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Huszar's Basic Dysrhythmias and Acute Coronary Syndromes: Interpretation and Management Text & Pocket Guide Package - E-Book

Huszar's Basic Dysrhythmias and Acute Coronary Syndromes: Interpretation and Management Text & Pocket Guide Package - E-Book

Keith Wesley

(2016)

Additional Information

Abstract

Now in full color and updated to reflect the 2010 ECC guidelines, Huszar’s Basic Dysrhythmias and Acute Coronary Syndromes, 4th Edition is structured to match the order in which you learn specific skills: ECG components are presented first, followed by information on how to interpret ECGs to arrive at a diagnosis. More complex material follows basic skills, with advanced sections at the end. Packaged with a free companion CD with 200 practice rhythms and a free heart rate ruler, this edition has been updated throughout and comes loaded with extras designed to enhance your learning.

  • Expert authorship from original author Dr. Robert Huszar and continuing author Dr. Keith Wesley, brings over 40 years of combined field experience to the text and maintain its relevancy to prehospital and hospital providers.
  • Expert panel of reviewers who specialize in ECG interpretation and emergency cardiovascular care also ensure that the material is accurate, current and universal.

  • Coverage of both basic and advanced concepts incorporates the latest research developments and provides material that is pertinent to both beginning and experienced prehospital care providers.

- Chapters 1-15 cover ECG basics, 3-lead interpretation and treatment of dysrhythmias, pacemaker rhythms and more.

- Chapters 16-19 cover acute coronary syndromes, thrombus formation, and advanced treatment options.

  • Companion CD offers even more practice with 200 practice rhythm self-assessment exercises and answers in PowerPoint format.
  • Drug Caution boxes provide valuable tips and reminders on drug use and administration.
  • Patient care algorithms show you step-by-step management and treatment.
  • Chapter summaries reinforce major concepts and tie information together.
  • Chapter review questions test your understanding of key topics.
  • Heart rate calculator ruler is included free in every text.
  • Advanced level treatment material, such as complete thrombus formation, treatment and management offers critical information for both the hospital setting and the EMS setting.
  • Self-assessment answer keys allow you to check your own work for self-evaluation.
  • Chapter outline offers a quick overview of each chapter’s content.
  • Learning Objective boxes allow you to check off mastered information.
  • Key terms help you learn essential vocabulary and reinforce basic concepts.
  • Illustrations aid comprehension of difficult concepts.
  • Notes sections provide a place to write down your lecture notes and keep information in one place for review.

