Basic Electrocardiography (eBook)

A. Bayés de Luna, MD, FESC, FACC Prof. Antonio Bayés is a Professor of Cardiology in the Universidad Autónoma de Barcelona, and Director of the Institut Catala Cardiologia-Hospital Sant Pau. He was trained as a cardiologist in the School of Cardiology of the University of Barcelona, and the Institute of Cardiology and Hammersmith Hospital in London. He has served as President of the Catalan Society of Cardiology; President of the Spanish Society of Cardiology; President of the Catalan Foundation of Cardiology (ACARD); Vice-President of the Spanish Foundation of Cardiology; and President of the World Heart Federation. He has established different projects devoted to the fight against cardiovascular diseases, especially in developing countries such as "The twin centres program", "The white book in world cardiology" and the yearly "World Heart Day". He is President of the International Society for Cardiovascular Pharmacotherapy (ISCP).

Basic Electrocardiography : NORMAL AND ABNORMAL ECG PATTERNS 1
Contents 7
Foreword 9
1 Introduction 10
2 Usefulness and limitations of electrocardiography 13
3 Electrophysiological principles 15
The origin of ECG morphology 15
4 ECG machines: how to perform and interpret ECG 28
5 Normal ECG characteristics 30
Heart rate 30
Rhythm 30
PR interval and segment 30
QT interval 32
P wave 33
QRS complex 33
ST segment and T wave 33
Assessment of the QRS electrical axis in the frontal plane 35
Rotations of the heart 35
Electrocardiographic changes with age 39
6 Electrocardiographic diagnostic criteria 41
7 Atrial abnormalities 44
Right atrial enlargement 44
Left atrial enlargement 44
Biatrial enlargement 46
Interatrial block 46
8 Ventricular enlargement 48
Right ventricular enlargement 49
Electrocardiographic signs of right acute overload 53
Left ventricular enlargement 53
Biventricular enlargement 57
9 Ventricular blocks 59
Complete right bundle branch block (RBBB) 62
Partial right bundle branch block 64
Complete left bundle branch block (LBBB) 66
Partial left bundle branch block 67
Zonal (divisional) left ventricular block 67
Bifascicular blocks 68
Trifascicular blocks 69
10 Ventricular pre-excitation 70
WPW-type pre-excitation 70
Short PR type pre-excitation (Lown…Ganong…Levine syndrome) 76
11 Electrocardiographic pattern of ischaemia, injury and necrosis 77
Anatomic introduction 77
Electrophysiological introduction 78
Electrocardiographic pattern of ischaemia 82
Electrocardiographic pattern of injury 89
Electrocardiographic pattern of necrosis 106
12 Miscellaneous 126
Value of ECG in special conditions 126
ECG pattern of poor prognosis 126
ECG of electrical alternans 126
Self-assessment 130
References 174
Index 178

"Overall, I would say this book is a compact but technical text...it has certainly increased my own knowledge and I feel that anyone who wishes to enhance their exisiting skills would benefit from reading it." British Journal of Cardiac Nursing, 2008