Clinical Electrocardiography A Simplified Approach by Ary L. Goldberger MD FACC

By Ary L. Goldberger MD FACC

Quickly snatch the basics of ECG interpretation and research with Goldberger's scientific Electrocardiography. perfect for college kids and training clinicians alike, this available, concise cardiology reference bargains relevant assistance on knowing rhythm issues and their scientific outcomes. belief Goldberger's scientific Electrocardiography for all of the in-depth assurance you need!

  • Diagnose the major rhythm problems
  • that are suitable to contemporary medical perform via specialist pearls and advice.

  • Easily navigate the whole textual content online at www.expertconsult.com, and develop your mastery of the cloth with online-only self-assessment ECGs and assessment questions.

  • View medical findings truly

with new illustrations and up-to-date photographs throughout.

  • Expand your medical insights via a wealth of medical highlights and evaluate questions on-line, together with prognosis and administration counsel, in addition to prolonged insurance of difficult-to-classify rhythms.
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    Additional info for Clinical Electrocardiography A Simplified Approach

    Example text

    3. In a patient with left ventricular hypertrophy the QRS complex will generally: A. Be shorter in duration due to more profuse development of the HisPurkinje system. B. Be longer due to larger mass of ventricular tissue. C. Be unchanged due to minimal histologic changes. 4. The ECG in Figure 8 shows: A. B. C. D. Nothing this is a normal ECG. Borderline left ventricular hypertrophy. Severe left ventricular hypertrophy. Right ventricular hypertrophy. Figure 8: ECG for Problem 4. Answers 1. The correct answer is D.

    An electrocardiogram is shown in Figure 10. What is the abnormality? Figure 10: ECG for Problem 1. 2. An electrocardiogram is shown in Figure 11. What is the abnormality? 3. An electrocardiogram is shown in Figure 12. What is the abnormality? 60 5 Conduction abnormalities in the His-Purkinje tissue Figure 11: ECG for Problem 2. Figure 12: ECG for Problem 3. Answers 1. The ECG shows a rhythm strip of leads V1 , V4 , V5 , V6 , II, and aVF. The patient has LAFB with intermittent RBBB. 12 s) and in lead V1 every other QRS complex is wider and characterized by an rSR’ complex, characteristic of RBBB.

    Unfortunately, all of the ECG criteria for left ventricular hypertrophy have shortcomings, and although they are all relatively specific they are fairly insensitive markers (Table 2). In other words, if the ECG finding is present the patient probably has left ventricular hypertrophy, with most false positive rates < 10%. However, the ECG markers will identify only a relatively small proportion (11–70%) of patients with left ventricular hypertrophy. Right ventricle Several criteria have been developed for detection of right ventricular hypertrophy.

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