The most effective self-assessment tool for any clinician who interprets ECGs! This unique resource offers 200 full-sized, three-channel ECGs with lead II rhythm strips, in a format that parallels the cardiology board exam. Each ECG is accompanied by a brief clinical history and followed by a narrative interpretation and board simulation, along with references for further study. A special bonus is the comprehensive section that provides diagnostic criteria for common electrocardiographic diagnoses.This book is perfect for boards in cardiology, critical care, and anesthesiology - or for clinical practice. It features 200 full-size, three-channel ECGs with rhythm strip. Each ECG is accompanied by a brief clinical history in board format. It provides narrative and board-type interpretations on facing page.ECGs range from simple to complex, reflecting conditions both common and rare. The review of diagnostic criteria for common electrocardiographic diagnoses is included. References are provided for further research or study.
This is the ultimate study aid for certification, re-certification, CME - or as a clinical refresher - this unique skill- and knowledge-building tool will help you to hone your skills in interpreting cardiac arrhythmias and other electrocardiographic abnormalities, as well as help you to effectively correlate ECG data with clinical information. More than just a study guide, this one-of-a-kind resource includes reference material that every electrocardiographer will find useful in daily clinical practice.
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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
