E-Book Description
Marriott’s Practical Electrocardiography 13th Edition PDF Free Download
Providing a solid foundation in current ECG technology as well as the newest diagnostic applications, Marriott’s Practical Electrocardiography, Thirteenth Edition, delivers the information you need to quickly improve your ECG interpretive skills. Authors Dr. David G. Strauss and Dr. Douglas D. Schocken offer medical students, residents and fellows a detailed explanation of the ECG, rhythm analysis, and how to rapidly and accurately interpret ECG results. Helpful diagrams, tables, animations, and videos, plus new ECG quizzes online, improve your understanding and skills.
E-Book Details
Сategories: Medicine|Cardiology
Language: : English
Paperback : 536 pages
ISBN-10 : 1496397452
ISBN-13 : 978-1496397454
Language: : English
Paperback : 536 pages
ISBN-10 : 1496397452
ISBN-13 : 978-1496397454
Table of Contents
Digital Contents: Quizzes, Animations and Videos List
Contributors
Preface
SECTION I: BASIC CONCEPTS
CHAPTER 1 CARDIAC ELECTRICAL ACTIVITY
Tobin H. Lim and David G. Strauss
The Book: Marriott’s Practical Electrocardiography,
13th Edition
What Can This Book Do for Me?
What Can I Expect From Myself When I Have
“Completed” This Book?
The Electrocardiogram
What Is an Electrocardiogram?
What Does an Electrocardiogram Actually Measure?
What Medical Problems Can Be Diagnosed With an
Electrocardiogram?
Anatomic Orientation of the Heart
The Cardiac Cycle
Cardiac Impulse Formation and Conduction
Recording Long-Axis (Base-Apex) Cardiac Electrical
Activity
Recording Short-Axis (Left Versus Right) Cardiac
Electrical Activity
CHAPTER 2 RECORDING THE
ELECTROCARDIOGRAM
David G. Strauss, Tobin H. Lim, and Douglas D. Schocken
The Standard 12-Lead Electrocardiogram
Frontal Plane
Transverse Plane
Correct and Incorrect Electrode Placements
Alternative Displays of the 12 Standard
Electrocardiogram Leads
Cabrera Sequence
Twenty-four–Lead Electrocardiogram
Continuous Monitoring
Monitoring
Clinical Situation
Alternative Electrode Placement
Clinical Indications
Standard Site(s) Unavailable
Specific Cardiac Abnormalities
Other Practical Points for Recording the
Electrocardiogram
CHAPTER 3 INTERPRETATION OF THE NORMAL
ELECTROCARDIOGRAM
David G. Strauss, Tobin H. Lim, and Douglas D. Schocken
Electrocardiographic Features
Rate and Regularity
P-wave Morphology
General Contour
P-wave Duration
Positive and Negative Amplitudes
Axis in the Frontal and Transverse Planes
The PR Interval
Morphology of the QRS Complex
General Contour
Q waves
R waves
S waves
QRS Complex Duration
Positive and Negative Amplitudes
Axis in the Frontal and Transverse Planes
Morphology of the ST Segment
T-wave Morphology
General Contour
T-wave Duration
Positive and Negative Amplitudes
Axis in the Frontal and Transverse Planes
U-wave Morphology
QT and QTc Intervals
Cardiac Rhythm
Cardiac Rate and Regularity
P-wave Axis
PR Interval
Morphology of the QRS Complex
ST Segment, T wave, U wave, and QTc Interval
A Final Word
eChapter I: INTERPRETATION OF
THE ELECTROCARDIOGRAM IN 3D
Charles W. Olson, E. Harvey Estes Jr, Vivian P. Kamphuis, Esben Andreas
Carlsen, David G. Strauss, and Galen S. Wagner (deceased)
SECTION II: CHAMBER ENLARGEMENT AND
CONDUCTION ABNORMALITIES
