Practical ECG Interpretation: Clues to Heart Disease in Young Adults

Practical ECG Interpretation draws on Dr. Stouffer’s clinical experience to identify specific tracings and findings that will aid diagnosis of a wide variety of disorders, incluidng atrial spetal defect, mitral stenosis, pericarditis, and more.

• Provides ECG information and examples drawn from young adults with interesting stories
• Author has spent many years developing material to teach ECGs to medical students
• Starts with an introductory section (outlining the basics of ECG interpretation) followed by ‘ECG case studies’ from young patients
• Provides more details on the clinical vignette, limiting the ECGs examples to those from young adults

About the Author

George Stouffer MD
Vice Chief of Cardiology
University of North Carolina
USA

TABLE OF CONTENTS

Introduction to ECG Interpretation.
Part I: The Basics of Electrocardiography – A Brief Introduction to the Essentials.

1 Action Potentials.

2 Anatomy and Blood Supply of the Conduction System.

3 Normal Conduction and Complexes.

4 Electrodes and Leads.

Part II: Helpful Hints in Interpreting ECGs in Young Adults.

5 Normal Rhythm and Rate.

6 Determining Axis and Intervals.

7 Effects of Electrolyte Abnormalities on ECG.

8 ECG Clues to the Presence of Hemodynamically Significant Congenital or Valvular Heart Disease in Young Adults.

9 ECG Clues to the Presence of an Increased Risk of Sudden Cardiac Death in Young Adults.

Part III: Specific ECG Tracings and Diagnoses.

Section A: Conduction System Disease.

10 Atrial Flutter with 1:1 Conduction.

11 Atrioventricular Nodal Re-Entry Tachycardia.

12 Atrial Fibrillation.

13 Atrial Tachycardia.

14 Brugada Syndrome.

15 Complete Heart Block.

16 Long QT Syndrome.

17 Ventricular Tachycardia.

18 Wolff–Parkinson–White Syndrome.

Section B: Congenital Heart Disease, Pulmonary Hypertension and Valvular Heart Disease.

19 Atrial Septal Defect – Secundum.

20 Atrial Septal Defect – Primum.

21 Dextrocardia.

22 Patent Ductus Arteriosus.

23 Tetralogy of Fallot.

24 Ventricular Septal Defect.

25 Mitral Stenosis.

26 Aortic Insufficiency.

27 Pulmonic Stenosis.

28 Pulmonary Hypertension.

Section C: Coronary Artery Disease, Pericarditis and Cardiomyopathies.

29 Dilated Cardiomyopathy.

30 Hypertrophic Cardiomyopathy.

31 Arrhythmogenic Right Ventricular Dysplasia.

32 Anterior Myocardial Infarction.

33 Inferior-Posterior Myocardial Infarction.

34 Diagnosis of Myocardial Infarction with Existing Bundle Branch Block.

35 Pericarditis.

Section D: Cardiovascular Manifestations of Systemic Diseases.

36 Muscular Dystrophy.

37 Intracerebral Bleed.

38 Pulmonary Embolus.

39 Hyperthyroidism.

Section E: Miscellaneous.

40 Hyperkalemia.

41 Early Repolarization.

42 P-Pulmonale.

43 Digoxin Toxicity.

44 Atrial Myxoma.

45 Hypothermia.

Index.