The Only EKG Book You'll Ever Need / Edition 4

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Now in its updated Fourth Edition, this popular and practical text presents all the information the clinician needs to read EKGs efficiently and accurately. It is an ideal reference for medical students in ICM courses, house officers, or anyone directly involved in patient care, whether student, teacher, or practitioner. This edition includes new information on pacemakers, ischemic heart disease, and myocardial infarction treatment.

The book features more than 200 facsimiles of EKG strips and numerous case studies and clinical examples. Also included is a pocket-sized review section that can be removed from the book and added to a pocket notebook.

The book contains both black-and-white and two-color illustrations.

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Editorial Reviews

Ronald R. Schreiber
This is a basic EKG text for medical students and nurses on how to interpret electrocardiograms. The purpose is to teach EKG reading to the novice utilizing a clear, logical, and easy to follow format. The author states he intends to make simple things simpler and complicated things concise and simple and quite simply he accomplishes this best. This book is appropriate for medical students and cardiac care nurses. A summary concludes each chapter. A number of case studies are reviewed and are easy to follow and to understand. A unique aspect of this book is the clear and logical presentation of the author written in a fresh, enjoyable, and often humorous manner. This style makes learning EKGs interesting and enjoyable and not boring as is the problem with some texts. The only negative comment I have about this book is there is no glossary, which is necessary in a basic medical text. This is an excellent basic EKG book and one of the best I have ever read. It is enjoyable to read because of the fresh, humorous style of the author. The author is logical in his approach and presents basic, simple concepts initially while adding more complex criteria as the text progresses. Summaries conclude each chapter and a number of case studies are presented in addition to a chapter of review charts which, with repetition, reinforce diagnosis EKG criteria. Still, I am impressed with how thorough this book is in many areas and likewise am impressed with its accuracy, which makes it superior to most basic EKG books available today. I applaud the author for his work! I enjoyed this book and will recommend it to my medical students.
From the Publisher

"This is a popular and practical handbook for those who wish a thorough understanding of EKG interpretation, especially for everyday clinical practice.  It effectively summarizes basic concepts and helps to incorporate those concepts into accurate EKG interpretation. The main strength of this book is the author's ability to simplify complex concepts and the use of high-quality illustrations to teach readers how to systematically translate the EKG interpretation to aid in clinical decision making."

Doody's Reviews (February, 2013)
Nicholas N Hanna, MD (Ochsner Clinic Foundation)
Weighted Numerical Score: 100 - 5 Stars!

Doody's Review Service
Reviewer: Nicholas N Hanna, MD (Ochsner Clinic Foundation)
Description: This is the seventh edition of a handbook that summarizes the interpretation of electrocardiograms. The author, Dr. Malcolm Thaler, has authored and edited several best-selling medical books and online resources.
Purpose: The purpose is to review EKG interpretation, with a particular focus on integrating interpretation in a clinical context.
Audience: This book does not assume any formal training in cardiology, and is suitable for students, allied health personnel, physicians in training, internists, and cardiologists.
Features: The chapters are organized by distinct cardiovascular disease processes, including chamber size, arrhythmias, conduction disturbances, and myocardial infarction. Each chapter uses frequent summaries to highlight important concepts, including step-wise approaches to ensure accurate EKG interpretation. The final chapters present unique disease-specific findings, as well as new example cases. This edition includes updated full-color models, illustrations, and tracings to enhance readers' understanding. Included with this handbook is a searchable online companion site and interactive question bank.
Assessment: This is a popular and practical handbook for those who wish a thorough understanding of EKG interpretation, especially for everyday clinical practice. It effectively summarizes basic concepts and helps to incorporate those concepts into accurate EKG interpretation. The main strength of this book is the author's ability to simplify complex concepts and the use of high-quality illustrations to teach readers how to systematically translate the EKG interpretation to aid in clinical decision making.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780781741767
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 12/28/2002
  • Edition description: Fourth Edition
  • Edition number: 4
  • Pages: 320
  • Product dimensions: 7.34 (w) x 9.16 (h) x 0.65 (d)

