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The Only EKG Book You'll Ever Need


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Table of Contents

Getting Started THE BASICS Electricity and the Heart Time and Voltage P Waves, QRS Complexes, T Waves, and Some Straight Lines Naming the Straight Lines Summary: The Waves and Straight Lines of the EKG Making Waves The 12 Views of the Heart A Word About Vectors The Normal 12-Lead EKG Summary: Orientation of the Waves of the Normal EKG Coming Attractions HYPERTROPHY AND ENLARGEMENT OF THE HEART Definitions Axis Summary: Axis Axis Deviation, Hypertrophy, and Enlargement Atrial Enlargement Summary: Atrial Enlargement Ventricular Hypertrophy Secondary Repolarization Abnormalities of Ventricular Hypertrophy Summary: Ventricular Hypertrophy Case 1 Case 2 ARRHYTHMIAS The Clinical Manifestations of Arrhythmias Why Arrhythmias Happen Rhythm Strips How to Determine the Heart Rate from the EKG The Four Basic Types of Arrhythmias Arrhythmias of Sinus Origin Ectopic Rhythms The Four Questions Ectopic Supraventricular Arrhythmias Summary: Supraventricular Arrhythmias Ectopic Ventricular Arrhythmias Summary: Ventricular Arrhythmias Summary: Rules of Malignancy for PVCs Supraventricular Versus Ventricular Arrhythmias Summary: Ventricular Tachycardia (VT) Versus Paroxysmal Supraventricular Tachycardia (PSVT) with Aberrancy Programmed Electrical Stimulation Implantable Defibrillators Case 3 Case 4 CONDUCTION BLOCKS What Is a Conduction Block? AV Blocks Summary: AV Block Bundle Branch Block Summary: Bundle Branch Block Hemiblocks Summary: Criteria for Hemiblock Combining Bundle Branch Blocks and Hemiblocks Summary: Criteria for Bifascicular Block The Ultimate in Playing With Blocks: Combining AV Blocks, Bundle Branch Blocks, and Hemiblocks Pacemakers Case 5 PREEXCITATION SYNDROMES What Is Preexcitation? Wolff-Parkinson-White Syndrome Lown-Ganong-Levine Syndrome Associated Arrhythmias Summary: Preexcitation Case 6 MYOCARDIAL ISCHEMIA AND INFARCTION What Is a Myocardial Infarction? How to Diagnose a Myocardial Infarction Summary: The EKG Changes of an Evolving Myocardial Infarction Localizing the Infarct Non-Q Wave Myocardial Infarctions Angina Summary: The ST Segment in Cardiac Disease Limitations of the EKG in Diagnosing an Infarction Stress Testing Case 7 FINISHING TOUCHES Electrolyte Disturbances Hypothermia Drugs Other Cardiac Disorders Pulmonary Disorders Central Nervous System Disease The Athlete's Heart Summary: Miscellaneous Conditions Case 8 PUTTING IT ALL TOGETHER The 11-Step Method for Reading EKGs Review Charts HOW DO YOU GET TO CARNEGIE HALL? PRACTICE, PRACTICE, PRACTICE! Practice EKG Strips

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