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Book Details
Abstract
Clinical Electrocardiography: A Simplified Approach, 7th Edition goes beyond the simple waveform analysis to present ECGs as they are used in hospital wards, outpatient clinics, emergency departments, and intensive care units—where the recognition of normal and abnormal patterns is only the starting point in patient care. With Dr. Goldberger's renowned ability to make complex material easy to understand, you'll quickly grasp the fundamentals of ECG interpretation and analysis.
- Features indispensable self-tests on interpreting and using ECGs to formulate diagnoses.
- Presents complex information in a manner that is easy to understand.
- Represents practical, comprehensive coverage ideal for the beginning student as much as for the practicing clinician.
- Employs a unique approach that centers on the critical thinking skills required in clinical practice.
- Provides new chapters on "problem" rhythms—those that are commonly seen in practice and difficult to recognize.
- Mirrors the true-to-life clinical appearance of ECGs with new and updated images incorporated throughout.
- Reflects the latest knowledge in the field through clinical pearls and review points at the end of each chapter.
- Reviews the diagnostic tips on key rhythm disorders that are relevant to today's clinical practice.
- Includes new ECG differential diagnoses on laminated cards for easy reference.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| IFC | IFC | ||
| Goldberger’s Clinical Electrocardiography: A Simplified Approach | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| Preface | vii | ||
| Contents | ix | ||
| Part I - Basic Principles and Patterns | 1 | ||
| Chapter 1 - Key Concepts | 2 | ||
| ESSENTIAL CARDIAC ELECTROPHYSIOLOGY | 2 | ||
| CARDIAC AUTOMATICITY AND CONDUCTIVITY: “CLOCKS AND CABLES” | 3 | ||
| PREVIEW: LOOKING AHEAD | 4 | ||
| CONCLUDING NOTES: WHY IS THE ECG SO CLINICALLY USEFUL? | 4 | ||
| Chapter 2 - ECG Basics: Waves, Intervals, and Segments | 5 | ||
| DEPOLARIZATION AND REPOLARIZATION | 5 | ||
| BASIC ECG WAVEFORMS: P, QRS, ST-T, AND U WAVES | 5 | ||
| ECG GRAPH PAPER | 7 | ||
| BASIC ECG MEASUREMENTS AND SOME NORMAL VALUES | 8 | ||
| CALCULATION OF HEART RATE | 13 | ||
| HEART RATE AND RR INTERVAL: HOW ARE THEY RELATED? | 14 | ||
| ECG TERMS ARE CONFUSING | 14 | ||
| THE ECG AS A COMBINATION OF ATRIAL AND VENTRICULAR WAVEFORMS | 14 | ||
| THE ECG IN PERSPECTIVE | 14 | ||
| Chapter 3 - ECG Leads | 16 | ||
| LIMB (EXTREMITY) LEADS | 16 | ||
| CHEST (PRECORDIAL) LEADS | 20 | ||
| CARDIAC MONITORS AND MONITOR LEADS | 23 | ||
| Chapter 4 - Understanding the Normal ECG | 26 | ||
| THREE BASIC “LAWS” OF ELECTROCARDIOGRAPHY | 26 | ||
| NORMAL SINUS P WAVE | 27 | ||
| NORMAL QRS COMPLEX: GENERAL PRINCIPLES | 29 | ||
| NORMAL ST SEGMENT | 33 | ||
| NORMAL T WAVE | 34 | ||
| Chapter 5 - Electrical Axis and Axis Deviation | 35 | ||
| MEAN QRS AXIS: DEFINITION | 35 | ||
| MEAN QRS AXIS: CALCULATION | 35 | ||
| AXIS DEVIATION | 39 | ||
| Chapter 6 - Atrial and Ventricular Enlargement | 44 | ||
| RIGHT ATRIAL ABNORMALITY | 44 | ||
| LEFT ATRIAL ABNORMALITY | 45 | ||
| RIGHT VENTRICULAR HYPERTROPHY | 47 | ||
