Twelve-Lead Electrocardiography: Theory and Interpretation
If you are a cardiologist or have a photographic memory,you may not need Dr.Foster’s new book.But,for the rest of us on the front lines of emergency care,it is a valuable resource that you will want to have by your side at work. I have had the first edition of this book by my station in the emergency department for ten years now.I use it everyday for teaching house staff and often turn to it for reference myself. For those of us without perfect memories,Dr.Foster’s clinical approach is ideal. He has the knack of making the complex simple. He does not expect the reader to memorize every squiggle on the page; instead he inspires understanding by giving readers the tools they need to comprehend why ECGs look the way they do.When a resident comes to me with an ECG,I do not have to spend ten minutes delivering a confusing explanation.I just open Dr.Foster’s book to the right page and hand it to the resident for review. The book is organized so that you can turn to the relevant chapter and instantly know what the differential diagnosis might be.His selection of case studies covers the vast majority of the ECGs you will be called on to read in any sort of emergent situation; anything else can wait for the cardiologist.
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12-lead ECG 60 degrees acute anterior STEMI acute inferior acute myocardial infarction administer approximately aspirin aVF V1 V2 aVL aVF V1 aVR aVL aVF beta blockers cardiac Chapter chest pain clinical compatible with AMI coronary artery depolarization diaphoresis electrical axis electrocardiogram electrode emergency department endocardium epicardium equally biphasic evidence of STEMI ﬁnd ﬁrst heart hemiblock hyperkalemia impulse index of suspicion inferior wall ischemia ischemic LBBB lead V1 left bundle left ventricle limb leads nitroglycerin normal ECG pathologic Q wave patient pattern perform a 12-lead physical examination Practice tracing precordial leads produce QRS duration RBBB reciprocal depression relative contraindications reperfusion right ventricle shows signiﬁcant ST depression ST elevation ST segment ST-segment elevation STEMI exists streptokinase sublingual nitroglycerin syndrome tallest R wave thrombolytic therapy thrombus trifascicular block V5 and V6 vector wall infarction wall myocardial infarction wave formation wave in lead wave inversion wave of depolarization