Clinical Electrocardiography E-Book
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Clinical Electrocardiography: A Simplified Approach, 7th Edition goes beyond the simple waveform analysis to present ECGs as they are used in hospital wards, outpatient clinics, emergency departments, and intensive care units—where the recognition of normal and abnormal patterns is only the starting point in patient care. With Dr. Goldberger's renowned ability to make complex material easy to understand, you'll quickly grasp the fundamentals of ECG interpretation and analysis.
  • Features indispensable self-tests on interpreting and using ECGs to formulate diagnoses.
  • Presents complex information in a manner that is easy to understand.
  • Represents practical, comprehensive coverage ideal for the beginning student as much as for the practicing clinician.
  • Employs a unique approach that centers on the critical thinking skills required in clinical practice.
  • Provides new chapters on "problem" rhythms—those that are commonly seen in practice and difficult to recognize.
  • Mirrors the true-to-life clinical appearance of ECGs with new and updated images incorporated throughout.
  • Reflects the latest knowledge in the field through clinical pearls and review points at the end of each chapter.
  • Reviews the diagnostic tips on key rhythm disorders that are relevant to today's clinical practice.
  • Includes new ECG differential diagnoses on laminated cards for easy reference.


Derecho de autor
Axis axis
Cardiac dysrhythmia
Left axis deviation
ST elevation
Atrial fibrillation
Digoxin toxicity
Myocardial infarction
Left posterior fascicular block
Left anterior fascicular block
Pre-excitation syndrome
Right axis deviation
Multifocal atrial tachycardia
Muscle hypertrophy
Sudden cardiac death
Right ventricular hypertrophy
Left bundle branch block
Premature atrial contraction
Atrioventricular block
Sinus bradycardia
Drug action
Right bundle branch block
Bundle branch block
Pulseless electrical activity
Left ventricular hypertrophy
Differential diagnosis
Supraventricular tachycardia
Medical Center
Cardiac stress test
Sinus rhythm
Ventricular tachycardia
Heart block
Trifascicular block
Atrial flutter
Hypertrophic cardiomyopathy
Physician assistant
Sick sinus syndrome
Wolff?Parkinson?White syndrome
Heart failure
Premature ventricular contraction
Pulmonary embolism
Ventricular fibrillation
Nonlinear system
Heart disease
Cardiopulmonary resuscitation
Angina pectoris
Ischaemic heart disease
Cardiac arrest
X-ray computed tomography
Data storage device
Rheumatoid arthritis
Hypertension artérielle
Cerf axis


Publié par
Date de parution 07 septembre 2012
Nombre de lectures 0
EAN13 9780323091565
Langue English
Poids de l'ouvrage 48 Mo

Informations légales : prix de location à la page 0,0224€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.


