
Goldberger's Clinical Electrocardiography
10th Edition - A Simplified Approach
By: Goldberger
Paperback | 17 April 2023 | Edition Number 10
At a Glance
320 Pages
19.2 x 19 x 2
Paperback
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Offers practical, comprehensive coverage of real-world ECGs across a range of point-of-care settings, explaining not only how to interpret the data, but the implications of ECG findings for clinical management.
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Covers recent advances in pacemaker and implantable cardioverter-defibrillator technology; myocardial ischemia and infarction; arrhythmias, including atrial fibrillation, ventricular tachycardias and sudden cardiac arrest syndromes; drug toxicities; cardiac monitoring, including wearable devices; cardiomyopathies and COVID-19.
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Features nearly 300 high-quality illustrations, with an abundance of quick reference information highlights, including key pathophysiologic concepts, reminders, clinical pearls, and key points, as well as more than 250 review questions online.
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Discusses basic principles of electrophysiology in an easily understandable format for students and non-cardiologists.
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Enhanced eBook version included with purchase. Your eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Ary L. Goldberger, MD, FACC, is Professor of Medicine at Harvard Medical School and Director of the Margret and HA Rey Institute for Nonlinear Dynamics in Physiology and Medicine at Beth Israel Deaconess Medical Center in Boston, Massachusetts.
Zachary D. Goldberger, MD, FACC, FHRS, is Associate Professor of Medicine in the School of Medicine and Public Health's Division of Cardiovascular Medicine and Electrophysiology at the University of Wisconsin in Madison, Wisconsin.
Alexei Shvilkin, MD, PhD, is Assistant Professor of Medicine at Harvard Medical School and Clinical Cardiac Electrophysiologist at Beth Israel Deaconess Medical Center in Boston, Massachusetts.
Title page
Contents
Copyright
Introductory Remarks
Part I: Basic Principles and Patterns
1: Essential Concepts: What Is an ECG?
ABCs of Cardiac Electrophysiology
Cardiac Automaticity and Conductivity: “Clocks and Cables”
Concluding Notes: Why Is the ECG so Useful?
Preview: Looking Ahead
2: Electrocardiogram Basics: Waves, Intervals, and Segments
Depolarization and Repolarization
Five Basic ECG Waveforms: P, QRS, ST, T, AND U
ECG Segments vs. ECG Intervals
ECG Graph Paper
3: How to Make Basic ECG Measurements
Standardization (Calibration) of the ECG
Physiologic Components of the ECG: Waveforms, Intervals, and Segments
How are Heart Rate and RR Intervals Related?
PP and RR Intervals: are They Equivalent?
ECG Terms are Confusing!
The ECG: Important Clinical Perspectives
4: Electrocardiogram Leads
Limb (Extremity) Leads
Chest (Precordial) Leads
Cardiac Monitors and Monitor Leads
5: The Normal Electrocardiogram
Three Basic “Laws” of Electrocardiography
Physiologic (Normal) Sinus P Wave
Normal QRS Complex: General Principles
Normal ST Segment
Normal T Wave
6: Electrical Axis and Axis Deviation
Mean QRS Axis: A Working Definition
Mean QRS Axis: Calculation
Axis Deviation
Mean Electrical Axis of the P Wave and T Wave
7: Atrial and Ventricular Overload/Enlargement
Right Atrial Abnormality/Overload
Left Atrial Abnormality/Overload
Right Ventricular Hypertrophy
Left Ventricular Hypertrophy
The ECG in LVH: A Clinical Perspective
8: Ventricular Conduction Disturbances: Bundle Branch Blocks and Related Abnormalities
ECG in Ventricular Conduction Disturbances: General Principles
Right Bundle Branch Block
Left Bundle Branch Block
Differential Diagnosis of Bundle Branch Blocks
Fascicular Blocks (Hemiblocks)
Diagnosis of Hypertrophy in the Presence of Bundle Branch Blocks
Diagnosis of Myocardial Infarction in the Presence Of Bundle Branch Blocks
9: Myocardial Ischemia and Infarction, Part I: ST Segment Elevation and Q Wave Syndromes
Myocardial Ischemia and Infarction: General Considerations
Transmural and Subendocardial Ischemia
Myocardial Blood Supply and Location of Infarction
St Segment Elevation Ischemia and Acute Myocardial Infarction
More Specific ECG Localization of Infarctions
Summary: Classic Sequence of ST-T Changes and Q Waves with Stemi
Multi-Site Q Wave Infarctions
“Silent” Myocardial Infarction
Diagnosis of Myocardial Infarction in the Presence of Bundle Branch Block
ST Segment Elevation MI: Nonatherosclerotic Causes
10: Myocardial Ischemia and Infarction, Part II: Non-ST Segment Elevation and Non-Q Wave Syndromes