| LEFT VENTRICULAR HYPERTROPHY | 50 | ||
| THE ECG IN CARDIAC ENLARGEMENT: A CLINICAL PERSPECTIVE | 53 | ||
| Chapter 7 - Ventricular Conduction Disturbances: Bundle Branch Blocks and Related Abnormalities | 54 | ||
| ECG IN VENTRICULAR CONDUCTION DISTURBANCES: GENERAL PRINCIPLES | 54 | ||
| RIGHT BUNDLE BRANCH BLOCK | 54 | ||
| LEFT BUNDLE BRANCH BLOCK | 57 | ||
| DIFFERENTIAL DIAGNOSIS OF BUNDLE BRANCH BLOCKS | 60 | ||
| FASCICULAR BLOCKS (HEMIBLOCKS) | 61 | ||
| DIAGNOSIS OF HYPERTROPHY IN THE PRESENCE OF BUNDLE BRANCH BLOCKS | 63 | ||
| DIAGNOSIS OF MYOCARDIAL INFARCTION IN THE PRESENCE OF BUNDLE BRANCH BLOCKS | 64 | ||
| Chapter 8 - Myocardial Infarction and Ischemia, I: ST Segment Elevation and Q Wave Syndromes | 65 | ||
| MYOCARDIAL ISCHEMIA | 65 | ||
| TRANSMURAL AND SUBENDOCARDIAL ISCHEMIA | 65 | ||
| MYOCARDIAL BLOOD SUPPLY | 65 | ||
| ST SEGMENT ELEVATION, TRANSMURAL ISCHEMIA, AND ACUTE MYOCARDIAL INFARCTION | 66 | ||
| ECG LOCALIZATION OF INFARCTIONS | 70 | ||
| CLASSIC SEQUENCE OF ST-T CHANGES AND Q WAVES WITH STEMI | 74 | ||
| VENTRICULAR ANEURYSM | 77 | ||
| MULTIPLE INFARCTIONS | 78 | ||
| “SILENT” MYOCARDIAL INFARCTION | 78 | ||
| DIAGNOSIS OF MYOCARDIAL INFARCTION IN THE PRESENCE OF BUNDLE BRANCH BLOCK | 78 | ||
| Chapter 9 - Myocardial Infarction and Ischemia, II: Non–ST Segment Elevation and Non–Q Wave Syndromes | 82 | ||
| SUBENDOCARDIAL ISCHEMIA | 82 | ||
| SUBENDOCARDIAL INFARCTION | 85 | ||
| VARIETY OF ECG CHANGES SEEN WITH MYOCARDIAL ISCHEMIA | 85 | ||
| ST SEGMENT ELEVATIONS: DIFFERENTIAL DIAGNOSIS | 88 | ||
| ST SEGMENT DEPRESSIONS: DIFFERENTIAL DIAGNOSIS | 89 | ||
| DEEP T WAVE INVERSIONS: DIFFERENTIAL DIAGNOSIS | 89 | ||
| COMPLICATIONS OF MYOCARDIAL INFARCTION | 91 | ||
| ECG AFTER CORONARY REVASCULARIZATION | 91 | ||
| THE ECG IN MYOCARDIAL INFARCTION: A CLINICAL PERSPECTIVE | 91 | ||
| Chapter 10 - Drug Effects, Electrolyte Abnormalities, and Metabolic Factors | 92 | ||
| DRUG EFFECTS | 92 | ||
| ELECTROLYTE DISTURBANCES | 93 | ||
| OTHER METABOLIC FACTORS | 97 | ||
| ST-T CHANGES: SPECIFIC AND NONSPECIFIC | 99 | ||
| Chapter 11 - Pericardial, Myocardial, and Pulmonary Syndromes | 101 | ||
| ACUTE PERICARDITIS, PERICARDIAL EFFUSION, AND CHRONIC CONSTRICTIVE PERICARDITIS | 101 | ||
| MYOCARDITIS | 104 | ||
| CHRONIC HEART FAILURE | 104 | ||
| PULMONARY EMBOLISM | 105 | ||
| CHRONIC LUNG DISEASE (EMPHYSEMA) | 106 | ||
| Chapter 12 - Wolff-Parkinson-White Preexcitation Patterns | 107 | ||
| WOLFF-PARKINSON-WHITE PATTERN: PREEXCITATION AND BYPASS TRACTS | 107 | ||
| OVERVIEW: DIFFERENTIAL DIAGNOSIS OF WIDE QRS COMPLEX PATTERNS | 112 | ||
| Part II - Cardiac Rhythm Disturbances | 113 | ||
| Chapter 13 - Sinus and Escape Rhythms | 114 | ||
| SINUS RHYTHMS | 114 | ||
| REGULATION OF THE HEART RATE | 114 | ||
| SINUS TACHYCARDIA | 115 | ||
| SINUS BRADYCARDIA | 117 | ||
| SINUS ARRHYTHMIA | 117 | ||
| SINUS PAUSES, SINUS ARREST, AND SINOATRIAL BLOCK | 117 | ||
| Chapter 14 - Supraventricular Arrhythmias, Part I: Premature Beats and Paroxysmal Supraventricular Tachycardias | 121 | ||
| GENERAL PRINCIPLES: TRIGGERS AND MECHANISMS OF TACHYARRHYTHMIAS | 121 | ||
| ATRIAL AND OTHER SUPRAVENTRICULAR PREMATURE BEATS | 121 | ||
| PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIAS | 123 | ||
| DIFFERENTIAL DIAGNOSIS AND TREATMENT OF PSVT | 132 | ||
| Chapter 15 - Supraventricular Arrhythmias, Part II: Atrial Flutter and Atrial Fibrillation | 134 | ||
| ATRIAL FLUTTER | 134 | ||
| ATRIAL FIBRILLATION | 138 | ||
| ATRIAL FIBRILLATION VS. ATRIAL FLUTTER: DIFFERENTIAL DIAGNOSIS | 138 | ||
| ATRIAL FIBRILLATION AND FLUTTER: OVERVIEW OF MAJOR CLINICAL CONSIDERATIONS | 140 | ||
| TREATMENT OF ATRIAL FIBRILLATION/FLUTTER: ACUTE AND LONG-TERM CONSIDERATIONS | 142 | ||
| Chapter 16 - Ventricular Arrhythmias | 145 | ||
| VENTRICULAR PREMATURE BEATS | 145 | ||
| VENTRICULAR TACHYCARDIAS | 151 | ||
| ACCELERATED IDIOVENTRICULAR RHYTHM | 156 | ||
| VENTRICULAR FIBRILLATION | 156 | ||
| DIFFERENTIAL DIAGNOSIS OF WIDE COMPLEX TACHYCARDIAS | 158 | ||
| Chapter 17 - Atrioventricular Conduction Abnormalities: Delays, Blocks, and Dissociation Syndromes | 159 | ||
| WHAT IS THE DEGREE OF AV BLOCK? | 159 | ||
| AV DISSOCIATION SYNDROMES | 168 | ||
| Chapter 18 - Digitalis Toxicity | 170 | ||
| MECHANISM OF ACTION AND INDICATIONS | 170 | ||
| DIGITALIS TOXICITY VS. DIGITALIS EFFECT | 170 | ||
| SYMPTOMS AND SIGNS OF DIGITALIS TOXICITY | 171 | ||
| FACTORS PREDISPOSING TO DIGITALIS TOXICITY | 173 | ||
| PREVENTION OF DIGITALIS TOXICITY | 174 | ||
| TREATMENT OF DIGITALIS TOXICITY | 174 | ||
| SERUM DIGOXIN CONCENTRATIONS (LEVELS) | 175 | ||
| Chapter 19 - Sudden Cardiac Arrest and Sudden Cardiac Death | 176 | ||
| CLINICAL ASPECTS OF CARDIAC ARREST | 176 | ||
| BASIC ECG PATTERNS IN CARDIAC ARREST | 176 | ||
| CLINICAL CAUSES OF CARDIAC ARREST | 180 | ||
| SUDDEN CARDIAC DEATH/ARREST | 181 | ||
| Chapter 20 - Bradycardias and Tachycardias: Review and Differential Diagnosis | 184 | ||
| BRADYCARDIAS (BRADYARRHYTHMIAS) | 184 | ||
| TACHYCARDIAS (TACHYARRHYTHMIAS) | 186 | ||
| SLOW AND FAST: SICK SINUS SYNDROME AND THE BRADY-TACHY SYNDROME | 196 | ||
| Chapter 21 - Pacemakers and Implantable Cardioverter-Defibrillators: Essentials for Clinicians | 198 | ||
| PACEMAKERS: DEFINITIONS AND TYPES | 198 | ||
| IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS | 205 | ||
| RECOGNIZING PACEMAKER AND ICD MALFUNCTION | 207 | ||
| MAGNET RESPONSE OF PACEMAKERS AND ICDS | 209 | ||
| PACEMAKER AND ICD IMPLANTATION: SPECIFIC INDICATIONS | 210 | ||
| Part III - Overview and Review | 213 | ||
| Chapter 22 - How to Interpret an ECG | 214 | ||
| ECG INTERPRETATION: BIG PICTURE AND GENERAL APPROACH | 214 | ||
| CAUTION: COMPUTERIZED ECG INTERPRETATIONS | 217 | ||
| ECG ARTIFACTS | 218 | ||
| Chapter 23 - Limitations and Uses of the ECG | 220 | ||
| IMPORTANT LIMITATIONS OF THE ECG | 220 | ||
| UTILITY OF THE ECG IN SPECIAL SETTINGS | 220 | ||
| COMMON GENERAL MEDICAL APPLICATIONS OF THE ECG | 221 | ||
| REDUCING MEDICAL ERRORS: COMMON PITFALLS IN ECG INTERPRETATION | 223 | ||
| Chapter 24 - ECG Differential Diagnoses: Instant Reviews | 226 | ||
| Brief Bibliography | 233 | ||
| BASIC CONCEPTS | 233 | ||
| NORMAL AND ABNORMAL ECG PATTERNS | 233 | ||
| ARRHYTHMIAS, PACEMAKERS, AND IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS | 233 | ||
| FREE WEB-BASED ECG/ARRHYTHMIARESOURCES | 233 | ||
| Index | 235 |