CHAPTER 4 CHAMBER ENLARGEMENT
Douglas D. Schocken, Ljuba Bacharova, and David G. Strauss
Atrial Enlargement
Electrocardiogram Pattern With Atrial Enlargement
General Contour
P-wave Duration
Positive and Negative Amplitudes
Axis in the Frontal and Transverse Planes
Ventricular Enlargement
Ventricular Enlargement due to Hemodynamic
Overload
Ventricular Enlargement Primarily due to Structural
Changes (Cardiomyopathy)
Electrocardiogram QRS Changes With Ventricular
Enlargement
Left-Ventricular Dilation
Left-Ventricular Hypertrophy
Electrocardiogram Pattern With Left-Ventricular
Hypertrophy
General Contour
QRS Complex Duration
Positive and Negative Amplitudes
Right-Ventricular Hypertrophy
Axis in the Frontal and Transverse Planes
Biventricular Hypertrophy
Scoring Systems for Assessing LVH and RVH
CHAPTER 5 INTRAVENTRICULAR CONDUCTION
ABNORMALITIES
David G. Strauss and Tobin H. Lim
Normal Conduction
Bundle-Branch and Fascicular Blocks
Unifascicular Blocks
Right-Bundle-Branch Block
Left Fascicular Blocks
Left Anterior Fascicular Block
Left Posterior Fascicular Block
Bifascicular Blocks
Left-Bundle-Branch Block
Right-Bundle-Branch Block With Left Anterior
Fascicular Block
Right-Bundle-Branch Block With Left Posterior
Fascicular Block
Systematic Approach to the Analysis of Bundle-Branch
and Fascicular Blocks
General Contour of the QRS Complex
QRS Complex Duration
Positive and Negative Amplitudes
QRS Axis in the Frontal and Transverse Planes
Clinical Perspective on Intraventricular-Conduction
Disturbances
SECTION III: ISCHEMIA AND INFARCTION
CHAPTER 6 INTRODUCTION TO MYOCARDIAL
ISCHEMIA AND INFARCTION
David G. Strauss, Douglas D. Schocken, and Tobin H. Lim
Introduction to Ischemia and Infarction
Proximity to the Intracavitary Blood Supply
Distance From the Major Coronary Arteries
Workload as Determined by the Pressure Required to
Pump Blood
Electrocardiographic Changes
Electrophysiologic Changes During Ischemia
Electrocardiographic Changes During Supply
Ischemia (Insufficient Blood Supply)
Electrocardiographic Changes During Demand
Ischemia
Progression of Transmural Ischemia to Infarction
CHAPTER 7 SUBENDOCARDIAL ISCHEMIA FROM
INCREASED MYOCARDIAL DEMAND
David G. Strauss and Tobin H. Lim
Changes in the ST Segment
Normal Variants
Typical Subendocardial Ischemia
Atypical Subendocardial Ischemia
Normal Variant or Subendocardial Ischemia?
Abnormal Variants of Subendocardial Ischemia
Ischemia Monitoring
CHAPTER 8 TRANSMURAL MYOCARDIAL
ISCHEMIA FROM INSUFFICIENT
BLOOD SUPPLY
David G. Strauss and Tobin H. Lim
Changes in the ST Segment
Changes in the T Wave
Changes in the QRS Complex
TRANSMURAL MYOCARDIAL
ISCHEMIA FROM INSUFFICIENT
BLOOD SUPPLY: ONLINE
SUPPLEMENT
David G. Strauss and Tobin H. Lim
Estimating Extent, Acuteness, and Severity of Ischemia
CHAPTER 9 MYOCARDIAL INFARCTION
David G. Strauss and Tobin H. Lim
Infarcting Phase
Transition From Ischemia to Infarction
Resolving ST-Segment Deviation: Toward the
Infarct
T-wave Migration: Toward to Away From the Infarct
Evolving QRS Complex Away From the Infarct
Chronic Phase
MYOCARDIAL INFARCTION:
ONLINE SUPPLEMENT
David G. Strauss and Tobin H. Lim
QRS Complex for Diagnosing
QRS Complex for Localizing
SECTION IV: DRUGS, ELECTROLYTES, AND
