
ECG Success
by Jones, Shirley A.-
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Summary
Table of Contents
Heart Structure and Electrical Activity | |
Anatomy and Physiology of the Heart | p. 2 |
Overview | p. 2 |
Anatomy of the Heart | p. 2 |
Layers of the Heart | p. 2 |
Heart Valves | p. 2 |
Heart Chambers and Great Vessels | p. 3 |
Coronary Vessel Circulation | p. 3 |
Anatomy of the Cardiovascular System | p. 4 |
Blood Vessel Structures | p. 4 |
Arterial Circulation | p. 4 |
Venous Circulation | p. 5 |
Physiology of the Heart | p. 5 |
Mechanical Physiology | p. 5 |
Electrophysiology | p. 6 |
The Electrocardiogram | p. 9 |
Overview | p. 9 |
Limb Leads | p. 10 |
Standard Chest Leads | p. 10 |
Cable Connections | p. 11 |
Electrode Placement Using a Three-wire Cable | p. 11 |
Electrode Placement Using a Five-wire Cable | p. 12 |
Modified Chest Leads | p. 12 |
The Right-sided 12-Lead ECG | p. 12 |
The 15-Lead ECG | p. 13 |
Recording of the ECG | p. 13 |
Components of an ECG Tracing | p. 14 |
Methods for Calculating Heart Rate | p. 14 |
Rhythm Strip Analysis | p. 16 |
Instructions for Analyzing ECG Practice and Test Strips | p. 16 |
Rhythms and Their Analysis | |
Sinoatrial Node Arrhythmias | p. 20 |
Normal Sinus Rhythm (NSR) | p. 20 |
Sinus Bradycardia | p. 21 |
Sinus Tachycardia | p. 21 |
Sinus Arrhythmia | p. 22 |
Sinus Pause (Sinus Arrest) | p. 22 |
Sinoatrial (SA) Block | p. 23 |
ECG Practice Strips | p. 23 |
ECG Practice Strips | p. 26 |
Atrial Arrhythmias | p. 28 |
Wandering Atrial Pacemaker (WAP) | p. 28 |
Multifocal Atrial Tachycardia (MAT) | p. 29 |
Premature Atrial Contraction (PAC) | p. 29 |
Atrial Tachycardia | p. 30 |
Supraventricular Tachycardia (SVT) | p. 30 |
Paroxysmal Supraventricular Tachycardia (PSVT) | p. 31 |
Atrial Flutter | p. 31 |
Atrial Fibrillation | p. 32 |
Wolff-Parkinson-White (WPW) Syndrome | p. 32 |
ECG Practice Strips | p. 33 |
ECG Practice Strips | p. 36 |
Junctional Arrhythmias | p. 37 |
Junctional Rhythm | p. 37 |
Accelerated Junctional Rhythm | p. 38 |
Junctional Tachycardia | p. 38 |
Junctional Escape Beat | p. 38 |
Premature Junctional Contraction (PJC) | p. 39 |
ECG Practice Strips | p. 39 |
ECG Practice Strips | p. 42 |
Ventricular Arrhythmias | p. 44 |
Idioventricular Rhythm | p. 44 |
Accelerated Idioventricular Rhythm | p. 45 |
Premature Ventricular Contraction (PVC) | p. 45 |
Premature Ventricular Contraction: Uniform | p. 46 |
Premature Ventricular Contraction: Multiform | p. 46 |
Premature Ventricular Contraction: Ventricular Bigeminy | p. 46 |
Premature Ventricular Contraction: Ventricular Trigeminy | p. 46 |
Premature Ventricular Contraction: Ventricular Quadrigeminy | p. 47 |
Premature Ventricular Contraction: Couplets | p. 47 |
Premature Ventricular Contraction: R on T Phenomenon | p. 47 |
Premature Contraction: Interpolated PVC | p. 48 |
Ventricular Tachycardia (VT): Monomorphic | p. 48 |
Ventricular Tachycardia (VT): Polymorphic | p. 49 |
Torsade de Pointes | p. 49 |
Ventricular Fibrillation (VF) | p. 50 |
Pulseless Electrical Activity (PEA) | p. 50 |
Asystole | p. 51 |
ECG Practice Strips | p. 51 |
ECG Practice Strips | p. 54 |
Atrioventricular and Bundle Branch Blocks | p. 56 |
First-degree AV Block | p. 56 |
Second-degree AV Block Type I (Mobitz I or Wenckebach) | p. 57 |
Second-degree AV Block: Type II (Mobitz II) | p. 57 |
Third-degree AV Block | p. 58 |
Bundle Branch Block (BBB) | p. 58 |
ECG Practice Strips | p. 59 |
ECG Practice Strips | p. 62 |
Artificial Cardiac Pacemakers | p. 63 |
Artificial Pacemaker | p. 63 |
