150 Practice ECGs: Interpretation and Review - India

150 Practice ECGs: Interpretation and Review

Third Edition

Part I: How to Interpret ECGs Chapter 1: Baseline Data Chapter 2: Morphologic Changes in P, QRS, ST, and T Part II: 150 Practice ECGs Part III: Interpretation and Comments

For Marilyn

150 Practice ECGs: Interpretation and Review

Third Edition

George J. Taylor, MD

Professor of Medicine The Medical University of South Carolina The Ralph H. Johnson VA Medical Center Charleston, South Carolina, USA

? 2006 George J. Taylor

Published by Blackwell Publishing Ltd Blackwell Publishing, Inc., 350 Main Street, Malden, Massachusetts 02148-5020, USA Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia

The right of the Author to be identified as the Author of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher.

First published 1997 Second edition 2002 Third edition 2006

Library of Congress Cataloging-in-Publication Data

Taylor, George Jesse.

150 practice ECGs : interpretation and review / George J. Taylor.--3rd ed.

p. ; cm.

Includes index.

ISBN-13: 978-1-4051-0483-8 (pbk. : alk. paper)

ISBN-10: 1-4051-0483-X (pbk. : alk. paper)

1. Electrocardiography--Problems, exercises, etc. I. Title. II. Title: One hundred fifty

practice ECGs.

[DNLM: 1. Electrocardiography--Examination Questions. WG 18.2

T241z 2006]

RC683.5.E5T34 2006

616.1'207547--dc22

2005017378

ISBN-13: 978-1-4051-0483-8 ISBN-10: 1-4051-0483-X

A catalogue record for this title is available from the British Library

Set in 10 on 13 pt Meridien by SNP Best-set Typesetter Ltd., Hong Kong Printed and bound by Edwards Brothers Inc., USA

Commissioning Editor: Gina Almond Development Editor: Vicki Donald Production Controller: Kate Charman

For further information on Blackwell Publishing, visit our website:

Notice: The indications and dosages of all drugs in this book have been recommended in the medical literature and conform to the practices of the general community. The medications described do not necessarily have specific approval by the Food and Drug Administration for use in the diseases and dosages for which they are recommended. The package insert for each drug should be consulted for use and dosage as approved by the FDA. Because standards for usage change, it is advisable to keep abreast of revised recommendations, particularly those concerning new drugs.

The publisher's policy is to use permanent paper from mills that operate a sustainable forestry policy, and which has been manufactured from pulp processed using acid-free and elementary chlorine-free practices. Furthermore, the publisher ensures that the text paper and cover board used have met acceptable environmental accreditation standards.

Contents

Preface, vi

PART I: How to Interpret ECGS, 1

Normal Intervals, 1

Chapter 1: Baseline Data, 3

A Protocol for Reading ECGs, 3 How to Use This Book, 3

The ECG Is a Voltmeter, 4 Measuring Heart Rate, 6 Intervals, 7

PR Interval, 7 QRS Duration, 8 T Wave and the QT Interval, 9 Rhythm, 11 Sinus Rhythm and Sinus Arrhythmia, 11 Heart Block, 12 Atrial Arrhythmias, 18 Ventricular Arrhythmias, 28 Electrical Axis, 33

QRS Axis, 33 T Wave Axis, 35

Chapter 2: Morphologic Changes in P, QRS, ST, and T, 37

Atrial (P Wave) Abnormalities, 37 Left Atrial Abnormality, 37 Right Atrial Abnormality, 38

Intraventricular Conduction Abnormalities, 38 Right Bundle Branch Block, 38 Incomplete Right Bundle Branch Block, 41 Left Bundle Branch Block, 41 Left Anterior and Posterior Fascicular Block, 43 Bifascicular Block, 43

Ventricular Hypertrophy, QRS Amplitude, and R Wave Progression, 44 Left Ventricular Hypertrophy, 45 Right Ventricular Hypertrophy, 46 Delayed, or Poor, R Wave Progression in Precordial Leads, 47 Low QRS Voltage, 48

Patterns of Ischemia and Infarction, 49 ST Segment Depression, 49 T Wave Inversion, 53 ST Segment Elevation, 55 Q Waves and Evolution of Myocardial Infarction, 58

PART II: 150 Practice ECGs, 63

PART III: Interpretation and Comments, 215

Index, 253

Notes, 265

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download