MISCELLANEOUS CONDITIONS
CHAPTER 10 ELECTROLYTES AND DRUGS
Robbert Zusterzeel, Jose Vicente Ruiz, and David G. Strauss
Cardiac Action Potential
Electrolyte Abnormalities
Potassium
Hypokalemia
Hyperkalemia
Calcium
Hypocalcemia
Hypercalcemia
Drug Effects
Antiarrhythmic Drugs
Class I Drugs
Class Ia (Including Quinidine, Procainamide, and
Disopyramide)
Class Ib (Lidocaine and Mexiletine)
Class Ic (Flecainide)
Class II Drugs
Class III Drugs
Dofetilide
Sotalol
Amiodarone
Class IV Drugs
Other Drugs
Digitalis
CHAPTER 11 MISCELLANEOUS CONDITIONS
Douglas D. Schocken, Tobin H. Lim, and David G. Strauss
Introduction
Cardiomyopathies
Infiltrative Cardiomyopathy
Amyloidosis
Pericardial Abnormalities
Acute Pericarditis
Pericardial Effusion and Chronic Constriction
Pulmonary Abnormalities
Acute Cor Pulmonale: Pulmonary Embolism
Pulmonary Emphysema
Intracranial Hemorrhage
Endocrine and Metabolic Abnormalities
Thyroid Abnormalities
Hypothyroidism
Hyperthyroidism
Hypothermia
Obesity
CHAPTER 12 CONGENITAL HEART DISEASE
Sarah A. Goldstein and Richard A. Krasuski
Atrial Septal Defects
Ventricular Septal Defect
Patent Ductus Arteriosus
Pulmonary Stenosis
Aortic Stenosis
Coarctation of the Aorta
Tetralogy of Fallot
Ebstein Anomaly
Congenitally Corrected Transposition of the Great
Arteries
Complete Transposition of the Great Arteries
Fontan Circulation
SECTION V: ABNORMAL RHYTHMS
CHAPTER 13 INTRODUCTION TO ARRHYTHMIAS
Zak Loring, David G. Strauss, Douglas D. Schocken, and James P. Daubert
Introduction to Arrhythmia Diagnosis
Problems of Automaticity
Problems of Impulse Conduction: Block
Problems of Impulse Conduction: Reentry
Approach to Arrhythmia Diagnosis
Bradyarrhythmias
Tachyarrhythmias
Ladder Diagrams
Summary
Clinical Methods for Detecting Arrhythmias
Ambulatory Electrocardiogram Monitoring
Continuous Monitors (Holter Monitors)
Intermittent Patient- or Event-Activated Recorders
Real-time Continuous Event Recorders (Mobile
Telemetry)
Implantable Loop Recorders
Mobile Technology
Invasive Methods of Recording the Electrocardiogram
CHAPTER 14 PREMATURE BEATS
James P. Daubert, Aimée Elise Hiltbold, and Fredrik Holmqvist
Premature Beat Terminology
Differential Diagnosis of Wide Premature Beats
Mechanisms of Production of Premature Beats
Atrial Premature Beats
Junctional Premature Beats
Ventricular Premature Beats
The Ventricular Premature Beat Is Interpolated
Between Consecutive Sinus Beats
The Ventricular Premature Beat Resets the Sinus
Rhythm
Right-Ventricular Versus Left-Ventricular Premature
Beats
Multiform Ventricular Premature Beats
Groups of Ventricular Premature Beats
Vulnerable Period and R-on-T Phenomenon
Prognostic Implications of Ventricular Premature Beats
CHAPTER 15 SUPRAVENTRICULAR
TACHYARRHYTHMIAS
Kevin P. Jackson and James P. Daubert
Introduction
Differential Diagnosis of Supraventricular Tachycardia
Sinus Tachycardia
Atrial Tachycardia
Junctional Tachycardia
Atrioventricular Nodal Reentrant Tachycardia
Accessory Pathway–Mediated Tachycardia
CHAPTER 16 ATRIAL FIBRILLATION AND FLUTTER
Pathophysiology of Atrial Fibrillation and Atrial Flutter
Twelve-Lead Electrocardiographic Characteristics of
Atrial Fibrillation
Atrial Flutter
Typical Atrial Flutter
Atypical Atrial Flutter
