or myocardial ischemia in the setting of acute myocardial injury


102. ST- and/or T-wave abnormalities suggesting myocardial ischemia in the absence of acute myocardial injury


103. ST- and/or T-wave abnormalities associated with ventricular hypertrophy


104. ST- and/or T-wave abnormalities associated with ventricular conduction abnormality


105. ST- and/or T-wave abnormalities suggesting early, acute pericarditis


106. Nonspecific ST- and/or T-wave abnormalities


107. Post extrasystolic T-wave abnormality


108. Peaked T waves


109. Prolonged QT interval for heart rate (QTc)


110. Prominent U waves


111. Inverted U waves

X. TECHNICAL PROBLEMS


112. Incorrect electrode placement



113. Artifact secondary to tremor
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