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Doody's Review ServiceReviewer: Scott W. Ard, MD, BS (Ochsner Clinic Foundation)
Description: This is a second edition of a concise review of electrocardiogram (ECG) interpretation, which focuses on the rapid and precise analysis of ECG tracings through a better understanding of electrocardiographic theory.
Purpose: The book serves its purpose by reviewing the various clinical presentations of chest pain syndromes and describing the role of the screening ECG in making a timely diagnosis. It provides a concise yet comprehensive discussion of the physiological and pathologic processes that affect the ECG, thereby highlighting the importance of electrocardiography in making rapid diagnoses. The authors highlight ECG findings that contribute to critical decision making and influence choice of therapy.
Audience: This easy to read book is directed at ACLS providers who work in settings where chest pain evaluation protocols need to be implemented urgently to speed coronary intervention. It caters to personnel in settings where patients with acute coronary syndromes are routinely encountered: EMS, emergency departments, primary care centers, and critical care units. The book is also a valuable tool for medical students and non-ICU physicians who need to have a working knowledge of ECG fundamentals.
Features: The chapters are organized into sections such as basic physiological and pathologic processes, waveforms and vectors, basic conduction abnormalities, chamber evaluation, acute cardiac syndromes (ACS), clinical associations, interventions, and case presentations. The information in the chapters is organized so that readers may easily reference it. The text is supported by annotated graphics, summary tables, and schematics that allow the reader to focus on the essentials. Questions at the end of each chapter allow readers to test their knowledge and reinforce principles of ECG interpretation and application.
Assessment: Acute cardiac syndromes are a major cause of morbidity and mortality, and successful therapy depends upon timely diagnosis which is often made by the ECG. This book is a welcome addition to the body of literature which examines the role of electrocardiography in ACS. It provides first responders with a concise reference for using the ECG to diagnose ACS and choose appropriate therapies in acute care settings.