Table of Contents

Section Title Page Action Price
Front cover Cover
AD ad_1
Contents ifc_1
Title page iii
Copyright page iv
Dedication v
About the Author vi
Acknowledgments vii
Publisher Acknowledgments viii
Preface ix
Foreword x
Publisher’s Note xi
Table of contents xii
Chapter 1: Anatomy and Physiology of the Heart 1
ANATOMY AND PHYSIOLOGY OF THE HEART 2
ELECTRICAL CONDUCTION SYSTEM OF THE HEART 4
CARDIAC CELLS 7
ELECTROPHYSIOLOGY OF THE HEART 8
AUTONOMIC NERVOUS SYSTEM CONTROL OF THE HEART 14
Chapter 2: The Electrocardiogram: Basic Concepts and Lead Monitoring 17
BASIC ECG CONCEPTS 17
BASIC COMPONENTS OF THE NORMAL ECG 19
ECG LEADS 20
Chapter 3: Components of the Electrocardiogram 27
WAVES 28
INTERVALS 42
SEGMENTS 47
Chapter 4: Eight Steps to ECG Interpretation and Analysis 53
SYSTEMATIC APPROACH TO ECG ANALYSIS 54
STEP ONE: DETERMINE THE HEART RATE 54
STEP TWO: DETERMINE REGULARITY 61
STEP THREE: IDENTIFY AND ANALYZE THE P, P′, F, OR f WAVES 63
STEP FOUR: DETERMINE THE PR OR RP′ INTERVALS AND ATRIOVENTRICULAR CONDUCTION RATIO 68
STEP FIVE: IDENTIFY AND ANALYZE THE QRS COMPLEXES 73
STEP SIX: DETERMINE THE SITE OF ORIGIN OF THE DYSRHYTHMIA 73
STEP SEVEN: IDENTIFY THE DYSRHYTHMIA 77
STEP EIGHT: EVALUATE THE SIGNIFICANCE OF THE DYSRHTHMIA 77
Chapter 5: Sinus Node Dysrhythmias 79
NORMAL SINUS RHYTHM 79
SINUS ARRHYTHMIA 81
SINUS BRADYCARDIA 82
SINUS ARREST AND SINOATRIAL EXIT BLOCK 84
SINUS TACHYCARDIA 86
Chapter 6: Atrial Dysrhythmias 90
WANDERING ATRIAL PACEMAKER 90
PREMATURE ATRIAL COMPLEXES 92
ATRIAL TACHYCARDIA (ECTOPIC AND MULTIFOCAL) 95
ATRIAL FLUTTER 98
ATRIAL FIBRILLATION 101
Chapter 7: Junctional Dysrhythmias 106
PREMATURE JUNCTIONAL COMPLEXES 106
JUNCTIONAL ESCAPE RHYTHM 109
NONPAROXYSMAL JUNCTIONAL TACHYCARDIA (ACCELERATED JUNCTIONAL RHYTHM, JUNCTIONAL TACHYCARDIA) 110
PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA 113
Chapter 8: Ventricular Dysrhythmias 117
PREMATURE VENTRICULAR COMPLEXES 117
VENTRICULAR TACHYCARDIA 121
VENTRICULAR FIBRILLATION 125
ACCELERATED IDIOVENTRICULAR RHYTHM (ACCELERATED VENTRICULAR RHYTHM, IDIOVENTRICULAR TACHYCARDIA, SLOW VENTRICULAR TACHYCARDIA) 128
VENTRICULAR ESCAPE RHYTHM (IDIOVENTRICULAR RHYTHM) 131
ASYSTOLE 131
Chapter 9 Atrioventricular Blocks 135
FIRST-DEGREE AV BLOCK 135
SECOND-DEGREE, TYPE I AV BLOCK (WENCKEBACH) 137
SECOND-DEGREE, TYPE II AV BLOCK 139
SECOND-DEGREE 2 : 1 AND ADVANCED AV BLOCK 141
THIRD-DEGREE AV BLOCK (COMPLETE AV BLOCK) 143
Chapter 10: Clinical Significance and Treatment of Dysrhythmias 148
PART I 149
ASSESSING THE PATIENT 149
TREATING THE PATIENT 150
BRADYCARDIAS 154
TACHYCARDIAS 155
PREMATURE ECTOPIC BEATS 162
PART II 163
CARDIAC ARREST 163
ASYSTOLE (FIGURE 10-19) 163
PULSELESS ELECTRICAL ACTIVITY (FIGURE 10-20) 164
POSTRESUSCITATION MANAGEMENT 165
SUMMARY OF DYSRHYTHMIA TREATMENT 166
DYSRHYTHMIA TREATMENT ALGORITHMS 168
Chapter 11: The 12-Lead Electrocardiogram 180
THE 12-LEAD ECG 180
THE 12-LEAD ECG LEADS 180
Chapter 12: Electrical Axis and Vectors 191
ELECTRICAL AXIS AND VECTORS 191
THE ELECTRICAL CURRENT, VECTORS, AND THE LEAD AXIS 192
THE HEXAXIAL REFERENCE FIGURE 194
THE QRS AXIS 196
Chapter 13: Bundle Branch and Fascicular Blocks 207
ANATOMY AND PHYSIOLOGY OF THE ELECTRICAL CONDUCTION SYSTEM 208
PATHOPHYSIOLOGY OF BUNDLE BRANCH AND FASCICULAR BLOCKS 211
RIGHT BUNDLE BRANCH BLOCK 212
