By George J. Taylor
The 3rd version of one hundred fifty perform ECGs: Interpretation and evaluation combines perform tracings with medical cardiology, delivering scholars with the sensible wisdom essential to learn, interpret, and comprehend ECGs. This crucial overview booklet is geared up into 3 sections: introductory textual content reviewing ECG diagnostic standards, pathophysiology, and medical correlation; a hundred and fifty ECG tracings with a short medical background; and interpretation and instructing issues for every of the a hundred and fifty ECGs. a hundred and fifty perform ECGs: Interpretation and evaluate, third version is perfect as an introductory textual content for clinical and nursing scholars at any level of teaching, for citizens and fellows as a refresher prior to board tests, and for the delicate student/teacher as a accomplished instructing dossier.
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Extra resources for 150 Practice ECGs: Interpretation and Review
A shift in the ST segment from the baseline may indicate ischemia. 9). Cardiac catheterization during subendocardial ischemia usually reveals that the coronary artery supplying the ischemic zone is tightly stenosed but not (totally) occluded. There is a mismatch between blood supply 0RACTICE %#'S )NTERPRETATION AND 2EVIEW and demand across the stenosed artery, and the region of myocardium farthest from the epicardial artery—the subendocardium—is the most ischemic. 10 is a good example.
This association is so reliable that the syncope workup includes an echocardiogram. A normal LV excludes ventricular tachycardia. Furthermore, a severely depressed LV is an indication for prophylaxis with an implantable defibrillator, even without symptoms. There are a few exceptions to this association of ventricular arrhythmias and poor LV function: (1) VT or VF may occur during the first 12 hours of MI, even when the MI is small and LV function is normal—”electrical storm” develops during a brief period of instability; (2) hypertrophic cardiomyopathy may cause ventricular fibrillation and sudden death, and LV contractility is normal or hyperdynamic; (3) the long QT interval syndromes described below; (4) right ventricular dysplasia, a rare congenital abnormality.
The most common of these is inferior MI with deep Q waves in inferior leads causing extreme left axis deviation. Inferior infarction does not alter conduction through the left anterior fascicle. When there are inferior Q waves (reviewed later in this chapter), the diagnosis is left axis deviation rather than LAFB. Bifascicular Block Think of the infranodal system as having three branches, or fascicles: the right bundle and the two branches of the left bundle. LBBB, or block of both branches of the left bundle, could be considered bifascicular block.
150 Practice ECGs: Interpretation and Review by George J. Taylor