Table of Contents

Getting Started 1

Chapter 1
The Basics 9
Electricity and the Heart 10
Time and Voltage 17
P Waves, QRS Complexes, T Waves, and Some Straight Lines 19
Naming the Straight Lines 29
Summary: The Waves and Straight Lines of the EKG 31 Making Waves 32
The 12 Views of the Heart 37
A Word About Vectors 46
The Normal 12-Lead EKG 47
Summary: Orientation of the Waves of the Normal EKG 58
Coming Attractions 60

Chapter 2
Hypertrophy and Enlargement of the Heart 61
Definitions 62
Axis 65
Summary: Axis 72
Axis Deviation, Hypertrophy, and Enlargement 75
Atrial Enlargement 78
Summary: Atrial Enlargement 81
Ventricular Hypertrophy 82
Secondary Repolarization Abnormalities of Ventricular Hypertrophy 88
Summary: Ventricular Hypertrophy 90
Case 1 91
Case 2 92

Chapter 3
Arrhythmias 95
The Clinical Manifestations of Arrhythmias 97
Why Arrhythmias Happen 98
Rhythm Strips 99
How To Determine the Heart Rate From the EKG 102
The Four Basic Types of Arrhythmias 106
Arrhythmias of Sinus Origin 107
Ectopic Rhythms 114
The Four Questions 117
Ectopic Supraventricular Arrhythmias 119
Summary: Supraventricular Arrhythmias 130
Ectopic Ventricular Arrhythmias 131
Summary: Ventricular Arrhythmias 138
Summary: Rules of Malignancy for PVCs 138
Supraventricular Versus Ventricular Arrhythmias 139
Summary: Ventricular Tachycardia (VT) Versus Paroxysmal Supraventricular Tachycardia (PSVT) With Aberrancy 145
Programmed Electrical Stimulation 146
Implantable Defibrillators 147
Case 3 150
Case 4 152

Chapter 4
Conduction Blocks 155
What Is a Conduction Block? 156
AV Blocks 157
Summary: AV Block 166
Bundle Branch Block 167
Summary: Bundle Branch Block 173
Hemiblocks 174
Summary: Criteria for Hemiblock 178
Combining Bundle Branch Blocks and Hemiblocks 179
Summary: Criteria for Bifascicular Block 179
The Ultimate in Playing With Blocks: Combining AV Blocks, Bundle Branch Blocks, and Hemiblocks 182
Pacemakers 184
Case 5 188

Chapter 5
Preexcitation Syndromes 191
What Is Preexcitation? 192
Wolff-Parkinson-White Syndrome 194
Lown-Ganong-Levine Syndrome 195
Associated Arrhythmias 196
Summary: Preexcitation 200
Case 6 201

Chapter 6
Myocardial Ischemia and Infarction 203
What Is a Myocardial Infarction? 204
How to Diagnose a Myocardial Infarction 205
Summary: The EKG Changes of an Evolving Myocardial Infarction 217
Localizing the Infarct 218
Non–Q Wave Myocardial Infarctions 227
Angina 229
Summary: The ST Segment in Cardiac Disease 231
Limitations of the EKG in Diagnosing an Infarction 232
Stress Testing 233
Case 7 238

Chapter 7
Finishing Touches 245
Electrolyte Disturbances 247
Hypothermia 251
Drugs 252
Other Cardiac Disorders 256
Pulmonary Disorders 260
Central Nervous System Disease 262
The Athlete’s Heart 263
Summary: Miscellaneous Conditions 264
Case 8 266

Chapter 8
Putting It All Together 269
The 11-Step Method for Reading EKGs 272
Review Charts 274

Chapter 9
How Do You Get To Carnegie Hall?* 291

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  • Anonymous

    Posted January 25, 2006

    It really is the only one I needed-wish I bought it first

    I bought this book along with ECG -INCREDIBLY EASY. At about p77, in Incredibly Easy book , I relized that they were not explaining anything, just giving me bunch of facts. I can only learn if I understand the concept. So I started reading Mr. Thaler EKG book and he is a genius at the way he presents his material. It is a easy read, with detailed explanation of the strips, and what causes waves (P, Q, R,S,T) to appear or distort. I love this book. Also covers Arrhythmias, Blocks,MI,drug effects, etc,etc. It is the most logical book on EKG I ever saw. Dont be fooled by 'incredibly easy' series.I found the one on ECG to be 'incredibly useless'.

    6 out of 6 people found this review helpful.

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