LEFT BUNDLE BRANCH BLOCK 216
HEMIBLOCKS 219
LEFT ANTERIOR FASCICULAR BLOCK (LEFT ANTERIOR HEMIBLOCK) 219
LEFT POSTERIOR FASCICULAR BLOCK (LEFT POSTERIOR HEMIBLOCK) 221
BIFASCICULAR BLOCKS 222
INTRAVENTRICULAR CONDUCTION DELAY 222
Chapter 14: Pacemaker and Implantable Defibrillator Rhythms 226
PACEMAKERS 226
TYPES OF PACEMAKERS 227
PACEMAKER RHYTHM 230
PACEMAKER MALFUNCTION 231
IMPLANTABLE CARDIOVERTERDEFIBRILLATORTHERAPY 232
Chapter 15: Other Assorted ECG Findings 236
CHAMBER ENLARGEMENT 237
RIGHT ATRIAL ENLARGEMENT 237
LEFT ATRIAL ENLARGEMENT 238
RIGHT VENTRICULAR HYPERTROPHY 238
LEFT VENTRICULAR HYPERTROPHY 239
PERICARDITIS 243
ELECTROLYTE IMBALANCE 245
DRUG EFFECTS 248
ACUTE PULMONARY EMBOLISM 250
CHRONIC COR PULMONALE 250
EARLY REPOLARIZATION 252
HYPOTHERMIA 252
PREEXCITATION SYNDROMES 253
BRUGADA SYNDROME 254
Chapter 16: Acute Coronary Syndrome—Pathophysiology 257
CORONARY CIRCULATION 259
CORONARY HEART DISEASE 261
THROMBUS FORMATION AND LYSIS 263
MYOCARDIAL ISCHEMIA, INJURY, AND INFARCTION 266
ACUTE CORONARY SYNDROMES 267
ACUTE MYOCARDIAL INFARCTION 268
Chapter 17: Diagnostic ECG Changes in Specific Myocardial Infarctions 283
INTRODUCTION 284
SEPTAL MYOCARDIAL INFARCTION 284
ANTERIOR MYOCARDIAL INFARCTION 286
ANTEROSEPTAL MYOCARDIAL INFARCTION 288
LATERAL MYOCARDIAL INFARCTION 290
ANTEROLATERAL MYOCARDIAL INFARCTION 292
EXTENSIVE ANTERIOR MYOCARDIAL INFARCTION 294
INFERIOR MYOCARDIAL INFARCTION 296
POSTERIOR MYOCARDIAL INFARCTION 298
RIGHT VENTRICULAR MYOCARDIAL INFARCTION 300
Chapter 18: Signs, Symptoms, and Diagnosis of Acute Coronary Syndromes 307
INTRODUCTION 308
HISTORY TAKING IN SUSPECTED ACUTE CORONARY SYNDROMES 309
SIGNS AND SYMPTOMS OF ACUTE CORONARY SYNDROMES 310
RISK STRATIFICATION 316
THE 12-LEAD ECG 316
CARDIAC MARKERS 317
MAKING THE DIAGNOSIS 318
Chapter 19: Management of Acute Coronary Syndromes 321
GOALS IN THE MANAGMENT OF ACUTE CORONARY SYNDOMES 322
GOALS IN THE MANAGEMENT OF ST-ELEVATION MYOCARDIAL INFARCTION 324
REPERFUSION THERAPY: PCI VERSUS FIBRINOLYTICS 325
MANAGEMENT OF ACUTE ST-ELEVATION MYOCARDIAL INFARCTION* 326
MANAGEMENT OF NON–ST-ELEVATION MYOCARDIAL INFARCTION 327
ACUTE CORONARY SYNDROME MANAGEMENT STRATEGIES 327
ACUTE CORONARAY SYNDROME MANAGEMENT ALGORITHMS 331
Appendix A: Methods of Determining the QRS Axis 337
METHODS OF DETERMINING THE QRS AXIS 337
Appendix B: Chapter Review Questions Answer Key 350
CHAPTER 1 350
CHAPTER 2 351
CHAPTER 3 351
CHAPTER 4 351
CHAPTER 5 352
CHAPTER 6 352
CHAPTER 7 352
CHAPTER 8 353
CHAPTER 9 353
CHAPTER 10 353
CHAPTER 11 354
CHAPTER 12 354
CHAPTER 13 355
CHAPTER 14 355
CHAPTER 15 356
CHAPTER 16 356
CHAPTER 17 356
CHAPTER 18 357
CHAPTER 19 357
Appendix C: Rhythm Interpretation: Self-Assessment 359
II. BUNDLE BRANCH AND FASCICULAR BLOCKS 403
III. MYOCARDIAL INFARCTIONS 405
IV. QRS AXES 414
V. ECG CHANGES: DRUG AND ELECTROLYTE 415
VI. ECG CHANGES: MISCELLANEOUS 416
VII. SCENARIOS 420
Appendix D: Self-Assessment Answer Keys* 427
I. DYSRHYTHMIAS 427
II. BUNDLE BRANCH AND FASCICULAR BLOCKS 442
III. MYOCARDIAL INFARCTIONS 442
IV. QRS AXES 442
V. ECG CHANGES: DRUG AND ELECTROLYTE 442
VI. ECG CHANGES: MISCELLANEOUS 442
VII. SCENARIOS 442
Glossary 445
Index 477
A 477
B 480
C 482
D 484
E 485
F 487
G 487
H 487
I 489
J 489
K 490
L 490
M 490
N 492
O 492
P 492
Q 495
R 496
S 498
T 500
U 501
V 501
W 503
Z 503