By George J. Taylor

ISBN-10: 0470693177

ISBN-13: 9780470693179

ISBN-10: 140510483X

ISBN-13: 9781405104838

The 3rd version of one hundred fifty perform ECGs: Interpretation and evaluate combines perform tracings with scientific cardiology, supplying scholars with the sensible wisdom essential to learn, interpret, and comprehend ECGs. This crucial evaluation ebook is prepared into 3 sections: introductory textual content reviewing ECG diagnostic standards, pathophysiology, and scientific correlation; a hundred and fifty ECG tracings with a short medical historical past; and interpretation and educating issues for every of the a hundred and fifty ECGs. a hundred and fifty perform ECGs: Interpretation and assessment, third variation is perfect as an introductory textual content for clinical and nursing scholars at any level of teaching, for citizens and fellows as a refresher ahead of board assessments, and for the subtle student/teacher as a complete instructing dossier.

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Additional resources for 150 Practice ECGs: Interpretation and Review

Example text

Look more closely at leads I and aVL. The computer probably has detected a tiny Q wave, indicating normal left-right depolarization of the interventricular septum. LBBB interrupts this, so the presence of a “septal Q” excludes LBBB. The left bundle is a broad complex of nerves in the interventricular septum, occupying a lot of space. For this reason LBBB usually indicates heart disease, with an abnormal echocardiogram. In contrast, the right bundle is a long, thin nerve that can be blocked by a small amount of fibrosis.

The ventricular complex thus originates from two sites and may be considered a fusion beat. The QRS is wider than normal and starts earlier after the P wave, so the PR interval is short. 16). 17) Bypass tracts may conduct either antegrade or retrograde. A premature atrial contraction that finds the accessory pathway refractory may pass through the AV node, capture the ventricle, conduct retrograde through the bypass tract, and establish a reentrant circuit with repetitive firing of the ventricles.

You can easily do that with graph paper, and the result is accurate, but there are faster ways. One quick and simple method uses the principle that the QRS amplitude will be maximum and positive in the lead whose orientation is closest to the axis of the QRS vector. Thus, if the QRS axis is 0°, the QRS should have maximum amplitude in lead I. If the QRS axis is 90°, maximum amplitude should be in lead aVF. If leads I and aVF are both positive and with equal amplitude, the QRS should be half-way between them, or 45°.

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