Pacemaker Modes | p. 64 |
Understanding Pacemaker Codes | p. 64 |
Artificial Pacemaker Rhythm | p. 64 |
Single-chamber Pacemaker Rhythm-Atrial | p. 65 |
Single-chamber Pacemaker Rhythm-Ventricular | p. 65 |
Dual-chamber Pacemaker Rhythm-Atrial and Ventricular | p. 65 |
Pacemaker Malfunctions | p. 65 |
Failure to Capture | p. 66 |
Failure to Sense | p. 66 |
Oversensing | p. 66 |
ECG Practice Strips | p. 67 |
ECG Practice Strips | p. 70 |
Artifact | p. 71 |
Loose Electrical Connection | p. 71 |
Variation with Respiration | p. 71 |
60-cycle Interference | p. 72 |
Muscle Artifact | p. 72 |
ECG Practice Strips | p. 72 |
ECG Practice Strips | p. 75 |
The 12-Lead ECG and Acute Myocardial Infarction | p. 77 |
Troubleshooting ECG Problems | p. 77 |
R Wave Progression | p. 78 |
Electrical Axis Deviation | p. 78 |
Ischemia, Injury, and Infarction | p. 78 |
Progression of an Acute Myocardial Infarction | p. 79 |
ST Segment Elevation and Depression | p. 79 |
The Normal 12-lead ECG | p. 80 |
Anterior Myocardial Infarction | p. 80 |
Inferior Myocardial Infarction | p. 80 |
Lateral Myocardial Infarction | p. 81 |
Septal Myocardial Infarction | p. 81 |
Posterior Myocardial Infarction | p. 82 |
Left Bundle Branch Block | p. 82 |
Right Bundle Branch Block | p. 82 |
ECG Practice Tests | |
ECG Practice Test One | p. 86 |
Test Strip Section One | p. 86 |
Answers to Practice Test One | p. 115 |
ECG Practice Test Two | p. 122 |
Test Strip Section Two | p. 122 |
Answers to Practice Test Two | p. 147 |
ECG Practice Test Three | p. 154 |
Test Strip Section Three | p. 154 |
Answers to Practice Test Three | p. 179 |
ECG Practice Test Four | p. 186 |
Test Strip Section Four | p. 186 |
Answers to Practice Test Four | p. 211 |
Case Studies | |
ECG Case Studies One | p. 220 |
p. 220 | |
p. 222 | |
p. 223 | |
p. 226 | |
p. 228 | |
p. 229 | |
p. 229 | |
p. 230 | |
p. 231 | |
p. 231 | |
ECG Case Studies Two | p. 232 |
p. 232 | |
p. 233 | |
p. 235 | |
p. 237 | |
p. 239 | |
p. 241 | |
p. 242 | |
p. 243 | |
p. 243 | |
p. 244 | |
p. 244 | |
p. 244 | |
Appendices | |
Healthcare Provider Guidelines for Cardiopulmonary Resuscitation (CPR) | p. 247 |
CPR Healthcare Provider Skill Performance | p. 247 |
CPR: Adult | p. 247 |
CPR: Child | p. 248 |
CPR: Infant | p. 249 |
Obstructed Airway: Conscious Adult or Child | p. 249 |
Obstructed Airway: Conscious Infant | p. 250 |
Obstructed Airway: Unconscious Adult | p. 250 |
Obstructed Airway: Unconscious Child | p. 251 |
Obstructed Airway: Unconscious Infant | p. 251 |
CPR and Obstructed Airway Positions | p. 252 |
Advanced Cardiac Life Support Protocols | p. 253 |
Ventricular Fibrillation (VF) or Pulseless Ventricular Tachycardia (VT) | p. 253 |
Pulseless Electrical Activity (PEA) | p. 254 |
Asystole | p. 254 |
Acute Coronary Syndrome (ACS) | p. 255 |
Bradycardia | p. 255 |
Tachycardia-Unstable | p. 256 |
Narrow-complex Tachycardia-Stable Regular Rhythm | p. 257 |
Narrow-complex Tachycardia-Stable Irregular Rhythm | p. 257 |
Wide-complex Tachycardia-Stable Regular Rhythm | p. 258 |
Wide-complex Tachycardia-Stable Irregular Rhythm | p. 258 |
Emergency Medications | p. 259 |
Emergency Medical Skills | p. 265 |
Defibrillation | p. 265 |
Cardioversion (Synchronized) | p. 266 |
Transcutaneous Pacing | p. 267 |
Carotid Sinus Massage (Vagal Maneuver) | p. 267 |
Abbreviations Used in Text | p. 269 |
Selected References | p. 271 |
Index | p. 273 |
Table of Contents provided by Ingram. All Rights Reserved. |
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