The Electrocardiogram in Emergency and Acute Care Clear, practical guidance in mastering ECG interpretation in the critically ill patient
The Electrocardiogram in Emergency and Acute Care contains clear, practical guidance on mastering both single-lead and 12 lead ECGs, covering the full range of complexities and including a section on differential diagnosis of more common ECGs, with over 200 tracings from which to learn and self-test.
The editors place an emphasis on readability and accessibility, with clearly written chapters and excellent illustrations that serve as a primary source of information for students, trainees, and practicing emergency physicians in all areas.
In The Electrocardiogram in Emergency and Acute Care, readers can expect to find detailed information on topics such as:
Clinical applications, impact, and interpretation of the electrocardiogram, plus variants of the normal, lead misplacement, and electrocardiographic artifact encountered in clinical practice Cardiac rhythms and cardiac dysrhythmias, covering cardiac rhythms with normal rates, narrow QRS complex tachycardia, wide QRS complex tachycardia, and bradycardia Anatomic and physiologic considerations of ischemic heart disease, historical development of the prehospital electrocardiogram, and electrocardiographic findings in acute coronary syndrome Special populations, high-risk presentation scenarios, and advanced electrocardiographic techniques, covering electrocardiograms in pediatric and poisoned patients
The Electrocardiogram in Emergency and Acute Care is ideally suited to medical students, residents, and physicians in training, but is also a useful reference for established physicians as a review and reference text, along with all other health professionals working in this field.
Editors and Contributors x Foreword xii Preface xiv Section I The ECG in Clinical Care 1 1 Clinical Applications of the Electrocardiogram 3 George Glass x 2 Clinical Impact of the Electrocardiogram (ECG) 10 Robert C. Schutt, William J. Brady, Korin B. Hudson, and Steven H. Mitchell 3 Interpretation of the Electrocardiogram – Single- , Multi- , and 12- Lead Analysis 15 Robert C. Reiser, Robert C. Schutt, Korin B. Hudson, and William J. Brady 4 Variants of the Normal, Lead Misplacement, and Electrocardiographic Artifact Encountered in Clinical Practice 21 Robert C. Reiser, Robert C. Schutt, Korin B. Hudson, and William J. Brady Section II Cardiac Rhythms and Cardiac Dysrhythmias 27 5 Cardiac Rhythms with Normal Rates 29 Korin B. Hudson and William J. Brady 6 Narrow QRS Complex Tachycardia 33 Courtney B. Saunders and Jeffrey D. Ferguson 7 Wide QRS Complex Tachycardia 41 Michael Levy and Francis X. Nolan, Jr † 8 Bradycardia 48 Korin B. Hudson, J. Aidan Boswick, and William J. Brady 9 Atrioventricular Conduction Block 54 Steven H. Mitchell, Korin B. Hudson, and William J. Brady 10 Intraventricular Conduction Block: Bundle Branch Block and Other Conduction Abnormalities 59 Steven H. Mitchell, Richard B. Utarnachitt, and William J. Brady 11 Atrial and Ventricular Ectopic Beats 67 Jeffrey D. Ferguson, Michael Levy, J. Aidan Boswick, and William J. Brady Section III Acute Coronary Syndrome and the 12- Lead ECG 73 12 Ischemic Heart Disease: Anatomic and Physiologic Considerations 75 Peter Pollak, Peter Monteleone, Kelly Williamson, David Carlberg, and William J. Brady 13 Electrocardiographic Findings in Acute Coronary Syndrome 82 Peter Monteleone, Peter Pollak, David Carlberg, and William J. Brady Section IV Special Populations, High- Risk Presentation Scenarios, and Advanced Electrocardiographic Techniques 101 14 The Electrocardiogram in the Pediatric Patient 103 Robert Rutherford, Robin Naples, and William J. Brady 15 The Electrocardiogram in the Poisoned Patient 111 Steven H. Mitchell, Christopher P. Holstege, and William J. Brady 16 The Electrocardiogram in Hyperkalemia 119 Steven H. Mitchell and William J. Brady 17 Life- Threatening Electrocardiographic Patterns 125 Steven H. Mitchell, Richard B. Utarnachitt, and William J. Brady 18 The Electrocardiogram in Patients with Implanted Devices 130 Amita Sudhir and William J. Brady 19 Electrocardiographic Tools in Clinical Care 136 Robin Naples, Alvin Wang, and William J. Brady 20 Wolff–Parkinson–White Syndrome 143 William J. Brady 21 Cardiac Arrest Rhythms 147 Amita Sudhir and William J. Brady Section V Electrocardiographic Differential Diagnosis of Common ECG Presentations 153 22 Electrocardiographic Differential Diagnosis of Narrow Complex Tachycardia 155 Megan Starling and William J. Brady 23 Electrocardiographic Differential Diagnosis of Wide Complex Tachycardia 161 Amita Sudhir and William J. Brady 24 Electrocardiographic Differential Diagnosis of Bradyarrhythmia 170 Megan Starling and William J. Brady 25 Electrocardiographic Differential Diagnosis of ST Segment Elevation 175 Megan Starling and William J. Brady 26 Electrocardiographic Differential Diagnosis of ST Segment Depression 184 Amita Sudhir and William J. Brady 27 Electrocardiographic Differential Diagnosis of T Wave Abnormalities: The Prominent T Wave and T Wave Inversions 191 Amita Sudhir and William J. Brady Index 200
Korin B. Hudson, MD, FACEP, FAAEM, CAQ-SM is Professor of Clinical Emergency Medicine in the Department of Emergency Medicine, Georgetown University School of Medicine and MedStar Health, Washington, D.C. USA. Amita Sudhir, MD, FACEP is Associate Professor and Program Director of Emergency Medicine, University of Virginia Health System, Charlottesville, USA. George Glass, MD, FACEP is Assistant Professor of Emergency Medicine, University of Virginia Health System, Charlottesville, USA. William J. Brady, MD, EMT-B, FACEP, FAAEM is Professor of Emergency Medicine, Medicine (Cardiovascular), and Nursing and Vice Chair for Faculty Affairs, The David A. Harrison Distinguished Educator, University of Virginia Health System, Charlottesville, USA. He is also EMS Physician and Operational Medical Director, Albemarle County Fire Rescue, Charlottesville, USA.
