The Only EKG Book You'll Ever Need, 9/e
Author:
Thaler
Edition:
9th
ISBN:
9789387506565
Language:
English
Published:
2018
Publisher:
Wolters Kluwer
Clear and concise, The Only EKG Book You'll Ever Need has provided quick and accurate discussions on using an EKG to diagnose cardiac and non-cardiac conditions for nearly 30 years.
The Only EKG Book You'll Ever Need, 9/e
About
Clear and concise, The Only EKG Book You'll Ever Need has provided quick and accurate discussions on using an EKG to diagnose cardiac and non-cardiac conditions for nearly 30 years. This ninth edition is packed with full-color illustrations, real-world clinical scenarios, and step-by-step instructions—giving you the practical guidance you need to use an EKG in actual clinical settings with patients.
Key Features
- Outlines processes for identifying and interpreting arrhythmias, myocardial infarctions, hypertrophy, atrial fibrillation, and other disorders.
- Features a lighthearted, lively writing style designed to be compelling and minimize confusion of principles discussed.
- New content added to reflect recent clinical and technological advancements.
- Depicts real-life clinical situations and provides important clinical context for EKG use.
- Advises on the dangers of over-reliance on computer interpretations and includes many other practical considerations that other books leave out.
- Online resources are not available with this text
Table of Contents
Getting Started 1
Chapter 1
The Basics 9
Electricity and the Heart 10
The Cells of the Heart 13
Time and Voltage 18
P Waves, QRS Complexes, T Waves, and Some Straight Lines 20
Naming the Straight Lines 29
Summary: The Waves and Straight Lines of the EKG 31
Making Waves 33
The 12 Views of the Heart 38
A Word About Vectors 47
The Normal 12-Lead EKG 49
Summary: Orientation of the Waves of the Normal EKG 60
Some Really Important Stuff That You May Be Wondering:
Part 1: Why Not Just Let the Computer Do It? 62
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? 63
Coming Attractions 64
Chapter 2
Hypertrophy and Enlargement of the Heart 65
A Few Introductory Remarks 66
Definitions 67
Axis 70
Summary: Axis 78
Axis Deviation, Hypertrophy, and Enlargement 81
Atrial Enlargement 84
Summary: Atrial Enlargement 87
Ventricular Hypertrophy 88
Secondary Repolarization Abnormalities of Ventricular Hypertrophy 94
Summary: Ventricular Hypertrophy 97
CASE 1 98
CASE 2 100
Chapter 3
Arrhythmias 103
The Clinical Manifestations of Arrhythmias 105
Why Arrhythmias Happen 106
Rhythm Strips 107
How to Determine the Heart Rate From the EKG 110
The Five Basic Types of Arrhythmias 114
Arrhythmias of Sinus Origin 115
Summary: Arrhythmias of Sinus Origin 121
Ectopic Rhythms 123
Reentrant Rhythms 124
The Four Questions 126
Supraventricular Arrhythmias 129
Summary: Supraventricular Arrhythmias 146
Ventricular Arrhythmias 147
Summary: Ventricular Arrhythmias 153
Supraventricular Versus Ventricular Arrhythmias 154
Summary: Ventricular Tachycardia Versus Supraventricular Tachycardia With
Aberrancy 161
Electrophysiology Studies (EPS) 162
Implantable Defibrillators 164
External Defibrillators 165
CASE 3 167
CASE 4 170
CASE 5 172
Chapter 4
Conduction Blocks 175
What Is a Conduction Block? 176
AV Blocks 178
Summary: AV Blocks 188
Bundle Branch Block 190
Summary: Bundle Branch Block 196
Hemiblocks 197
Combining Right Bundle Branch Block and Hemiblocks 202
Blocks That Underachieve 205
The Ultimate in Playing With Blocks: Combining AV Blocks, Right Bundle Branch
Block, and Hemiblocks 206
Pacemakers 208
CASE 6 213
CASE 7 215
CASE 8 216
Chapter 5
Preexcitation Syndromes 219
What Is Preexcitation? 220
Wolff–Parkinson–White 221
A Short PR Interval Without a Delta Wave 223
Why Do We Care About Preexcitation? 224
Summary: Preexcitation 230
CASE 9 231
Chapter 6
Myocardial Ischemia and Infarction 233
Stable Angina and Acute Coronary Syndromes 234
How to Diagnose a Myocardial Infarction 237
ST-Segment Elevation Myocardial Infarctions (STEMIs) 240
Summary: The EKG Changes of an Evolving STEMI 251
Localizing the Infarct 252
Non–ST-Segment Myocardial Infarctions (non-STEMIs) 264
Takotsubo Cardiomyopathy 265
Angina Without Infarction 267
Sorting Out the Different Ischemic Syndromes 269
Limitations of the EKG in Diagnosing an Infarction 271
Stress Testing 272
CASE 10 277
CASE 11 282
Chapter 7
Finishing Touches 285
Electrolyte Disturbances 287
Hypothermia 292
Drugs 293
More on the QT Interval 297
Other Cardiac Disorders 299
Pulmonary Disorders 305
Central Nervous System Disease 307
Sudden Cardiac Death 308
The Athlete’s Heart 311
Preparticipation Screening for Athletes 312
Sleep Disorders 314
The Preoperative Evaluation 316
Summary: Miscellaneous Conditions 317
CASE 12 320
CASE 13 323
Chapter 8
Putting It All Together 325
The 9-Step Method for Reading EKGs 328
Chapter 9
How Do You Get to Carnegie Hall? 351