E-raamat: Essential ECG: A practical guide to recording, interpreting, and reporting ECGs with confidence

PART I: The essentials


Chapter 1 The ECG: the what, who, when, where and why

1.1 Overview

1.2 The what

1.3 The who

1.4 The when

1.5 The where

1.6 The why


Chapter 2 The normal conduction system of the heart

2.1 Overview

2.2 Thinking about the conduction system


Chapter 3 Recording an ECG

3.1 Overview

3.2 How to record an ECG

3.3 ECG leads and their anatomical views

3.4 ECG speed and voltage calibration


3.5 Additional considerations


Chapter 4 The normal ECG

4.1 Overview

4.2 The P wave

4.3 The Q wave

4.4 The R wave

4.5 The S wave

4.6 The QRS complex

4.7 The T wave

4.8 The PR interval

4.9 The QT interval

4.10 The J point

4.11 The ST segment


Chapter 5 How to read and report an ECG

5.1 Having a framework

5.2 The basics

5.3 Heart rate

5.4 Heart rhythm

5.5 Heart axis

5.6 Waves, complexes, intervals and segments

5.7 Bringing it all together


Chapter 6 Chamber dilatation and hypertrophy

6.1 Overview

6.2 Atrial dilatation

6.3 Ventricular hypertrophy


Chapter 7 Abnormal intervals (PR and QT intervals)

7.1 Overview

7.2 Prolonged QT interval

7.3 Short QT interval

7.4 Prolonged PR interval

7.5 Short PR interval


Chapter 8 Bradycardia and bradyarrhythmias

8.1 Overview

8.2 Sinus node disease

8.3 Atrioventricular node disease


Chapter 9 Narrow complex tachycardia

9.1 Overview

9.2 Sinus tachycardia

9.3 Atrial fibrillation

9.4 Atrial flutter

9.5 Atrial tachycardia

9.6 Supraventricular tachycardia


Chapter 10 Broad complex tachycardia

10.1 Overview

10.2 Ventricular tachycardia

10.3 Ventricular fibrillation

10.4 Supraventricular tachycardia with aberrancy

10.5 Ventricular paced rhythm

10.6 Artefact

10.7 Pre-excited atrial fibrillation


Chapter 11 Premature complexes

11.1 Overview

11.2 Premature atrial complexes

11.3 Premature ventricular complexes


Chapter 12 Intraventricular conduction delays

12.1 Overview

12.2 Right bundle branch block

12.3 Left bundle branch block

12.4 Bifascicular block

12.5 Non-specific interventricular conduction delay

12.6 Trifascicular block


Chapter 13 Acute coronary syndromes

13.1 Overview

13.2 ST elevation myocardial infarction (STEMI)

13.3 Non-ST elevation myocardial infarction (NSTEMI)

13.4 Unstable angina

13.5 STEMI equivalents

13.6 Left bundle branch block and ACS

13.7 Prior myocardial infarction

13.8 Other important things to look out for on ECG in ACS


Chapter 14 Pericardial disease

14.1 Pericarditis

14.2 Pericardial effusion


Chapter 15 Electrolyte disturbance and medication-induced abnormalities

15.1 Electrolyte disturbance

15.2 Potassium disturbance

15.3 Calcium disturbance

15.4 Medication-induced ECG changes


Chapter 16 Non-cardiac disease and the ECG

16.1 Pulmonary embolism

16.2 Major intracranial event

16.3 Motion artefact


Chapter 17 Implantable pacemakers and defibrillators

17.1 Overview

17.2 Pacemakers

17.3 Pacemaker malfunction

17.4 Defibrillators


Chapter 18 Lead reversal

18.1 Overview

18.2 Left arm and right arm lead reversal

18.3 Left arm and left leg lead reversal

18.4 Precordial lead misplacement

18.5 Steps to easily identify lead reversal/misplacement

18.6 Dextrocardia vs. lead reversal


Chapter 19 Rare but important ECGs

19.1 Overview

19.2 Brugada syndrome

19.3 Hypertrophic cardiomyopathy

19.4 Arrhythmogenic cardiomyopathy

19.5 Athletic ECG

19.6 Dextrocardia


PART II: Test yourself

50 ECGs that are common,critical or potentially life-threatening, each paired
with a concise interpretation and diagnostic insight.
Note that 20.31 to 20.50 are available on the publisher's website.