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Electrocardiography of Arrhythmias: A Comprehensive Review E-Book

Electrocardiography of Arrhythmias: A Comprehensive Review E-Book

Mithilesh Kumar Das | Douglas P. Zipes

(2012)

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Book Details

Abstract

Electrocardiography of Arrhythmias: A Comprehensive Review equips you with the core knowledge and clinical competencies you need to accurately interpret electrocardiograms (ECG) and ace the ECG part of cardiology boards or the ABIM ICE ECG certifying exam. Co-written by world-renowned cardiologists Mithilesh K. Das and Douglas P. Zipes, this companion study guide to Cardiac Electrophysiology: From Cell to Bedside offers a concise yet definitive review of electrocardiography, making this is the perfect review and exam prep tool. 

  • Obtain a realistic simulation of the actual exam experience. Each ECG is accompanied by a brief clinical history in board format.
  • Review a full range of ECG images - from simple to complex - reflecting both common and rare conditions.
  • Get the most from your board or certification prep by pairing this review with its parent text, Cardiac Electrophysiology: From Cell to Bedside, for detailed explanations and an enhanced learning experience.

Table of Contents

Section Title Page Action Price
Front Cover cover
Electrocardiography of Arrhythmias: A Comprehensive Review i
Copyright Page iv
Dedication v
Preface vii
Table Of Contents ix
1 Important Concepts 3
P Wave 3
P-r Interval and P-r Segment 3
Qrs Wave 3
Q Waves 4
Intraventricular Conduction Abnormalities 4
Fragmented Qrs Complexes 4
Bundle Branch Block and Fascicular Blocks 5
Multifascicular Block 5
Fascicular Block 6
J Point and J Wave 6
U Wave 6
St-T Waves 6
Q-T Interval 6
Left and Right Ventricular Hypertrophy 7
Generalized Low Voltage 7
Coronary Artery Disease 7
Qrs Alternans and T Wave Alternans 8
Electrolyte Imbalance 8
Hypokalemia 8
Hyperkalemia 8
Hypocalcemia and Hypercalcemia 8
Gap Phenomenon 8
Parasystole 8
Concealed Conduction 8
Concealment at The Atrioventricular Nodal Level 8
Concealed Conduction at The His-Purkinje Level 9
Unexpected Facilitation Of Conduction 9
Supernormal Conduction 9
Bibliography 9
2 Sinus Node Dysfunction 41
Sinus Arrhythmia 41
Ventriculophasic Sinus Arrhythmia 41
Sinoatrial Exit Block 41
Chronotropic Incompetence 41
Sinus Tachycardia 42
Postural Orthostatic Tachycardia Syndrome And Inappropriate Sinus Tachycardia 42
Bibliography 43
3 Atrioventricular Conduction Abnormalities 63
Pathophysiology of Atrioventricular Block 63
First-Degree Atrioventricular Block 63
Second-Degree Atrioventricular Block Type 1 63
Atypical Type I Second-Degree Atrioventricular Block 64
Second-Degree Atrioventricular Block Type 2 64
2:1 Atrioventricular Block 64
Advanced Atrioventricular Block 65
Third-Degree (Complete) Atrioventricular Block 65
Congenital Heart Block 65
Alternate Left Bundle Branch Block and Right Bundle branch Block, or Right Bundle Block with Alternate Fascicular Block 65
Exercise-Induced Heart Block and Paroxysmal Atrioventricular Block 65
Atrioventricular Dissociation 65
Ventriculophasic Sinus Arrhythmia 65
Bibliography 66
4 Junctional Rhythm 101
Junctional Escape Rhythm 101
Junctional Tachycardia 101
References 101
5 Atrioventricular Nodal Reentrant Tachycardia 127
Supraventricular Tachycardia 127
Atrioventricular Nodal Reentrant Tachycardia 127
Electrophysiologic Characteristics of Atrioventricular Nodal Reentrant Tachycardia 127
References 129
6 Atrioventricular Reentrant Tachycardias 155
Concealed Accessory Pathways and Wolff-Parkinson-White Syndrome and Variants 155
Localization of Accessory Pathway Based on the electrocardiogram Patterns 155
Latent Accessory Pathways 156
Effect of Bundle Branch Block on the Tachycardia Cycle Length During Orthodromic Reciprocating Tachycardia 156
Atrial Arrhythmias in Wolff-Parkinson-White Syndrome and Risk for Sudden Cardiac Death 156
Intermittent Preexcitation 156
Multiple Accessory Pathways 156
Congenital Anomaly and Inherited Wolff-Parkinson-White Syndrome 157
Variants of Preexcitation 157
Enhanced Atrioventricular Nodal Conduction and the Putative Lown-Ganong-Levine Syndrome 157
electrocardiogram Characteristics of Orthodromic Reciprocating Tachycardia Caused by Concealed Accessory Pathways 157
