By John R. Hampton DM MA DPhil FRCP FFPM FESC
This ebook deals a hundred and fifty 12-lead ECGs and rhythm strips, every one with a scientific case historical past and query. the total ECG is reproduced and a research of it with the case historical past may be adequate to provide a solution. at the again the case is tested, with an outline of the most positive factors of the ECG in addition to a scientific interpretation and a "what to do" part. The circumstances are graded in hassle.
"I might hugely suggest it, not just for my more youthful colleagues and scholars, but additionally to colleagues in numerous specialties." Reviewed by Perfusion, Apr 2015
For this Fourth version over 30 new ECGs were integrated, in most cases to supply clearer examples, even though the ebook intentionally keeps a few technically negative files to take care of a ’real-world’ perspective.
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Additional info for 150 ECG problems
There are no abnormalities on examination, and this is his ECG. What would you do? 29 ANSWER 15 The ECG shows: • Sinus rhythm, rate 56/min • Short PR interval, most obvious in the chest leads • Normal axis • Wide QRS complexes (136 ms) • Slurred upstroke of the QRS complex (delta wave) • Dominant R wave in lead V1 Clinical interpretation This ECG is classic of Wolff–Parkinson–White (WPW) syndrome. The resemblance to the ECG of right ventricular hypertrophy is because this is WPW type A, with a left-sided accessory pathway.
Betablockers must be considered once his cardiac failure is controlled. Summary Atrial fibrillation with an uncontrolled ventricular rate, probable ischaemia and digoxin effect. See p. 76, 101, 8E 48 See p. 290, 6E I VR V1 V4 II VL V2 V5 III VF V3 V6 ECG 25 ECG 25 A 60-year-old man, who 3 years earlier had had a myocardial infarction followed by mild angina, was admitted to hospital with central chest pain that had been present for 1 h and had not responded to sublingual nitrates. What does his ECG show, and what would you do?
127, 6E I VR V1 V4 II VL V2 V5 III VF V3 V6 ECG 11 ECG 11 II This ECG came from a 40-year-old woman who complained of palpitations, which were present when the recording was made. What abnormality does it show? e. a sinus beat) • The next four beats, at about 100/min, have abnormal (inverted) P waves, and this is an atrial tachycardia • After a pause the next two beats have normal P waves and are in sinus rhythm at about 60/min • After two sinus beats there is an extrasystole with an inverted P wave; this is an atrial extrasystole • Normal axis • The QRS complexes, ST segments and T waves are normal Clinical interpretation Since the patient had her symptoms at the time of the recording, we can be confident that the ECG findings explain them.
150 ECG problems by John R. Hampton DM MA DPhil FRCP FFPM FESC