Twelve-Lead Electrocardiographic Characteristics of
Atypical Atrial Flutter
Clinical Considerations of Atrial Fibrillation and Atrial
Flutter
Treatment Goals
CHAPTER 17 VENTRICULAR ARRHYTHMIAS
Albert Y. Sun and Jason Koontz
Definitions of Ventricular Arrhythmias
Etiologies and Mechanisms
Diagnosis
Step 1: Regular or Irregular
Step 2: Understanding Clinical Substrate
Step 3: Identify P waves and Relationship to
Ventricular Rhythm
AV Dissociation
Intermittent Irregularity—Fusion and Capture
Beats
Atrioventricular Association
Step 4: RS Morphology
No RS Pattern
RS Is Present
Step 5: QRS Morphology
Right-Bundle-Branch Block Pattern
Left-Bundle-Branch Block Pattern
Variations in the Electrocardiographic Appearance
of Ventricular Tachycardia: Torsades de
Pointes
Ventricular Flutter/Fibrillation
CHAPTER 18 BRADYARRHYTHMIAS
Larry R. Jackson II, Camille Genise Frazier-Mills, Francis E. Ugowe, and
James P. Daubert
Mechanisms of Bradyarrhythmias: Decreased
Automaticity
Physiologic Slowing of the Sinus Rate
Physiologic or Pathologic Enhancement of
Parasympathetic Activity
Pathologic Pacemaker Failure
Sick Sinus Syndrome
Tachycardia-Bradycardia Syndrome (Tachy-
Brady)
Sinus Pause or Arrest
Sinoatrial Block
Atrioventricular Conduction Disease
Severity of Atrioventricular Block
First-Degree Atrioventricular Block
Second-Degree Atrioventricular Block
Third-Degree Atrioventricular Block
Location of Atrioventricular Block
Atrioventricular Nodal Block
Infranodal (Purkinje) Block
CHAPTER 19 VENTRICULAR PREEXCITATION
Donald D. Hegland, Stephen Gaeta, and James P. Daubert
Clinical Perspective
Pathophysiology
Electrocardiographic Diagnosis of Ventricular
Preexcitation
Ventricular Preexcitation as a “Great Mimic” of Other
Cardiac Problems
Electrocardiographic Localization of the Pathway of
Ventricular Preexcitation
Ablation of Accessory Pathways
CHAPTER 20 INHERITED ARRHYTHMIA DISORDERS
John Symons and Albert Y. Sun
The Long QT Syndrome (LQTS)
LQTS Electrocardiographic Characteristics
QT Interval
T-wave Morphology
Electrocardiogram as Used in Diagnosis for LQTS
The Short QT Syndrome (SQTS)
SQTS Electrocardiographic Characteristics
QT Interval
T-wave Morphology
Electrocardiogram as Used in Diagnosis for SQTS
The Brugada Syndrome
Arrhythmogenic Right-Ventricular
Cardiomyopathy/Dysplasia
J-wave Syndrome
Catecholaminergic Polymorphic Ventricular
Tachycardia
CHAPTER 21 IMPLANTABLE CARDIAC
PACEMAKERS
Brett D. Atwater and Daniel J. Friedman
Basic Concepts of the Implantable Cardiac Pacemaker
Pacemaker Modes and Dual-Chamber Pacing
Pacemaker Evaluation
Myocardial Location of the Pacing Electrodes
Special Algorithms to Avoid Right-Ventricular Pacing
Cardiac Resynchronization Therapy
Physiologic Ventricular Pacing—His-Bundle Pacing
Marriott’s Practical Electrocardiography 13th Edition PDF Ebook
Contributors
Preface
SECTION I: BASIC CONCEPTS
CHAPTER 1 CARDIAC ELECTRICAL ACTIVITY
Tobin H. Lim and David G. Strauss
The Book: Marriott’s Practical Electrocardiography,
13th Edition
What Can This Book Do for Me?
What Can I Expect From Myself When I Have
“Completed” This Book?
The Electrocardiogram
What Is an Electrocardiogram?
What Does an Electrocardiogram Actually Measure?
What Medical Problems Can Be Diagnosed With an
Electrocardiogram?
