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<p>Section Editors vii</p> <p>Contributors viii</p> <p>Preface xi</p> <p>Forewords xii</p> <p><b>Part 1 The ECG in Clinical Practice 1</b></p> <p>1 What are the clinical applications of the ECG in emergency and critical care? 3</p> <p>2 What are the indications for the ECG in the pediatric emergency department? 12</p> <p>3 What are the limitations of the ECG in clinical practice? 19</p> <p>4 Is the ECG indicated in stable non-cardiac patients admitted to the hospital? 24</p> <p>5 What is the use of the ECG in preoperative assessment and cardiovascular risk stratification? 28</p> <p>6 Which patients benefit from continuous electrocardiographic monitoring during hospitalization? 33</p> <p><b>Part 2 The ECG in Cardinal Presentations 39</b></p> <p>7 How should the ECG be used in the syncope patient? 41</p> <p>8 How should the ECG be used in the chest pain patient? 49</p> <p>9 How should the ECG be used in the dyspneic patient? 58</p> <p>10 How should the ECG be used in the patient with altered mentation? 64</p> <p>11 How should the ECG be used in the patient during and following cardiac arrest? 69</p> <p>12 What is the impact/proper role of the ECG in the undifferentiated cardiorespiratory failure patient? 75</p> <p><b>Part 3 The ECG in ACS 83</b></p> <p>13 What is the role of the ECG in ACS? 85</p> <p>14 What pseudoinfarction patterns mimic ST elevation myocardial infarction? 92</p> <p>15 What ECG changes might myocardial ischemia cause other than ST segment elevation or Q waves and what are the differential diagnoses of these changes? 103</p> <p>16 What is a hyperacute T Wave? 115</p> <p>17 What is the significance of Q waves? 122</p> <p>18 What are the ECG indications for additional electrocardiographic leads (including electrocardiographic body-surface mapping) in chest pain patients? 128</p> <p>19 What further diagnostic adjuncts to the standard 12-lead ECG may help to diagnose ACS? 138</p> <p>20 Is serial electrocardiography (serial ECGs and ST segment monitoring) of value in the ECG diagnosis of ACS? 148</p> <p>21 What QRS complex abnormalities result in ST segment elevation that may mimic or obscure AMI? 155</p> <p>22 What are the electrocardiographically silent areas of the heart? 167</p> <p>23 What is the value of the prehospital acquired 12-lead Ecg? 176</p> <p>24 What are the electrocardiographic indications for reperfusion therapy? 182</p> <p>25 What are the ECG manifestations of reperfusion and reocclusion? 195</p> <p>26 Does localization of the anatomic segment/identification of the infarct-related artery affect early care? 204</p> <p>27 Can the ECG be used to predict cardiovascular risk and acute complications in ACS? 216</p> <p><b>Part 4 The Dysrhythmic ECG 231</b></p> <p>28 Can the electrocardiogram determine the rhythm diagnosis in narrow complex tachycardia? 233</p> <p>29 Can the ECG guide treatment of narrow QRS tachycardia? 244</p> <p>30 How can the ECG guide the diagnosis and management of wide complex tachycardias? 251</p> <p>31 Can the ECG guide management in the patient with bradydysrhythmias? 267</p> <p>32 What are the electrocardiographic indications for temporary cardiac pacing? 276</p> <p>33 Can the ECG accurately diagnose pacemaker malfunction and/or complication? 284</p> <p>34 How can the ECG guide acute therapy in the Wolff Parkinson White (WPW) patient? 295</p> <p>35 What is the role of the ECG in PEA cardiac arrest scenarios? 303</p> <p><b>Part 5 The ECG in Critical Care 315</b></p> <p>36 What is the role of the ECG in the critically ill non-coronary patient? 317</p> <p>37 Can the ECG distinguish between coronary and non-coronary etiologies in the critically ill patient? 326</p> <p>38 What is the role of the ECG in therapeutic considerations/ medical management decisions in the critically ill patient? 335</p> <p>39 Can the ECG predict risk in the critically ill noncoronary patient? 345</p> <p>40 What is the proper role of the ECG in the evaluation of patients with suspected PE? 354</p> <p>41 What is the role and impact of the ECG in the patient with hyperkalemia? 362</p> <p>42 What is the role and impact of the ECG in the patient with electrolyte abnormalities other than hyperkalemia? 371</p> <p>43 What is the role of the ECG in the hypothermic patient? 378</p> <p>44 What are the non-ACS “deadly” ECG presentations? 384</p> <p><b>Part 6 The Toxicologic ECG 395</b></p> <p>45 How useful is the ECG in the evaluation of the poisoned patient? 397</p> <p>46 Can the ECG guide management in the critically ill poisoned patient? 402</p> <p>47 Do characteristics of the QRS complex in the poisoned patient correlate with outcome? 407</p> <p>48 What is the treatment for wide complex dysrhythmias in the poisoned patient? 412</p> <p><b>Part 7 Electrocardiogaphic Differential Diagnosis 417  </b></p> <p>49 What is the ECG differential diagnosis of ST segment elevation? 419</p> <p>50 What is the ECG differential diagnosis of ST segment depression? 428</p> <p>51 What is the ECG differential diagnosis of the abnormal T wave? 436</p> <p>52 What is the ECG differential diagnosis of narrow complex tachycardia? 444</p> <p>53 What is the ECG differential diagnosis of wide complex tachycardia? 452</p> <p>54 What is the ECG differential diagnosis of bradycardia? 461</p> <p>55 What is the ECG differential diagnosis of the abnormally wide or large QRS complex? 469</p> <p>56 What is the ECG differential diagnosis of a prolonged QT interval? 479</p>

"This book is written by the emergency physician for the emergency physician and it would appeal to any avid, competitive ECG collector who will find it value for money." (Cardiology News, 1 October 2011)<br /> <br /> <p>“I loved this book and excitedly read bits aloud as I scanned the chapters. It was the combination of a scholarly approach combined with a down-to-earth discussion of patient management that was so appealing.” (<i>British Journal of Cardiac Nursing,</i> September 2009)</p>

<b>William Brady</b>, Department of Emergency Medicine, University of Virginia School of Medicine <br /> <p><b>Jonathon Truwit</b>, Pulmonary and Critical Care Medicine, University of Virginia Health Systems</p>

GB