Practical Electrocardiography



Practical Electrocardiography

Basic Concepts

o Cardiac Electrical Activity

o Recording the Electrocardiogram

o Interpreting the Normal Electrocardiogram

Abnormal Wave Morphology

o Chamber Enlargement

o Intraventricular Conduction Abnormalities

o Ventricular Preexcitation

o Myocardial Ischemia and Infarction

o Ischemia and Injury Due to Increased Myocardial Demand

o Ischemia and Injury Due to Insufficient Blood Supply

o Myocardial Infarction

o Miscellaneous Conditions

Abnormal Rhythms

o Introduction to Arrhythmias

o Premature Beats

o Accelerated Automaticity

o Reentrant Atrial Tachyarrhythmias – The Atrial Flutter / Fibrilation Spectrum

o Reentrant Junctional Tachyarrythmias

o Reentrant Ventricular Tachyarrhythmias

o Ventricular versus Supraventricular with Aberrant Conduction

o Decreased Automaticity

o Atrioventricular Block

o Artificial Cardiac Pacemakers

Introduction

Lead Placement

Normal ECG

Axis Determination

Atrial Arrhythmias

Bradycardias and Atrioventricular Conduction Block

Junctional Tachycardias

Broad Complex Tachycardia

Myocardial Ischemia and Acute Myocardial Infarction

Conditions Affecting the Left Side of the Heart

Left Atrial Abnormalities

Left Ventricular Hypertrophy

Valvular Disease

Cardiomyopathies (Hypertrophic, Dilated, Restrictive)

Conditions Affecting the Right Side of the Heart

Right Atrial Enlargement

Right Ventricular Hypertrophy

Chronic Obstructive Pulmonary Disease

Pulmonary Embolus

Acute Right Heart Strain

Valvular Disease

Conditions Not Primarily Affecting the Heart

Hyperkalemia

Hypokalemia

Hypothermia

Thyrotoxicosis

Hypothyroidism

Hypercalcemia

Hypocalcemia

Exercise Tolerance Testing and Nuclear Imaging

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