ECG Notes: Interpretation and Management Guide, Second Edition

Cover Page\r......Page 1
Contacts • Phone/E-Mail......Page 2
Title Page\r......Page 3
Copyright Page\r......Page 4
Look for our other Davis’s Notestitles, available now!......Page 6
Anatomy of the Heart......Page 7
Layers of the Heart......Page 8
Heart Valves......Page 9
Heart Chambers and Great Vessels......Page 10
Coronary Arteries and Veins......Page 11
Anatomy of the Cardiovascular System......Page 12
Cardiovascular System—Major Arteries......Page 13
Cardiovascular System–Major Veins......Page 14
Physiology of the Heart......Page 15
Systolic and Diastolic Phases in the Heart......Page 16
Electrical Conduction System of the Heart......Page 17
The Depolarization Process......Page 18
Progression of Depolarization Through the Heart......Page 19
Correlation of Depolarization and RepolarizationWith the ECG......Page 20
The Electrocardiogram (ECG)......Page 21
Standard Limb Lead Electrode Placement......Page 22
Standard Limb Leads......Page 23
Augmented Limb Leads......Page 24
Standard Chest Lead Electrode Placement......Page 25
Electrode Placement Using a 5-Wire Cable......Page 26
Modified Chest Leads......Page 27
The Right-sided 12-Lead ECG......Page 28
The 15-Lead ECG......Page 29
Components of an ECG Tracing......Page 30
Method 1: Count Large Boxes......Page 32
Method 2: Count Small Boxes......Page 33
Method 3: Six-Second ECG Rhythm Strip......Page 34
ECG Interpretation......Page 35
Normal Sinus Rhythm (NSR)......Page 38
Sinus Bradycardia......Page 39
Sinus Tachycardia......Page 40
Sinus Arrhythmia......Page 41
Sinus Pause (Sinus Arrest)......Page 42
Sinoatrial (SA) Block......Page 43
Wandering Atrial Pacemaker (WAP)......Page 44
Multifocal Atrial Tachycardia (MAT)......Page 45
Premature Atrial Contraction (PAC)......Page 46
Atrial Tachycardia......Page 47
Supraventricular Tachycardia (SVT)......Page 48
Paroxysmal Supraventricular Tachycardia (PSVT)......Page 49
Atrial Flutter (A-flutter)......Page 50
Atrial Fibrillation (A-fib)......Page 51
Wolff-Parkinson-White (WPW) Syndrome......Page 52
Junctional Rhythm......Page 53
Accelerated Junctional Rhythm......Page 54
Junctional Tachycardia......Page 55
Junctional Escape Beat......Page 56
Premature Junctional Contraction (PJC)......Page 57
Idioventricular Rhythm......Page 58
Accelerated Idioventricular Rhythm......Page 59
Premature Ventricular Contraction (PVC)......Page 60
Premature Ventricular Contraction: R-on-T Phenomenon......Page 64
Premature Contraction: Interpolated PVC......Page 65
Ventricular Tachycardia (VT): Monomorphic......Page 66
Ventricular Tachycardia (VT): Polymorphic......Page 67
Torsade de Pointes......Page 68
Ventricular Fibrillation (VF)......Page 69
Pulseless Electrical Activity (PEA)......Page 70
Asystole......Page 71
First-Degree AV Block......Page 72
Second-Degree AV Block—Type I(Mobitz I or Wenckebach)......Page 73
Second-Degree AV Block—Type II(Mobitz II)......Page 74
Third-Degree AV Block......Page 75
Bundle Branch Block (BBB)......Page 76
Pacemaker Modes......Page 77
Artificial Cardiac Pacemakers......Page 78
Single-Chamber Pacemaker Rhythm—Ventricular......Page 79
Dual-Chamber Pacemaker Rhythm—Atrial and Ventricular......Page 80
Pacemaker Failure to Capture......Page 81
Pacemaker Oversensing......Page 82
Baseline Varies With Respiration......Page 83
Muscle Artifact......Page 84
The 12-Lead ECG......Page 86
R Wave Progression......Page 87
Electrical Axis Deviation......Page 88
Ischemia, Injury, and Infarction in Relationto the Heart......Page 89
Progression of an Acute Myocardial Infarction......Page 90
Primary Causes of ST Segment Depression......Page 91
The Normal 12-Lead ECG......Page 92
Anterior Myocardial Infarction......Page 93
Inferior Myocardial Infarction......Page 94
Lateral Myocardial Infarction......Page 95
Septal Myocardial Infarction......Page 96
Posterior Myocardial Infarction......Page 97
Left Bundle Branch Block......Page 98
Right Bundle Branch Block......Page 99
Emergency Medications......Page 100
Universal Formula––Figure Out Drip Rates and Drug Amounts......Page 115
Manual Defibrillation......Page 116
Automated External Defibrillation......Page 118
Transcutaneous Pacing......Page 120
Carotid Sinus Massage (Vagal Maneuver)......Page 122
CPR: Adult (adolescent......Page 125
CPR: Child (1 yr to adolescent [puberty])......Page 126
CPR: Infant (younger than 1 yr)......Page 127
Obstructed Airway: Conscious Adult or Child(1 yr or older)......Page 128
Obstructed Airway: Conscious Infant(younger than 1 yr)......Page 129
Obstructed Airway: Unconscious Adult(adolescent [puberty] and older)......Page 130
Obstructed Airway: Unconscious Child(1 yr to adolescent [puberty])......Page 131
Obstructed Airway: Unconscious Infant(younger than 1 yr)......Page 132
CPR and Obstructed Airway Positions......Page 133
ACLS: Ventricular Fibrillation (VF) or PulselessVentricular Tachycardia (VT)......Page 134
ACLS: Pulseless Electrical Activity (PEA)......Page 136
ACLS: Asystole......Page 138
ACLS: Acute Coronary Syndrome (ACS)......Page 140
ACLS: Bradycardia......Page 142
ACLS: Tachycardia—Unstable......Page 143
ACLS: Narrow-Complex Tachycardia—StableRegular Rhythm......Page 145
ACLS: Narrow-Complex Tachycardia—StableIrregular Rhythm......Page 146
ACLS: Wide-Complex Tachycardia—StableRegular Rhythm......Page 147
ACLS: Wide-Complex Tachycardia—–StableIrregular Rhythm......Page 148
ACLS: Stroke......Page 149
Stroke Assessment......Page 150
PALS: Ventricular Fibrillation (VF) or PulselessVentricular Tachycardia (VT)......Page 152
PALS: Pulseless Electrical Activity (PEA)......Page 153
PALS: Asystole......Page 154
PALS: Bradycardia......Page 155
PALS: Tachycardia—Unstable Narrow QRS(≤0.08 sec)......Page 156
PALS: Tachycardia—Unstable Wide QRS(>0.08 sec)......Page 157
Answers to ECG Test Strips......Page 192
Cable Connections......Page 200
Patient ECG Record......Page 201
Heart Sounds......Page 203
Abbreviations......Page 206
Index......Page 209