References 158
7 Atrial Tachycardia 187
Atrial Tachycardia 187
P and Qrs Relationship during Atrial Tachycardia 187
Effect of Drug Therapy on Atrial Tachycardia and Atrial Flutter 188
Localization of Focal Atrial Tachycardias 188
Right Atrial Tachycardia 188
Sinus Node Reentry Tachycardia 189
Inappropriate Sinus Tachycardia 189
Cristal Atrial Tachycardia 189
Tricuspid Annular and Lateral Right Atrial Tachycardia 189
Septal Atrial Tachycardia and Atrial Tachycardias Originating from Coronary Sinus 189
High Septal Atrial Tachycardia 189
Midseptal Atrial Tachycardia 189
Posteroseptal Atrial Tachycardia 189
Aortic Cusp 189
Left Atrial Tachycardia 190
Atrial Tachycardias Arising from Mitral Annular and Left Atrial Appendage and Coronary Sinus 190
Atrial Tachycardias Arising from Pulmonary Veins 190
References 190
8 Atrial Flutter 233
Atypical Atrial Flutters 233
References 234
9 Atrial Fibrillation 285
Regular Ventricular Rate during Atrial Fibrillation 285
Paroxysmal Atrial Fibrillation 285
QRS Morphology During Atrial Fibrillation 285
Atrial Fibrillation with Wolff-Parkinson-White Syndrome 285
Tachycardia-Induced Tachycardia 285
Autonomic-Mediated Atrial Fibrillation 286
reference 286
10 Wide Complex Tachycardia 311
References 311
11 Ventricular Tachycardia in Structural Heart Disease 343
History, Physical Examination, and Baseline ECG 343
Sustained Monomorphic Ventricular Tachycardia in Coronary Artery Disease 343
Baseline ECG 343
Bundle Branch Block–Like Pattern 343
QRS Axis 346
QRS Concordance 346
QS Complexes during Ventricular Tachycardia 346
Focal Monomorphic Ventricular Tachycardia in Coronary Artery Disease 347
Polymorphic Ventricular Tachycardia and Ventricular Fibrillation in Coronary Artery Disease 347
Bundle Branch Reentrant Ventricular Tachycardia 347
Ventricular Tachycardia in Nonischemic Cardiomyopathy 348
Epicardial Ventricular Tachycardia in Nonischemic Cardiomyopathy 348
Ventricular Tachycardia in Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy 348
Ventricular Tachycardia Late after Repair of Congenital Heart Disease 349
Ventricular Tachycardia in Patients with Left Ventricular Assist Devices 349
References 349
12 VENTRICULAR TACHYCARDIA IN THE ABSENCE OF STRUCTURAL HEART DISEASE 395
Idiopathic Ventricular Tachycardia 395
Adenosine-Sensitive Idiopathic Ventricular Tachycardia 395
Sites of Origin of Idiopathic Ventricular Tachycardia 395
right ventricular outflow tract ventricular tachycardia 395
pulmonary artery ventricular tachycardia 397
right septal ventricular tachycardia 397
parahisian ventricular tachycardia 397
right free wall ventricular tachycardia 397
tricuspid annular ventricular tachycardia 397
left-sided ventricular tachycardias 397
left ventricular outflow tract ventricular tachycardias 397
mitral annular ventricular tachycardia 397
idiopathic ventricular tachycardia originating from the papillary muscles 397
aortic cusp ventricular tachycardia 398
epicardial ventricular tachycardia 398
epicardial left ventricular outflow tract ventricular tachycardia 398
epicardial ventricular tachycardias originating from the coronary sinus and cardiac veins 398
epicardial ventricular tachycardias originating from the crux of the heart 398
right ventricular epicardial ventricular tachycardia 398
Verapamil-Sensitive Idiopathic Fascicular Ventricular Tachycardia 398
References 399
13 Polymorphic Ventricular Tachycardia and Ventricular Fibrillation in the Absence of Structural Heart Disease 431
Inherited and Acquired Long QT Syndrome and Torsades De Pointes 431
Long QT Syndrome 7 (Andersen-Tawil Syndrome) 432
Long QT Syndrome 8 (Timothy Syndrome) 432
Long QT Syndrome and Other Associated Cardiac Abnormalities 432
Acquired Long QT syndrome 432
electrolyte imbalance 432
Hypokalemia 432
Hypocalcemia 435
Hypomagnesemia 435
drug induced 435
Antiarrhythmic Drug-Induced Long QT Syndrome 435
Cerebrovascular Accidents 435
Short QT syndrome 435
Brugada Syndrome 436
Catecholaminergic Polymorphic Ventricular Tachycardia 436
Idiopathic Ventricular Fibrillation 438
Short-Coupled Torsades De Pointes 438
Pause-Dependent Torsades De Pointes 439
Asynchronous Pacing-Induced Polymorphic Ventricular Tachycardia 439
References 439
Index 479
A 479
B 481
C 481
D 481
E 481
F 482
G 482
H 482
I 482
J 482
L 483
M 483
N 483
O 483
P 483
Q 483
R 484
S 484
T 484
U 485
V 485
W 485