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Book Details
Abstract
Widely considered the optimal electrocardiography reference for practicing physicians, and consistently rated as the best choice on the subject for board preparation, this is an ideal source for mastering the fundamental principles and clinical applications of ECG. The 6th edition captures all of the latest knowledge in the field, including expanded and updated discussions of pediatric rhythm problems, pacemakers, stress testing, implantable cardiodefibrillator devices, and much more. It's the perfect book to turn to for clear and clinically relevant guidance on all of today’s ECG applications.
- Comprehensively and expertly describes how to capture and interpret all normal and abnormal ECG findings in adults and children.
- Features the expertise of internationally recognized authorities on electrocardiography, for advanced assistance in mastering the subtle but critical nuances of this complex diagnostic modality.
- Features new chapters on pediatric electrocardiography that explore rhythm problems associated with pediatric obesity, heart failure, and athletic activity.
- Presents a new chapter on recording and interpreting heart rhythms in patients with pacemakers.
- Includes new material on interpreting ECG findings associated with implantable cardioverter-defibrillators.
- Provides fully updated coverage on the increased importance of ECGs in stress testing.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Chou's Electrocardiography In Clinical Practice | iii | ||
| Copyright Page | iv | ||
| Dedication | v | ||
| Preface | vii | ||
| Contributing Authors | ix | ||
| Contents | xi | ||
| SECTION I: ADULT ELECTROCARDIOGRAPHY | 1 | ||
| Chapter 1. Normal Electrocardiogram: Origin and Description | 1 | ||
| Origin of the Electrocardiogram | 1 | ||
| Methods of Recording | 4 | ||
| Normal ECG | 8 | ||
| Common Normal Variants | 23 | ||
| References | 26 | ||
| Chapter 2. Atrial Abnormalities | 29 | ||
| Atrial Depolarization | 29 | ||
| Right Atrial Abnormalities | 32 | ||
| Left Atrial Abnormality | 36 | ||
| Biatrial Enlargement: Diagnostic Criteria | 40 | ||
| Atrial Enlargement in the Presence of Atrial Fibrillation | 40 | ||
| Atrial Repolarization | 42 | ||
| Summary | 43 | ||
| References | 43 | ||
| Chapter 3. Ventricular Enlargement | 45 | ||
| Left Ventricular Enlargement (Hypertrophy and Dilation) | 45 | ||
| Right Ventricular Hypertrophy and Dilation | 57 | ||
| Combined Ventricular Hypertrophy | 68 | ||
| References | 70 | ||
| Chapter 4. Left Bundle Branch Block | 75 | ||
| Recognition of Myocardial Ischemia and Myocardial Infarction in the Presence of LBBB | 82 | ||
| Functional Bundle Branch Block | 89 | ||
| References | 92 | ||
| Chapter 5. Right Bundle Branch Block | 95 | ||
| Complete Right Bundle Branch Block | 95 | ||
| Incomplete Right Bundle Branch Block | 104 | ||
| References | 106 | ||
| Chapter 6. Other Intraventricular Conduction Disturbances | 108 | ||
| Fascicular Blocks | 108 | ||
| Bilateral, Bifascicular, and Trifascicular Bundle Branch Block | 116 | ||
| Intraventricular Conduction Disturbances Associated with Myocardial Infarction and Periinfarction Block | 120 | ||
