Michael J. Lipinski & William J. Brady 
Electrocardiogram in Clinical Medicine 

Offers a guide for a complete understanding of the disease and conditions most frequently revealed in ECGs recorded in the acute, critical, and emergency care settings

Electrocardiogram in Clinical Medicine offers an authoritative guide to ECG interpretation that contains a focus and perspective from each of the three primary areas of medical care: acute care, critical care and emergency care. It can be used as a companion with the book ECGs for the Emergency Physician I & II (by Mattu and Brady) or as a stand-alone text. These three books can be described as a cumulative EGG reference for the medical provider who uses the electrocardiogram on a regular basis.

Electrocardiogram in Clinical Medicine includes sections on all primary areas of ECG interpretation and application as well as sections that highlight use, devices and strategies. The medical content covers acute coronary syndromes and all related issues, other diseases of the myocardium, morphologic syndromes, toxicology and paediatrics; dysrhythmias will also be covered in detail. This important resource:

* Goes beyond pattern recognition in ECGs to offer a real understanding of the clinical syndromes evidenced in ECGs and implications for treatment

* Covers the indications, advantages and pitfalls of the use of ECGs for diagnosis in all acute care settings, from EMS to ED to Critical Care

* Examines the ECG in toxic, metabolic and environmental presentations; critical information for acute care clinicians who need to be able to differentiate ODs, poisoning and other environmental causes from MI or other cardiac events

* Facilitates clinical decision-making

Written for practicing ER, general medicine, family practice, hospitalist and ICU physicians and medical students, Electrocardiogram in Clinical Medicine is an important book for the accurate interpretation of EGG results.

Table of Content

Section 1

1. The ECG In Clinical Medicine

2. History of the Electrocardiogram

Section 2

1. The cardiac action potential and changes in the setting of acute coronary syndrome: How ischemia and infarction impacts the ECG

2. Ischemic Electrocardiographic Changes and Correlation with Regions of the Myocardium

3. STEMI Mimics

4. Confounders of ST Elevation Myocardial Infarction

5. THE PROGNOSTIC VALUE OF THE ELECTROCARDIOGRAM IN ACUTE CORONARY SYNDROMES

6. ECG Tools: Alternate Lead Placement, Serial ECGs and ECG Monitoring

7. Electrocardiographic Changes of Ischemia During Stress Testing

Section 3

1. Bradycardia

2. Atrioventricular (AV) Block

3. The Dysrhythmic ECG

4. Narrow QRS Complex Tachycardia

5. Wide QRS Complex Tachycardia

6. Non-Sinus Rhythms with Normal Rates

7. Rhythms of Cardiac Arrest

8. Premature Atrial and Ventricular Complexes

9. Non-Traditional Rhythm Disorders

10. Dysrhythmia-Related Syndromes

Section 4

1. THE PATIENT WITH CARDIAC ARREST

2. The Patient with Chest Pain

3. The Patient with Dyspnea

4. The Patient With Palpitations/Syncope

5. The Patient with Pre-Operative Evaluation

6. The Patient in Shock

7. The Patient with Overdose

Section 5

1. ECG Diagnosis and Management of the Poisoned Patient

2. The Use of the ECG in the Poisoned Patient – The ‘Rule-out Ingestion’ Strategy.

3. The ECG and Electrolyte Abnormalities

4. The ECG & Metabolic Abnormalities

5. The ECG in Environmental Urgencies and Emergencies

Section 6

1. The ECG Monitored Patient

2. Electrocardiography in the Operating Room

3. ECG in the ICU Patient: Identification and Treatment of Arrhythmias in the Intensive Care Unit

4. The ECG in Patients with Implanted Cardiac Devices

5. Electrocardiographic Manifestations of Cardiac Transplantation

Section 7

1. Abnormalities of the P Wave and PR Interval

2. Differential Diagnosis of QRS Complex Abnormalities

3. Differential Diagnosis of ST Segment Changes

4. ECG Differential Diagnosis of T wave and QT Interval Abnormalities

5. Bradycardia

6. Rhythms Presenting with Normal Rate

7. Narrow Complex Tachycardia

8. Wide Complex Tachycardia

Index

About the author

William J. Brady, MD, is Professor of Emergency Medicine and Medicine, University of Virginia, Charlottesville, VA, USA.

Michael J. Lipinski, MD, Ph D, is Cardiovascular Associates of Charlottesville, Charlottesville, VA, USA.

Andrew E. Darby, MD, FHRS, is Associate Professor of Cardiovascular Medicine, University of Virginia Health System, Charlottesville, VA, USA.

Michael C. Bond, MD, FACEP, FAAEM, is Associate Professor of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

Nathan P. Charlton, MD, is Associate Professor of Emergency Medicine, Division of Medical Toxicology, University of Virginia, Charlottesville, VA, USA.

Korin Hudson, MD, is Associate Professor of Emergency Medicine, Med Star Georgetown University Hospital, Georgetown University School of Medicine, Washington, DC, USA.

Kelly Williamson, MD, is Assistant Residency Program Director, Advocate Christ Medical Center Emergency Medicine Residency; and is Clinical Associate Professor of Emergency Medicine, University of Illinois at Chicago, Chicago, IL, USA.