Subendocardial Ischemia
Non-ST Segment Elevation and Non-Q Wave Infarction
Acute Stress/Takotsubo Cardiomyopathy
ECG Differential Diagnosis Ischemia and Infarction: ST-T Changes Simulating MI
ECG in the Context of MI Complications
ECG After Coronary Reperfusion
The ECG in MI: Clinical Overview
11: Drug Effects, Electrolyte Abnormalities, and Metabolic Disturbances
Electrolyte Disturbances
Other Metabolic Factors
ST-T Changes: Specific and Nonspecific
12: Pericardial, Myocardial, and Pulmonary Syndromes
Acute Pericarditis, Pericardial Effusion, and Constrictive Pericarditis
Myocarditis
Chronic Heart Failure
Cardiac Amyloidosis
Pulmonary Embolism (Acute and Chronic)
Chronic Obstructive Lung Disease (Emphysema)
Cardiac Syndromes Associated with Hereditable Neuromuscular Diseases
Part II: Cardiac Rhythm Disturbances
13: Sinus and Escape Rhythms
Sinus Rhythms
Regulation of the Heart Rate
Sinus Tachycardia
Sinus Bradycardia
Sinus Pauses, Sinus Arrest, and Sinoatrial Block
Sinus Arrhythmias
14: Supraventricular Arrhythmias, Part I: Premature Beats and Paroxysmal Supraventricular Tachycardias
General Principles
Atrial and Other Supraventricular Premature Beats
Paroxysmal Supraventricular Tachycardias (PSVTS)
Differential Diagnosis and Treatment of PSVT
15: Supraventricular Arrhythmias, Part II: Atrial Flutter and Atrial Fibrillation
Atrial Flutter: ECG Considerations
Atrial Fibrillation (AF): ECG Considerations
ECG Findings Preceding Atrial Fibrillation or Flutter
Atrial fibrillation vs. Atrial flutter
Atrial Fibrillation and Flutter: Major Clinical Considerations
Treatment of Atrial Fibrillation/Flutter: Acute and Longer-Term Considerations
16: Ventricular Arrhythmias
Premature Ventricular Complexes (PVCS): Overview
Ventricular Tachycardias: Classification Schemes
Accelerated Idioventricular Rhythm
Ventricular Fibrillation
17: Atrioventricular (AV) Conduction Abnormalities, Part I: Delays, Blocks, and Dissociation Syndromes
What is the Degree of AV Block?
What is the Location of Block? Nodal vs. Infranodal
2:1 AV Block: A Special Subtype of Second-Degree Heart Block
Diagnosis of Heart Block with Atrial Fibrillation and Flutter
General Clinical Considerations
AV Heart Block in Acute Myocardial Infarction
AV Dissociation Syndromes
18: Atrioventricular (AV) Conduction Disorders, Part II: Preexcitation (Wolff–Parkinson–White) Patterns and Syndromes
Preexcitation via AV Bypass Tracts
The Classic WPW Triad
Highlight: Some Points of Confusion
Basis of Narrow Complex Tachycardias (NCT) with WPW
Atrial Fibrillation (OR Flutter) with WPW Preexcitation
Summary: Clinical Significance of WPW
Treatment Principles
Brief Overview: Differential Diagnosis of Wide QRS Complex Patterns
Part III: Special Topics and Reviews
19: Bradycardias and Tachycardias: Review and Differential Diagnosis
Bradycardias (Bradyarrhythmias)
Tachycardias (Tachyarrhythmias)
Slow and Fast: Sick Sinus Syndrome and Tachy-Brady Variants
20: Digitalis Toxicity
Mechanism of Action and Indications
Digitalis Toxicity vs. Digitalis effect
Digitalis Toxicity: Symptoms and Signs
Digoxin Toxicity: Predisposing Factors
Digitalis Toxicity: Prevention
Digitalis Toxicity: Treatment Principles
Serum Digoxin Concentrations (Levels)
21: Sudden Cardiac Arrest and Sudden Cardiac Death Syndromes
Clinical Aspects of Cardiac Arrest
Basic ECG Patterns in Cardiac Arrest
Sudden Cardiac Death/Arrest
Clinical Causes of Cardiac Arrest
22: Pacemakers and Implantable Cardioverter–Defibrillators: Essentials for Clinicians
Pacemakers: Definitions and Types
Implantable Cardioverter–Defibrillators
Recognizing Pacemaker and ICD Malfunction
Magnet Response of Pacemakers and ICDs
Pacemaker and ICD Implantation: Specific Uses
23: Interpreting ECGs: An Integrative Approach
ECG Reading: General Principles
Caution: Computerized ECG Interpretations
ECG Artifacts
24: Limitations and Uses of the ECG
Important Limitations of the ECG
Utility of the ECG in Special Settings
Some Other Medical Applications of the ECG
Reducing Medical Errors: Common Pitfalls in ECG Interpretation
ECGs: Past, Present, and Future
25: ECG Differential Diagnoses: Instant Replays
Selected Brief Bibliography
Index
Online Sections
1: Mini-Review Demon: Brief Chapter Reviews with Questions and Answers
2: Supplemental Extras: Deeper Dive Into Selected Topics
3: Quiz Master: Self-Assessment of Clinical ECG Skills
ISBN: 9780323824750
ISBN-10: 0323824757
Published: 17th April 2023
Format: Paperback
Language: English
Number of Pages: 320
Audience: Professional and Scholarly
Publisher: Elsevier US
Country of Publication: GB
Edition Number: 10
Dimensions (cm): 19.2 x 19 x 2
Weight (kg): 0.68
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