| Nonspecific Intraventricular Conduction Disturbances | 121 | ||
| References | 122 | ||
| Chapter 7. Acute Ischemia: Electro cardiographic Patterns | 124 | ||
| Systolic and Diastolic Currents of Injury | 124 | ||
| Depression and Elevation of the ST Segment | 126 | ||
| PQ Segment Elevation and Depression | 127 | ||
| Localization of ST Segment Elevation and Reciprocal ST Segment Depression | 127 | ||
| References | 156 | ||
| Chapter 8. Myocardial Infarction and Electrocardiographic Patterns Simulating Myocardial Infarction | 162 | ||
| Myocardial Infarction | 162 | ||
| Evolution of ECG Patterns for Acute Q Wave MI | 180 | ||
| Thrombolytic Treatment and Primary Angioplasty in Acute MI | 183 | ||
| Sensitivity and Specificity of the ECG | 184 | ||
| ECG Abnormalities Simulating MI | 190 | ||
| References | 198 | ||
| Chapter 9. Non-Q Wave Myocardial Infarction, Non-ST Elevation Myocardial Infarction, Unstable Angina Pectoris, Myocardial Ischemia | 205 | ||
| Non-ST Elevation Myocardial Infarction (NSTEMI) | 206 | ||
| Non-Q Wave Myocardial Infarction (NQMI) | 206 | ||
| Unstable Angina Pectoris (UAP) | 210 | ||
| Repolarization Abnormalities Simulating Myocardial Ischemia | 213 | ||
| T Wave Abnormalities | 215 | ||
| Silent Myocardial Ischemia | 217 | ||
| Atrial Infarction | 217 | ||
| References | 218 | ||
| Chapter 10. Stress Test | 221 | ||
| Introduction | 221 | ||
| Indications and Contraindications | 222 | ||
| Safety of the Exercise Test | 222 | ||
| Graded Exercise Test | 223 | ||
| Blood Pressure Response to Exercise | 224 | ||
| Heart Rate Response to Exercise | 225 | ||
| Cardiac Auscultation | 225 | ||
| Recording Techniques | 225 | ||
| Diagnostic Accuracy of the Exercise Test in CAD: Sensitivity and Specificity of the Conventional Criteria | 226 | ||
| Predictive Value of a Test Result | 226 | ||
| Criteria for a Positive Exercise Test | 227 | ||
| Positive Exercise Tests in the Absence of Obstructive CAD | 239 | ||
| Causes of False-Negative Responses | 241 | ||
| Exercise Testing in Patients with Abnormal Resting ECGs | 241 | ||
| Pharmacologic Stress Tests | 242 | ||
| Prognostic Value of Exercise Testing | 242 | ||
| Exercise Testing after MI | 245 | ||
| Can the ECG Stress Test Rule Out Presence of Significant CAD? | 245 | ||
| Exercise Testing and Arrhythmias | 245 | ||
| References | 248 | ||
| Chapter 11. Pericarditis and Cardiac Surgery | 256 | ||
| Pericarditis | 256 | ||
| ECG Changes after Cardiac Surgery | 265 | ||
| References | 270 | ||
| Chapter 12. Diseases of the Heart and Lungs | 273 | ||
| Valvular Heart Disease | 273 | ||
| Cardiomyopathies | 273 | ||
| Connective Tissue Diseases | 282 | ||
| Endocrine Disorders | 285 | ||
| Metabolic Disturbances | 291 | ||
| Miscellaneous Conditions | 294 | ||
| Granulamatous and Infectious Cardiomyopathies | 294 | ||
| Heart Transplantation | 296 | ||
| Pulmonary Diseases | 299 | ||
| Congenital Heart Disease in Adults | 308 | ||
| References | 320 | ||
| Chapter 13. Sinus Rhythms | 327 | ||
| Initiation of the Sinus Impulse | 328 | ||
| Sinus Rate | 328 | ||
| Sinus Arrhythmias | 328 | ||
| Sick Sinus Syndrome | 336 | ||
| Detection of Sinus Node Dysfunction | 341 | ||
| Heart Rate Variability | 342 | ||