Anatomic Orientation of the Heart
The Cardiac Cycle
Cardiac Impulse Formation and Conduction
Recording Long-Axis (Base-Apex) Cardiac Electrical
Activity
Recording Short-Axis (Left Versus Right) Cardiac
Electrical Activity
CHAPTER 2 RECORDING THE
ELECTROCARDIOGRAM
David G. Strauss, Tobin H. Lim, and Douglas D. Schocken
The Standard 12-Lead Electrocardiogram
Frontal Plane
Transverse Plane
Correct and Incorrect Electrode Placements
Alternative Displays of the 12 Standard
Electrocardiogram Leads
Cabrera Sequence
Twenty-four–Lead Electrocardiogram
Continuous Monitoring
Monitoring
Clinical Situation
Alternative Electrode Placement
Clinical Indications
Standard Site(s) Unavailable
Specific Cardiac Abnormalities
Other Practical Points for Recording the
Electrocardiogram
CHAPTER 3 INTERPRETATION OF THE NORMAL
ELECTROCARDIOGRAM
David G. Strauss, Tobin H. Lim, and Douglas D. Schocken
Electrocardiographic Features
Rate and Regularity
P-wave Morphology
General Contour
P-wave Duration
Positive and Negative Amplitudes
Axis in the Frontal and Transverse Planes
The PR Interval
Morphology of the QRS Complex
General Contour
Q waves
R waves
S waves
QRS Complex Duration
Positive and Negative Amplitudes
Axis in the Frontal and Transverse Planes
Morphology of the ST Segment
T-wave Morphology
General Contour
T-wave Duration
Positive and Negative Amplitudes
Axis in the Frontal and Transverse Planes
U-wave Morphology
QT and QTc Intervals
Cardiac Rhythm
Cardiac Rate and Regularity
P-wave Axis
PR Interval
Morphology of the QRS Complex
ST Segment, T wave, U wave, and QTc Interval
A Final Word
eChapter I: INTERPRETATION OF
THE ELECTROCARDIOGRAM IN 3D
Charles W. Olson, E. Harvey Estes Jr, Vivian P. Kamphuis, Esben Andreas
Carlsen, David G. Strauss, and Galen S. Wagner (deceased)
SECTION II: CHAMBER ENLARGEMENT AND
CONDUCTION ABNORMALITIES
CHAPTER 4 CHAMBER ENLARGEMENT
Douglas D. Schocken, Ljuba Bacharova, and David G. Strauss
Atrial Enlargement
Electrocardiogram Pattern With Atrial Enlargement
General Contour
P-wave Duration
Positive and Negative Amplitudes
Axis in the Frontal and Transverse Planes
Ventricular Enlargement
Ventricular Enlargement due to Hemodynamic
Overload
Ventricular Enlargement Primarily due to Structural
Changes (Cardiomyopathy)
Electrocardiogram QRS Changes With Ventricular
Enlargement
Left-Ventricular Dilation
Left-Ventricular Hypertrophy
Electrocardiogram Pattern With Left-Ventricular
Hypertrophy
General Contour
QRS Complex Duration
Positive and Negative Amplitudes
Right-Ventricular Hypertrophy
Axis in the Frontal and Transverse Planes
Biventricular Hypertrophy
Scoring Systems for Assessing LVH and RVH
CHAPTER 5 INTRAVENTRICULAR CONDUCTION
ABNORMALITIES
David G. Strauss and Tobin H. Lim
Normal Conduction
Bundle-Branch and Fascicular Blocks
Unifascicular Blocks
Right-Bundle-Branch Block
Left Fascicular Blocks
Left Anterior Fascicular Block
Left Posterior Fascicular Block
Bifascicular Blocks
Left-Bundle-Branch Block
Right-Bundle-Branch Block With Left Anterior
Fascicular Block
Right-Bundle-Branch Block With Left Posterior
Fascicular Block
Systematic Approach to the Analysis of Bundle-Branch
and Fascicular Blocks
General Contour of the QRS Complex
QRS Complex Duration
Positive and Negative Amplitudes
QRS Axis in the Frontal and Transverse Planes
Clinical Perspective on Intraventricular-Conduction
Disturbances
SECTION III: ISCHEMIA AND INFARCTION
CHAPTER 6 INTRODUCTION TO MYOCARDIAL
ISCHEMIA AND INFARCTION
David G. Strauss, Douglas D. Schocken, and Tobin H. Lim
Introduction to Ischemia and Infarction
Proximity to the Intracavitary Blood Supply
Distance From the Major Coronary Arteries
Workload as Determined by the Pressure Required to
Pump Blood
Electrocardiographic Changes
Electrophysiologic Changes During Ischemia
Electrocardiographic Changes During Supply
Ischemia (Insufficient Blood Supply)
Electrocardiographic Changes During Demand
Ischemia
Progression of Transmural Ischemia to Infarction
CHAPTER 7 SUBENDOCARDIAL ISCHEMIA FROM
INCREASED MYOCARDIAL DEMAND
David G. Strauss and Tobin H. Lim
Changes in the ST Segment
Normal Variants
Typical Subendocardial Ischemia
Atypical Subendocardial Ischemia
Normal Variant or Subendocardial Ischemia?
