For more than 30 years, health care providers have turned to The Only EKG Book You’ll Ever Need for Dr. Malcolm S. Thaler’s clear and concise guidance on EKG use in everyday practice. Ideal for readers at all levels of experience, the tenth edition of this straightforward, highly visual resource presents must-know information on using an EKG to diagnose cardiac and non-cardiac conditions, with numerous EKG strips, clear illustrations, clinical examples, and case studies throughout. From cover to cover, Dr. Thaler’s commitment to “keeping simple things simple and making complicated things easy to understand” helps you learn and understand how to best use an EKG in actual clinical settings.
Provides more than 200 EKG strips, including many new to this edition
Includes updated clinical scenarios and case studies, step-by-step instructions, newly clarified concepts, and high-quality illustrations throughout
Uses a lighthearted, lively writing style designed to be compelling and minimize confusion of principles discussed
Outlines processes for identifying and interpreting arrhythmias, myocardial infarctions, hypertrophy, atrial fibrillation, and other disorders
Advises on the dangers of over-reliance on computer interpretations and includes many other practical considerations that other books leave out
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Getting Started 1
Chapter 1 The Basics 9 Electricity and the Heart 10 Time and Voltage 17 P Waves, QRS Complexes, T Waves, and Some Straight Lines 19 Naming the Straight Lines 29 Summary: The Waves and Straight Lines of the EKG 31 Making Waves 32 The 12 Views of the Heart 37 A Word About Vectors 46 The Normal 12-Lead EKG 47 Summary: Orientation of the Waves of the Normal EKG 58 Coming Attractions 60
Chapter 2 Hypertrophy and Enlargement of the Heart 61 Definitions 62 Axis 65 Summary: Axis 72 Axis Deviation, Hypertrophy, and Enlargement 75 Atrial Enlargement 78 Summary: Atrial Enlargement 81 Ventricular Hypertrophy 82 Secondary Repolarization Abnormalities of Ventricular Hypertrophy 88 Summary: Ventricular Hypertrophy 90 Case 1 91 Case 2 92
Chapter 3 Arrhythmias 95 The Clinical Manifestations of Arrhythmias 97 Why Arrhythmias Happen 98 Rhythm Strips 99 How To Determine the Heart Rate From the EKG 102 The Four Basic Types of Arrhythmias 106 Arrhythmias of Sinus Origin 107 Ectopic Rhythms 114 The Four Questions 117 Ectopic Supraventricular Arrhythmias 119 Summary: Supraventricular Arrhythmias 130 Ectopic Ventricular Arrhythmias 131 Summary: Ventricular Arrhythmias 138 Summary: Rules of Malignancy for PVCs 138 Supraventricular Versus Ventricular Arrhythmias 139 Summary: Ventricular Tachycardia (VT) Versus Paroxysmal Supraventricular Tachycardia (PSVT) With Aberrancy 145 Programmed Electrical Stimulation 146 Implantable Defibrillators 147 Case 3 150 Case 4 152
Chapter 4 Conduction Blocks 155 What Is a Conduction Block? 156 AV Blocks 157 Summary: AV Block 166 Bundle Branch Block 167 Summary: Bundle Branch Block 173 Hemiblocks 174 Summary: Criteria for Hemiblock 178 Combining Bundle Branch Blocks and Hemiblocks 179 Summary: Criteria for Bifascicular Block 179 The Ultimate in Playing With Blocks: Combining AV Blocks, Bundle Branch Blocks, and Hemiblocks 182 Pacemakers 184 Case 5 188
Chapter 5 Preexcitation Syndromes 191 What Is Preexcitation? 192 Wolff-Parkinson-White Syndrome 194 Lown-Ganong-Levine Syndrome 195 Associated Arrhythmias 196 Summary: Preexcitation 200 Case 6 201
Chapter 6 Myocardial Ischemia and Infarction 203 What Is a Myocardial Infarction? 204 How to Diagnose a Myocardial Infarction 205 Summary: The EKG Changes of an Evolving Myocardial Infarction 217 Localizing the Infarct 218 Non–Q Wave Myocardial Infarctions 227 Angina 229 Summary: The ST Segment in Cardiac Disease 231 Limitations of the EKG in Diagnosing an Infarction 232 Stress Testing 233 Case 7 238
Chapter 7 Finishing Touches 245 Electrolyte Disturbances 247 Hypothermia 251 Drugs 252 Other Cardiac Disorders 256 Pulmonary Disorders 260 Central Nervous System Disease 262 The Athlete’s Heart 263 Summary: Miscellaneous Conditions 264 Case 8 266
Chapter 8 Putting It All Together 269 The 11-Step Method for Reading EKGs 272 Review Charts 274
Chapter 9 How Do You Get To Carnegie Hall?* 291
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