| Heart Rate Turbulence | 342 | ||
| References | 342 | ||
| Chapter 14. Atrial Rhythms | 345 | ||
| Premature Atrial Impulses: Atrial Extrasystoles, Premature Atrial Depolarizations | 345 | ||
| Ectopic Atrial Rhythm, Accelerated Atrial Rhythm | 349 | ||
| Automatic Ectopic Atrial Tachycardia | 349 | ||
| Intraatrial Reentry Tachycardia | 352 | ||
| Paroxysmal Atrial Tachycardia with.Block | 353 | ||
| Atrial Standstill | 355 | ||
| Multifocal Atrial or Chaotic Tachycardia | 356 | ||
| Atrial Parasystole | 357 | ||
| Atrial Dissociation | 357 | ||
| References | 358 | ||
| Chapter 15. Atrial Flutter and Atrial Fibrillation | 361 | ||
| Atrial Flutter | 361 | ||
| Atrial Fibrillation | 369 | ||
| References | 380 | ||
| Chapter 16. Atrioventricular Junctional Rhythms | 384 | ||
| Coronary Sinus Rhythm | 384 | ||
| Passive AV Junctional Impulses and Rhythms | 385 | ||
| Active-Type AV Junctional Rhythm and Junctional Tachycardia | 388 | ||
| AV Dissociation | 391 | ||
| AV Nodal Reentry | 392 | ||
| Reciprocal Impulses | 400 | ||
| References | 402 | ||
| Chapter 17. Ventricular Arrhythmias | 405 | ||
| Premature Ventricular Complexes | 405 | ||
| Aberrant Intraventricular Conduction | 413 | ||
| Heart Rate Turbulence | 416 | ||
| Clinical Correlation | 416 | ||
| Ventricular Parasystole | 417 | ||
| Monomorphic VT (Paroxysmal VT) | 420 | ||
| Ventricular Escape Complexes and Idioventricular Rhythm | 425 | ||
| Idiopathic VT | 429 | ||
| Role of Programmed Electrical Stimulation | 432 | ||
| Mechanisms of Ventricular Arrhythmias | 432 | ||
| References | 435 | ||
| Chapter 18. Torsade de Pointes, Ventricular Fibrillation, and Differential Diagnosis of Wide QRS Tachycardias | 440 | ||
| Torsade de Pointes | 440 | ||
| Ventricular Flutter and Fibrillation | 444 | ||
| Commotio Cordis | 445 | ||
| Differential Diagnosis of Tachycardia with Wide QRS Complex | 445 | ||
| References | 453 | ||
| Chapter 19. Atrioventricular Block; Concealed Conduction; Gap Phenomenon | 456 | ||
| Atrioventricular Block | 456 | ||
| Concealed Conduction | 471 | ||
| Gap Phenomenon | 475 | ||
| References | 478 | ||
| Chapter 20. Ventricular Preexcitation (Wolff-Parkinson-White Syndrome and Its Variants) | 481 | ||
| Wolff-Parkinson-White ECG Pattern | 482 | ||
| Clinical Significance | 483 | ||
| Tachyarrhythmias | 485 | ||
| Anatomic Findings: Localization of the AP by Routine ECG | 495 | ||
| Reentrant Tachycardia Associated with a Short PR Interval and Lown-Ganong-Levine Syndrome | 499 | ||
| Mahaim-Type Preexcitation | 500 | ||
| Ventricular Hypertrophy, BBB, and MI in the Presence of the WPW Pattern | 503 | ||
| Effects of Drugs | 504 | ||
| Radiofrequency Ablation of APs | 504 | ||
| References | 506 | ||
| Chapter 21. Effect of Drugs on the Electrocardiogram | 509 | ||
| Antiarrhythmia Drugs | 510 | ||
| Digitalis | 522 | ||
| Miscellaneous Drugs | 526 | ||
| References | 529 | ||
| Chapter 22. Electrolytes, Temperature, Central Nervous System Diseases, and Miscellaneous Effects | 532 | ||
| Electrolytes | 532 | ||
| Temperature | 547 | ||
| Miscellaneous Compounds | 549 | ||
| Central Nervous System Diseases | 549 | ||
| References | 552 | ||
| Chapter 23. T Wave Abnormalities | 555 | ||
| Secondary T Wave Abnormalities | 555 | ||
