By John R. Hampton DM MA DPhil FRCP FFPM FESC
This e-book bargains a hundred and fifty 12-lead ECGs and rhythm strips, each one with a scientific case background and query. the whole ECG is reproduced and a learn of it with the case background might be adequate to provide a solution. at the again the case is tested, with an outline of the most beneficial properties of the ECG in addition to a scientific interpretation and a "what to do" part. The instances are graded in trouble.
"I might hugely suggest it, not just for my more youthful colleagues and scholars, but additionally to colleagues in several specialties." Reviewed by Perfusion, Apr 2015
For this Fourth version over 30 new ECGs were integrated, often to supply clearer examples, although the e-book intentionally keeps a few technically terrible documents to take care of a ’real-world’ perspective.
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Additional info for 150 ECG problems
He had a heart murmur. What do the ECG and chest X-ray show and what treatment would be appropriate? 45 ANSWER 23 The ECG shows: • Atrial fibrillation; ventricular rate 62/min • Left axis deviation (left anterior hemiblock) • Broad QRS complexes (160 ms) • ‘M’ pattern of QRS complexes in leads V5–V6 • Inverted T waves in leads I, VL, V5–V6 The chest X-ray shows an enlarged left ventricle and a dilated ascending aorta. Clinical interpretation This ECG shows atrial fibrillation and left bundle branch block (LBBB).
This ECG was recorded during a routine follow-up appointment. Does it give any cause for concern, and if so, what would you do? 23 ANSWER 12 The ECG shows: • Sinus rhythm, rate 73/min • Normal PR interval • Left axis deviation (left anterior hemiblock) • Normal QRS complexes • T wave inversion in leads I and VL Clinical interpretation The left axis deviation indicates a conduction defect in the anterior fascicle of the left bundle branch – left anterior hemiblock. This is due to fibrosis, almost certainly the result of long-standing hypertension.
184, 6E I VR V1 V4 II VL V2 V5 III VF V3 V6 ECG 17 ECG 17 This ECG was recorded in the A & E department from a 60-year-old man who had had severe central chest pain for 1 h. What does it show and what would you do? 33 ANSWER 17 The ECG shows: • Sinus rhythm, rate 82/min • One ventricular extrasystole • Normal axis • Q waves in leads V2–V3; small Q waves in leads VL, V4 • Raised ST segments in leads I, VL, V3–V6 Clinical interpretation This is an acute anterolateral ST segment elevation myocardial infarction (STEMI).
150 ECG problems by John R. Hampton DM MA DPhil FRCP FFPM FESC