BOOK
Huszar's Basic Dysrhythmias and Acute Coronary Syndromes: Interpretation and Management Text & Pocket Guide Package - E-Book
(2016)
Additional Information
Book Details
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 |