The ECG: A Two-Step Approach to Diagnosis

Author:   Marc Gertsch ,  C.P. Cannon
Publisher:   Springer-Verlag Berlin and Heidelberg GmbH & Co. KG
Edition:   Softcover reprint of hardcover 1st ed. 2004
ISBN:  

9783642056567


Pages:   616
Publication Date:   30 November 2010
Format:   Paperback
Availability:   Out of stock   Availability explained
The supplier is temporarily out of stock of this item. It will be ordered for you on backorder and shipped when it becomes available.

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The ECG: A Two-Step Approach to Diagnosis


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Overview

Introduction by Bernhard Meier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxxiii Theoretical Basics and Practical Approach Introduction and Concept of the Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 The Value of'the ECG' Today . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Limitations of the Pattern ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Concept of the Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Theoretical Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Anatomy of the Impulse Formation and Impulse Conduction Systems . . . . . . . . . . . . . . . . . . . . . . . . 3 2 Normal Impulse Conduction . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Action Potential of a Single Cell ofWorking Myocardium and its Relation to Ion Flows . . . . . . . . . . 4 4 Atrial Depolarization and Repolarization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5 Ventricular Depolarization and Repolarization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 5. 1 Vectors and Vectorcardiogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 5. 2 Simplified QRS Vectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 6 Lead Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 7 'Magnifying Glass' and 'Proximity' Effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 8 Refractory Period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 9 Nomenclature of the ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Practical Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 1 The Practical Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . 14 1. 1 Definitive ECG diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 xiii 2 Practical approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 2. 1 Analysis of rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 2. 2 Detailed analysis of morphology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 References 18 Pattern ECG The Normal ECG and its (Normal) Variants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Components of the Normal ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 1. 1 Sinus Rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 1. 1. 1 Atrial Vectors in Sinus Rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 1. 2 PQ Interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 1. 3 QRS complex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 1. 3. 1 QRS Axis in the Frontal Plane (ÄQRS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 p 1. 3. 2 QRS Axis in the Horizontal Plane . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . 22 1. 3. 3 Two Special QRS Patterns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 1. 3. 4 Other Normal Variants of the QRS Complex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 1. 4 ST Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Full Product Details

Author:   Marc Gertsch ,  C.P. Cannon
Publisher:   Springer-Verlag Berlin and Heidelberg GmbH & Co. KG
Imprint:   Springer-Verlag Berlin and Heidelberg GmbH & Co. K
Edition:   Softcover reprint of hardcover 1st ed. 2004
Dimensions:   Width: 18.90cm , Height: 3.60cm , Length: 24.60cm
Weight:   1.757kg
ISBN:  

9783642056567


ISBN 10:   3642056563
Pages:   616
Publication Date:   30 November 2010
Audience:   Professional and scholarly ,  Professional and scholarly ,  Professional & Vocational ,  Postgraduate, Research & Scholarly
Format:   Paperback
Publisher's Status:   Active
Availability:   Out of stock   Availability explained
The supplier is temporarily out of stock of this item. It will be ordered for you on backorder and shipped when it becomes available.

Table of Contents

Section I Theoretical Basics and Practical Approach.- and Concept of the Book.- 1 Theoretical Basics.- 2 Practical Approach.- Section II Pattern ECG.- 3 The Normal ECG and its (Normal) Variants.- 4 Atrial Enlargement and Other Abnormalities of the p Wave.- 5 Left Ventricular Hypertrophy.- 6 Right Ventricular Hypertrophy.- 7 Biventricular Hypertrophy.- 8 Pulmonary Embolism.- 9 Fascicular Blocks.- 10 Bundle-Branch Blocks (Complete and Incomplete).- 11 Bilateral Bifascicular (Bundle-Branch) Blocks.- 12 Atrioventricular Block and Atrioventricular Dissociation.- 13 Myocardial Infarction.- 14 Differential Diagnosis of Pathologic Q waves.- 15 Acute and Chronic Pericarditis.- 16 Electrolyte Imbalances and Disturbances.- 17 Alterations of Repolarization.- Section III Arrhythmias.- 18 Atrial Premature Beats.- 19 Atrial Tachycardia.- 20 Atrial Flutter.- 21 Atrial Fibrillation.- 22 Sick Sinus Syndrome (and Carotid Sinus Syndrome).- 23 Atrioventricular Junctional Tachycardias.- 24 The Wolff-Parkinson-White Syndrome.- 25 Ventricular Premature Beats.- 26 Ventricular Tachycardia.- Section IV Special Topics.- 27 Exercise ECG.- 28 Pacemaker ECG.- 29 Congenital and Acquired (Valvular) Heart Diseases.- 30 Digitalis Intoxication.- 31 Special ECG Waves, Signs and Phenomena.- 32 Rare ECGs.- ECG Index.

Reviews

From the foreword by Professor Christopher Cannon: Professor Gertsch has compiled a wonderful book that covers all aspects of electrocardiography but with a very practical and clinically useful approach... From the reviews: This single-authored book covers all aspects of electrocardiography from a clinical and practical view. ! this book very useful for all levels of physicians caring for cardiac patients and health-care professionals. The book is fully illustrated with more than one thousand high quality ECGs, figures and tables. It will offer many individuals who interpret electrocardiograms the necessary educational 'building blocks' required to increase their knowledge of the subject and to improve their interpretation skills. (Roland Stroobandt, Acta Cardiologica, April, 2005)


Author Information

The author is one of the most experienced cardiological experts in Switzerland. Besides considerable teaching experience in Switzerland and abroad, Professor Gertsch is the Senior Consultant at the Swiss Heart Center, Department of Cardiology, Inselspital, University of Bern

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