The Electrocardiogram in Emergency and Acute Care

Clear, practical guidance in mastering ECG interpretation in the critically ill patient

The Electrocardiogram in Emergency and Acute Care contains clear, practical guidance on mastering both single-lead and 12 lead ECGs, covering the full range of complexities and including a section on differential diagnosis of more common ECGs, with over 200 tracings from which to learn and self-test.

The editors place an emphasis on readability and accessibility, with clearly written chapters and excellent illustrations that serve as a primary source of information for students, trainees, and practicing emergency physicians in all areas.

In The Electrocardiogram in Emergency and Acute Care, readers can expect to find detailed information on topics such as:

• Clinical applications, impact, and interpretation of the electrocardiogram, plus variants of the normal, lead misplacement, and electrocardiographic artifact encountered in clinical practice
• Cardiac rhythms and cardiac dysrhythmias, covering cardiac rhythms with normal rates, narrow QRS complex tachycardia, wide QRS complex tachycardia, and bradycardia
• Anatomic and physiologic considerations of ischemic heart disease, historical development of the prehospital electrocardiogram, and electrocardiographic findings in acute coronary syndrome
• Special populations, high-risk presentation scenarios, and advanced electrocardiographic techniques, covering electrocardiograms in pediatric and poisoned patients

The Electrocardiogram in Emergency and Acute Care is ideally suited to medical students, residents, and physicians in training, but is also a useful reference for established physicians as a review and reference text, along with all other health professionals working in this field.

Korin B. Hudson, MD, FACEP, FAAEM, CAQ-SM is Professor of Clinical Emergency Medicine in the Department of Emergency Medicine, Georgetown University School of Medicine and MedStar Health, Washington, D.C. USA.

Amita Sudhir, MD, FACEP is Associate Professor and Program Director of Emergency Medicine, University of Virginia Health System, Charlottesville, USA.

George Glass, MD is Assistant Professor of Emergency Medicine, University of Virginia Health System, Charlottesville, USA.

William J. Brady, MD, FACEP, FAAEM is Professor of Emergency Medicine, Medicine (Cardiovascular), and Nursing and Vice Chair for Faculty Affairs, The David A. Harrison Distinguished Educator, University of Virginia Health System, Charlottesville, USA. He is also EMS Physician and Operational Medical Director, Albemarle County Fire Rescue, Charlottesville, USA.

Editors

Contributors

Foreword

Preface

Section 1             The ECG in Clinical Care

1             Clinical Applications of the Electrocardiogram (ECG) 

George Glass

2             Clinical Impact of the Electrocardiogram (ECG) 

Robert C. Schutt, William J. Brady, Korin B. Hudson, and Steven H. Mitchell

3             Interpretation of the Electrocardiogram – Single-, Multi-, and 12-Lead Analysis

Robert C. Reiser, Robert C. Schutt, Korin B. Hudson, and William J. Brady

4             Variants of the Normal, Lead Misplacement, and Electrocardiographic Artifact Encountered in Clinical Practice 

Robert C. Reiser, Robert C. Schutt, Korin B. Hudson, and William J. Brady

Section 2             Cardiac Rhythms and Cardiac Dysrhythmias 

5             Cardiac Rhythms with Normal Rates

Korin B. Hudson and William J. Brady

6             Narrow QRS Complex Tachycardia 

Courtney B. Saunders and Jeffrey D. Ferguson

7             Wide QRS Complex Tachycardia

Michael Levy and Francis X. Nolan Jr

8             Bradycardia

Korin B. Hudson, J. Aidan Boswick, and William J. Brady

9             Atrioventricular Conduction Block 

Steven H. Mitchell, Korin B. Hudson, and William J. Brady

10           Intraventricular Conduction Block: Bundle Branch Block and Other Conduction Abnormalities 

Steven H. Mitchell, Richard B. Utarnachitt, and William J. Brady

11           Atrial and Ventricular Ectopic Beats 

Jeffrey D. Ferguson, Michael Levy, J. Aidan Boswick, and William J. Brady

Section 3             Acute Coronary Syndrome and the 12-Lead ECG 

12           Ischemic Heart Disease: Anatomic and Physiologic Considerations 

Peter Pollak, Peter Monteleone, Kelly Williamson, David Carlberg, and William J. Brady

13           Electrocardiographic Findings in Acute Coronary Syndrome 

Peter Monteleone, Peter Pollak, David Carlberg, and William J. Brady

Section 4 |          Special Populations, High-Risk Presentation Scenarios, and
Advanced Electrocardiographic Techniques 

14           The Electrocardiogram in the Pediatric Patient 

Robert Rutherford, Robin Naples, and William J. Brady

15           The Electrocardiogram in the Poisoned Patient 

Steven H. Mitchell, Christopher P. Holstege, and William J. Brady

16           The Electrocardiogram in Hyperkalemia 

Steven H. Mitchell and William J. Brady

17           Life-Threatening Electrocardiographic Patterns 

Steven H. Mitchell, Richard B. Utarnachitt, and William J. Brady

18           The Electrocardiogram in Patients with Implanted Devices 

Amita Sudhir and William J. Brady

19           Electrocardiographic Tools in Clinical Care 

Robin Naples, Alvin Wang, and William J. Brady

20           Wolff–Parkinson–White Syndrome 

William J. Brady

21           Cardiac Arrest Rhythms 

Amita Sudhir and William J. Brady

Section 5             Electrocardiographic Differential Diagnosis of Common ECG
Presentations 

22           Electrocardiographic Differential Diagnosis of Narrow Complex Tachycardia

Megan Starling and William J. Brady

23           Electrocardiographic Differential Diagnosis of Wide Complex Tachycardia 

Amita Sudhir and William J. Brady

24           Electrocardiographic Differential Diagnosis of Bradyarrhythmia 

Megan Starling and William J. Brady

25           Electrocardiographic Differential Diagnosis of ST Segment Elevation 

Megan Starling and William J. Brady

26           Electrocardiographic Differential Diagnosis of ST Segment Depression 

Amita Sudhir and William J. Brady

27           Electrocardiographic Differential Diagnosis of T Wave Abnormalities: The Prominent T Wave and T Wave Inversions 

Amita Sudhir and William J. Brady

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