Abnormal Variants of Subendocardial Ischemia
Ischemia Monitoring
CHAPTER 8 TRANSMURAL MYOCARDIAL
ISCHEMIA FROM INSUFFICIENT
BLOOD SUPPLY
David G. Strauss and Tobin H. Lim
Changes in the ST Segment
Changes in the T Wave
Changes in the QRS Complex
TRANSMURAL MYOCARDIAL
ISCHEMIA FROM INSUFFICIENT
BLOOD SUPPLY: ONLINE
SUPPLEMENT
David G. Strauss and Tobin H. Lim
Estimating Extent, Acuteness, and Severity of Ischemia
CHAPTER 9 MYOCARDIAL INFARCTION
David G. Strauss and Tobin H. Lim
Infarcting Phase
Transition From Ischemia to Infarction
Resolving ST-Segment Deviation: Toward the
Infarct
T-wave Migration: Toward to Away From the Infarct
Evolving QRS Complex Away From the Infarct
Chronic Phase
MYOCARDIAL INFARCTION:
ONLINE SUPPLEMENT
David G. Strauss and Tobin H. Lim
QRS Complex for Diagnosing
QRS Complex for Localizing
SECTION IV: DRUGS, ELECTROLYTES, AND
MISCELLANEOUS CONDITIONS
CHAPTER 10 ELECTROLYTES AND DRUGS
Robbert Zusterzeel, Jose Vicente Ruiz, and David G. Strauss
Cardiac Action Potential
Electrolyte Abnormalities
Potassium
Hypokalemia
Hyperkalemia
Calcium
Hypocalcemia
Hypercalcemia
Drug Effects
Antiarrhythmic Drugs
Class I Drugs
Class Ia (Including Quinidine, Procainamide, and
Disopyramide)
Class Ib (Lidocaine and Mexiletine)
Class Ic (Flecainide)
Class II Drugs
Class III Drugs
Dofetilide
Sotalol
Amiodarone
Class IV Drugs
Other Drugs
Digitalis
CHAPTER 11 MISCELLANEOUS CONDITIONS
Douglas D. Schocken, Tobin H. Lim, and David G. Strauss
Introduction
Cardiomyopathies
Infiltrative Cardiomyopathy
Amyloidosis
Pericardial Abnormalities
Acute Pericarditis
Pericardial Effusion and Chronic Constriction
Pulmonary Abnormalities
Acute Cor Pulmonale: Pulmonary Embolism
Pulmonary Emphysema
Intracranial Hemorrhage
Endocrine and Metabolic Abnormalities
Thyroid Abnormalities
Hypothyroidism
Hyperthyroidism
Hypothermia
Obesity
CHAPTER 12 CONGENITAL HEART DISEASE
Sarah A. Goldstein and Richard A. Krasuski
Atrial Septal Defects
Ventricular Septal Defect
Patent Ductus Arteriosus
Pulmonary Stenosis
Aortic Stenosis
Coarctation of the Aorta
Tetralogy of Fallot
Ebstein Anomaly
Congenitally Corrected Transposition of the Great
Arteries
Complete Transposition of the Great Arteries
Fontan Circulation
SECTION V: ABNORMAL RHYTHMS
CHAPTER 13 INTRODUCTION TO ARRHYTHMIAS
Zak Loring, David G. Strauss, Douglas D. Schocken, and James P. Daubert
Introduction to Arrhythmia Diagnosis
Problems of Automaticity
Problems of Impulse Conduction: Block
Problems of Impulse Conduction: Reentry
Approach to Arrhythmia Diagnosis
Bradyarrhythmias
Tachyarrhythmias
Ladder Diagrams
Summary
Clinical Methods for Detecting Arrhythmias
Ambulatory Electrocardiogram Monitoring
Continuous Monitors (Holter Monitors)
Intermittent Patient- or Event-Activated Recorders
Real-time Continuous Event Recorders (Mobile
Telemetry)
Implantable Loop Recorders
Mobile Technology
Invasive Methods of Recording the Electrocardiogram
CHAPTER 14 PREMATURE BEATS
James P. Daubert, Aimée Elise Hiltbold, and Fredrik Holmqvist
Premature Beat Terminology
Differential Diagnosis of Wide Premature Beats
Mechanisms of Production of Premature Beats
Atrial Premature Beats
Junctional Premature Beats
Ventricular Premature Beats
The Ventricular Premature Beat Is Interpolated
Between Consecutive Sinus Beats
The Ventricular Premature Beat Resets the Sinus
Rhythm
Right-Ventricular Versus Left-Ventricular Premature
Beats
Multiform Ventricular Premature Beats
Groups of Ventricular Premature Beats
