The electrocardiogram (ECG) is one of the oldest technologies used in medicine and remains one of the most frequently obtained tests in the physician’s office, outpatient clinic, emergency department, and hospital. ECGs continue to play an essential role in the diagnosis of many cardiac diseases and in the evaluation of symptoms believed to be of cardiac origin.
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The ECG is also important in the diagnosis of many noncardiac medical conditions. Like any other skill in medicine, the art of ECG interpretation requires frequent review of the essentials of ECG analysis and continual practice in reading actual ECGs. However, many health care providers who wish to augment their expertise in the interpretation of ECGs and develop the skills necessary to understand the underlying mechanisms of ECG abnormalities have realized that the currently available resources do not adequately meet their needs. Teaching in medical schools and house staff programs does not typically emphasize ECG analysis.
Consequently, many physicians do not feel adequately trained in interpreting the ECG. The currently available textbooks used for teaching ECG analysis are based on pat tern recognition and memorization rather than on understanding the fundamental electrophysiologic properties and clinical concepts that can be applied to an individual ECG tracing, regardless of its com plexity. The physician is not, therefore, trained in the identification of important waveforms and subtle abnormalities.
The workbooks and website of Podrid’s Real-World ECGs aim to fill the gap in ECG education. These unique teaching aids prepare students and health care providers of all levels for the spectrum of routine to challenging ECGs they will encounter in their own clinical practice by providing a broad and in-depth understanding of ECG analysis and diagnosis, including discussion of relevant electrophysiologic properties of the heart, associated case scenarios, and clinical management.
Each of the six volumes in Podrid’s Real-World ECGs teaches the art of ECG interpretation by careful analysis of specific examples and identi fication of important waveforms. Each ECG is taken from a real clinical case and incorporates a discussion of important diagnostic findings and essential associated electrophysiologic mechanisms, as well as critical clinical management decisions. The purpose of the series is to provide readers from all fields of medicine with a systematic approach to ECG interpretation using a concise, case-based format. This volume, the fifth in the series, delves into narrow and wide complex tachyarrhythmias and aberration. The other volumes focus on the basic approaches to reading any ECG as well as on other disease entities for which the ECG is useful:
• Essential introduction to the basics of ECG reading, outlining the approaches and tools that are utilized in the interpretation of all ECGs (Volume 1)
• Atrial and ventricular hypertrophy, acute myocardial ischemia, acute and chronic myocardial infarction, and pericarditis (Volume 2) • AV and intraventricular conduction disturbances and enhanced AV conduction (Volume 3)
• Rhythm analysis, covering sinus, atrial, junctional, and ventricular arrhythmias (Volume 4)
• Miscellaneous conditions, including pacemakers, electrolyte disorders, and acquired and congenital cardiac conditions (Volume 6)
Each volume in the series starts with a didactic introduction that addresses the important ECG findings associated with each clinical category. This is followed by core illustrative case-based ECGs that lead the reader through identification of the important ECG findings associated with the specific abnormalities being discussed and provide informa tion about the basic electrophysiologic mechanisms involved. This section is followed by a random assortment of topic-related ECGs. Every ECG presents a clinical scenario to further enhance the student’s skills at ECG analysis. Importantly, each case presentation is followed by an in-depth discussion of the ECG findings, with the important waveforms on the ECG highlighted.
Medical Book Free: Podrid’s Real-World ECGs: Volume 5A, Narrow and Wide Complex Tachyarrhythmias and Aberration