Offering step-by-step instructions, this text describes how to use 12-lead electrocardiograms (ECGs) to make rapid and informed decisions in emergencies. It shows how to recognize the underlying mechanism of a cardiac emergency, its significance, and the best treatment. A brief outline of these steps is followed by complete, in-depth coverage.
Summary boxes at the beginning of chapters give a step-by-step guide of emergency approaches
Clear, consistent writing and organization
Reflects the latest American Heart Association guidelines
Perforated decision making cards at the end of the book (various emergency situations) can be used for quick access in the clinical setting
Established, well-respected authors provide cutting-edge info that practitioners can trust
Reviewed by a consulting board of nationally recognized experts in the specialty area of ECG
New to this Edition
Information on using the ST deviation vector in acute myocardial infarction to localize the site of occlusion in the coronary artery and thereby the site and size of the area at risk.
How to risk stratify and treat patients with acute coronary syndromes showing ST segment depression.
Noninvasive measures to determine the site of atrioventricular block.
A guide to prehospital screening for patients with chest pain.
The ECG features of myocardial infarction in patients with an acute myocardial infarction AND a left bundle branch block.
New information on monogenic diseases leading to cardiac arrhythmias.
Perforated decision-making cards for quick access in the emergency setting.
1. Acute Myocardial Infarction 2. ECG Identification of High-Risk Patients with Unstable Angina 3. Wide QRS Tachycardia 4. Narrow QRS Tachycardia 5. Monogenic Diseases Leading to Cardiac Arrhythmias and Sudden Death 6. Slow Atrial Rhythms 7. Atrioventricular Block 8. ECG Recognition of Acute Pulmonary Embolism 9. Digitalis-Induced Emergencies 10. Other Drug-Induced Emergencies 11. Potassium-Related Emergencies 12. Pacing Emergencies 13. Prehospital Cardiac Emergencies Appendix 1. Emergency Axis Determination Appendix 2. Electrical Treatment Of Arrhythmias Appendix 3. Emergency Drugs
By Hein J. J. Wellens, MD, PhD, Professor of Cardiology, University of Maastricht; Chairman, Department of Cardiology, University Hospital Maastricht; Maastricht, The Netherlands; and Mary Boudreau Conover, RN, BSN, Educational Director, Critical Care Conferences, Santa Cruz, CA