Vulnerable Period and R-on-T Phenomenon
Prognostic Implications of Ventricular Premature Beats
CHAPTER 15 SUPRAVENTRICULAR
TACHYARRHYTHMIAS
Kevin P. Jackson and James P. Daubert
Introduction
Differential Diagnosis of Supraventricular Tachycardia
Sinus Tachycardia
Atrial Tachycardia
Junctional Tachycardia
Atrioventricular Nodal Reentrant Tachycardia
Accessory Pathway–Mediated Tachycardia
CHAPTER 16 ATRIAL FIBRILLATION AND FLUTTER
Pathophysiology of Atrial Fibrillation and Atrial Flutter
Twelve-Lead Electrocardiographic Characteristics of
Atrial Fibrillation
Atrial Flutter
Typical Atrial Flutter
Atypical Atrial Flutter
Twelve-Lead Electrocardiographic Characteristics of
Atypical Atrial Flutter
Clinical Considerations of Atrial Fibrillation and Atrial
Flutter
Treatment Goals
CHAPTER 17 VENTRICULAR ARRHYTHMIAS
Albert Y. Sun and Jason Koontz
Definitions of Ventricular Arrhythmias
Etiologies and Mechanisms
Diagnosis
Step 1: Regular or Irregular
Step 2: Understanding Clinical Substrate
Step 3: Identify P waves and Relationship to
Ventricular Rhythm
AV Dissociation
Intermittent Irregularity—Fusion and Capture
Beats
Atrioventricular Association
Step 4: RS Morphology
No RS Pattern
RS Is Present
Step 5: QRS Morphology
Right-Bundle-Branch Block Pattern
Left-Bundle-Branch Block Pattern
Variations in the Electrocardiographic Appearance
of Ventricular Tachycardia: Torsades de
Pointes
Ventricular Flutter/Fibrillation
CHAPTER 18 BRADYARRHYTHMIAS
Larry R. Jackson II, Camille Genise Frazier-Mills, Francis E. Ugowe, and
James P. Daubert
Mechanisms of Bradyarrhythmias: Decreased
Automaticity
Physiologic Slowing of the Sinus Rate
Physiologic or Pathologic Enhancement of
Parasympathetic Activity
Pathologic Pacemaker Failure
Sick Sinus Syndrome
Tachycardia-Bradycardia Syndrome (Tachy-
Brady)
Sinus Pause or Arrest
Sinoatrial Block
Atrioventricular Conduction Disease
Severity of Atrioventricular Block
First-Degree Atrioventricular Block
Second-Degree Atrioventricular Block
Third-Degree Atrioventricular Block
Location of Atrioventricular Block
Atrioventricular Nodal Block
Infranodal (Purkinje) Block
CHAPTER 19 VENTRICULAR PREEXCITATION
Donald D. Hegland, Stephen Gaeta, and James P. Daubert
Clinical Perspective
Pathophysiology
Electrocardiographic Diagnosis of Ventricular
Preexcitation
Ventricular Preexcitation as a “Great Mimic” of Other
Cardiac Problems
Electrocardiographic Localization of the Pathway of
Ventricular Preexcitation
Ablation of Accessory Pathways
CHAPTER 20 INHERITED ARRHYTHMIA DISORDERS
John Symons and Albert Y. Sun
The Long QT Syndrome (LQTS)
LQTS Electrocardiographic Characteristics
QT Interval
T-wave Morphology
Electrocardiogram as Used in Diagnosis for LQTS
The Short QT Syndrome (SQTS)
SQTS Electrocardiographic Characteristics
QT Interval
T-wave Morphology
Electrocardiogram as Used in Diagnosis for SQTS
The Brugada Syndrome
Arrhythmogenic Right-Ventricular
Cardiomyopathy/Dysplasia
J-wave Syndrome
Catecholaminergic Polymorphic Ventricular
Tachycardia
CHAPTER 21 IMPLANTABLE CARDIAC
PACEMAKERS
Brett D. Atwater and Daniel J. Friedman
Basic Concepts of the Implantable Cardiac Pacemaker
Pacemaker Modes and Dual-Chamber Pacing
Pacemaker Evaluation
Myocardial Location of the Pacing Electrodes
Special Algorithms to Avoid Right-Ventricular Pacing
Cardiac Resynchronization Therapy
Physiologic Ventricular Pacing—His-Bundle Pacing
Marriott’s Practical Electrocardiography 13th Edition PDF Ebook
Download Links