A Simplified Approach
Ary L. Goldberger, MD, FACC
Professor of Medicine, Harvard Medical School, Director, Margret and H.A. Rey Institute
for Nonlinear Dynamics in Physiology and Medicine, Beth Israel Deaconess Medical
Center, Boston, Massachusetts
Zachary D. Goldberger, MD, MS, FACP
Assistant Professor of Medicine, Division of Cardiology, Harborview Medical Center,
University of Washington School of Medicine, Seattle, Washington
Alexei Shvilkin, MD, PhD
Assistant Clinical Professor of Medicine, Harvard Medical School, Director, Arrhythmia
Monitoring Laboratory, Beth Israel Deaconess Medical Center, Boston, MassachusettsTable of Contents
Cover image
Title page
Part I: Basic Principles and Patterns
Chapter 1: Key Concepts
Essential Cardiac Electrophysiology
Cardiac Automaticity and Conductivity: “Clocks and Cables”
Preview: Looking Ahead
Concluding Notes: Why is the ECG So Clinically Useful?
Chapter 2: ECG Basics: Waves, Intervals, and Segments
Depolarization and Repolarization
Basic ECG Waveforms: P, QRS, ST-T, and U Waves
ECG Graph Paper
Basic ECG Measurements and Some Normal Values
Calculation of Heart Rate
Heart Rate and RR Interval: How are they Related?
ECG Terms are Confusing
The ECG as a Combination of Atrial and Ventricular Waveforms
The ECG in PerspectiveChapter 3: ECG Leads
Limb (Extremity) Leads
Chest (Precordial) Leads
Cardiac Monitors and Monitor Leads
Chapter 4: Understanding the Normal ECG
Three Basic “Laws” of Electrocardiography
Normal Sinus P Wave
Normal QRS Complex: General Principles
Normal ST Segment
Normal T Wave
Chapter 5: Electrical Axis and Axis Deviation
Mean QRS Axis: Definition
Mean QRS Axis: Calculation
Axis Deviation
Mean Electrical Axis of the P Wave and T Wave
Chapter 6: Atrial and Ventricular Enlargement
Right Atrial Abnormality
Left Atrial Abnormality
Right Ventricular Hypertrophy
Left Ventricular Hypertrophy
The Ecg in Cardiac Enlargement: A Clinical Perspective
Chapter 7: Ventricular Conduction Disturbances: Bundle Branch Blocks and Related
ECG in Ventricular Conduction Disturbances: General Principles
Right Bundle Branch Block
Left Bundle Branch Block
Differential Diagnosis of Bundle Branch Blocks
Diagnosis of Hypertrophy in the Presence of Bundle Branch BlocksDiagnosis of Myocardial Infarction in the Presence of Bundle Branch Blocks
Chapter 8: Myocardial Infarction and Ischemia, I: ST Segment Elevation and Q Wave
Myocardial Ischemia
Transmural and Subendocardial Ischemia
Myocardial Blood Supply
ST Segment Elevation, Transmural Ischemia, and Acute Myocardial Infarction
ECG Localization of Infarctions
Classic Sequence of St-T Changes and Q Waves with Stemi
Ventricular Aneurysm
Multiple Infarctions
“Silent” Myocardial Infarction
Diagnosis of Myocardial Infarction In the Presence of Bundle Branch Block
Chapter 9: Myocardial Infarction and Ischemia, II: Non–ST Segment Elevation and
Non–Q Wave Syndromes
Subendocardial Ischemia
Subendocardial Infarction
Variety of ECG Changes Seen with Myocardial Ischemia
ST Segment Elevations: Differential Diagnosis
ST Segment Depressions: Differential Diagnosis
Deep T Wave Inversions: Differential Diagnosis
Complications of Myocardial Infarction
ECG after Coronary Revascularization
The ECG in Myocardial Infarction: A Clinical Perspective
Chapter 10: Drug Effects, Electrolyte Abnormalities, and Metabolic Factors
Drug Effects
Electrolyte Disturbances
Other Metabolic Factors
ST-T Changes: Specific and NonspecificChapter 11: Pericardial, Myocardial, and Pulmonary Syndromes
Acute Pericarditis, Pericardial Effusion, and Chronic Constrictive Pericarditis
Chronic Heart Failure
Pulmonary Embolism
Chronic Lung Disease (Emphysema)
Chapter 12: Wolff-Parkinson-White Preexcitation Patterns
Wolff-Parkinson-White Pattern: Preexcitation and Bypass Tracts
Overview: Differential Diagnosis of Wide QRS Complex Patterns
Part II: Cardiac Rhythm Disturbances
Chapter 13: Sinus and Escape Rhythms
Sinus Rhythms
Regulation of the Heart Rate
Sinus Tachycardia
Sinus Bradycardia
Sinus Arrhythmia
Sinus Pauses, Sinus Arrest, and Sinoatrial Block
Chapter 14: Supraventricular Arrhythmias, Part I: Premature Beats and Paroxysmal
Supraventricular Tachycardias
General Principles: Triggers and Mechanisms of Tachyarrhythmias
Atrial and Other Supraventricular Premature Beats
Paroxysmal Supraventricular Tachycardias
Differential Diagnosis and Treatment of PSVT
Chapter 15: Supraventricular Arrhythmias, Part II: Atrial Flutter and Atrial Fibrillation
Atrial Flutter
Atrial Fibrillation
Atrial Fibrillation vs. Atrial Flutter: Differential DiagnosisAtrial Fibrillation and Flutter: Overview of Major Clinical Considerations
Treatment of Atrial Fibrillation/Flutter: Acute and Long-Term Considerations
Chapter 16: Ventricular Arrhythmias
Ventricular Premature Beats
Ventricular Tachycardias
Accelerated Idioventricular Rhythm
Ventricular Fibrillation
Differential Diagnosis of Wide Complex Tachycardias
Chapter 17: Atrioventricular Conduction Abnormalities: Delays, Blocks, and
Dissociation Syndromes
What is the Degree of AV Block?
What is the Location of the Block? Nodal Vs. Infranodal
2:1 AV Block: A Special and Often Confusing Subtype of Second-Degree Heart
Atrial Fibrillation or Flutter with AV Heart Block
AV Heart Block in Acute Myocardial Infarction
AV Dissociation Syndromes
Chapter 18: Digitalis Toxicity
Mechanism of Action and Indications
Digitalis Toxicity Vs. Digitalis Effect
Symptoms and Signs of Digitalis Toxicity
Factors Predisposing to Digitalis Toxicity
Prevention of Digitalis Toxicity
Treatment of Digitalis Toxicity
Serum Digoxin Concentrations (Levels)
Chapter 19: Sudden Cardiac Arrest and Sudden Cardiac Death
Clinical Aspects of Cardiac Arrest
Basic ECG Patterns in Cardiac ArrestClinical Causes of Cardiac Arrest
Sudden Cardiac Death/Arrest
Chapter 20: Bradycardias and Tachycardias: Review and Differential Diagnosis
Bradycardias (Bradyarrhythmias)
Tachycardias (Tachyarrhythmias)
Slow and Fast: Sick Sinus Syndrome and the Brady-Tachy Syndrome
Chapter 21: Pacemakers and Implantable Cardioverter-Defibrillators: Essentials for
Pacemakers: Definitions and Types
Implantable Cardioverter-Defibrillators
Recognizing Pacemaker and ICD Malfunction
Magnet Response of Pacemakers and ICDs
Pacemaker and ICD Implantation: Specific Indications
Part III: Overview and Review
Chapter 22: How to Interpret an ECG
ECG Interpretation: Big Picture and General Approach
Caution: Computerized ECG Interpretations
ECG Artifacts
Chapter 23: Limitations and Uses of the ECG
Important Limitations of the ECG
Utility of the ECG in Special Settings
Common General Medical Applications of the ECG
Reducing Medical Errors: Common Pitfalls in ECG Interpretation
Chapter 24: ECG Differential Diagnoses: Instant Reviews
Brief Bibliography
IndexC o p y r i g h t
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