| Primary T Wave Abnormalities | 556 | ||
| Concomitant ST-T Abnormalities | 565 | ||
| Nonspecific ST and T Abnormalities | 566 | ||
| Computerized Analysis of T Wave Morphology and Spatial Orientation of the T Wave | 566 | ||
| References | 567 | ||
| Chapter 24. QT Interval, U Wave Abnormalities, and Cardiac Alternans | 569 | ||
| QT Interval | 569 | ||
| Abnormal U Wave | 575 | ||
| Electrical Alternans | 579 | ||
| References | 582 | ||
| Chapter 25. Misplacement of Leads and Electrocardiographic Artifacts | 586 | ||
| Misplacement of the Limb Lead | 586 | ||
| Recognition of Lead Misplacement: Summary | 593 | ||
| Artifacts | 594 | ||
| References | 597 | ||
| Chapter 26. Electrocardiography of Artificial Electronic Pacemakers | 598 | ||
| Pacemakers Components | 598 | ||
| Pacemaker Nomenclature | 599 | ||
| Pacemaker Stimulus Artifact | 599 | ||
| Morphology of ECG Complexes | 601 | ||
| Dual-Chamber Pacing | 609 | ||
| Rate-Responsive Pacing | 615 | ||
| Adaptive AV Delay, Rate Hysteresis, Fallback Response, Rate Smoothing, Rate-Responsive AV Delay, Mode Switching, Autocapture | 619 | ||
| Pacing Failure | 621 | ||
| ECG Signs of Malfunction of Ventricular Pacing | 622 | ||
| ECG Signs of Malfunction of the AV Universal (DDD) Pacemakers | 624 | ||
| Pacemaker Syndrome | 625 | ||
| Ambulatory Monitoring in Patients with Pacemakers | 626 | ||
| References | 628 | ||
| Chapter 27. Ambulatory Electrocardiography | 631 | ||
| Event Recorders | 633 | ||
| Networking and Databases | 633 | ||
| Ambulatory Recording in Normal Subjects | 633 | ||
| Correlation with Symptoms of Palpitations, Dizziness, and Syncope | 635 | ||
| Chest Pain | 637 | ||
| Clues to the Arrhythmia Mechanism | 637 | ||
| Patients with Specific Problems | 639 | ||
| Heart Rate Variability | 642 | ||
| References | 643 | ||
| SECTION II: PEDIATRIC ELECTROCARDIOGRAPHY | 647 | ||
| Chapter 28. Normal Electrocardiograms in the Fetus, Infants, and Children | 647 | ||
| Heart Rate | 647 | ||
| P Waves | 649 | ||
| PR Interval | 649 | ||
| QRS Complex: Morphology, Duration, and Axis | 649 | ||
| Q Waves | 650 | ||
| R Waves | 651 | ||
| S Waves | 651 | ||
| ST Segment | 651 | ||
| T Waves | 654 | ||
| QT Interval | 654 | ||
| Indications for Performance of ECGs in Pediatrics | 655 | ||
| References | 655 | ||
| Chapter 29. Abnormal Electrocardiograms in the Fetus, Infants, and Children | 658 | ||
| Atrial Abnormalities | 658 | ||
| Ventricular Hypertrophy | 659 | ||
| Ventricular Conduction Abnormalities | 664 | ||
| QT Interval Prolongation | 664 | ||
| Axis Deviation | 666 | ||
| Abnormal Q Waves | 666 | ||
| ST and T Abnormalities | 669 | ||
| References | 669 | ||
| Chapter 30. The Electrocardiogram in Congenital Heart Disease | 671 | ||
| Acyanotic Lesions | 671 | ||
| Cyanotic Lesions | 680 | ||
| References | 689 | ||
| Chapter 31. Cardiac Arrhythmias in the Fetus, Infants, Children, and Adolescents with Congenital Heart Disease | 694 | ||
| Definitions | 694 | ||
| Sinus Rhythms | 694 | ||
| Atrial Arrhythmias | 697 | ||
| AV Junctional Arrhythmias | 701 | ||
| AV Reentrant Arrhythmias | 705 | ||
| Ventricular Arrhythmias | 707 | ||
| AV Block | 713 | ||
| References | 715 | ||
| Index | 721 |