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Informationen zum Autor William Brady , Department of Emergency Medicine, University of Virginia School of Medicine Jonathon Truwit , Pulmonary and Critical Care Medicine, University of Virginia Health Systems Klappentext This scenario-based text provides answers to urgent and emergent questions in acute, emergency, and critical care situations focusing on the electrocardiogram in patient care management. The text is arranged in traditional topics areas such as ACS, dysrhythmia, etc yet each chapter is essentially a question with several cases illustrating the clinical dilemma - the chapter itself is a specific answer to the question.This is a unique format among textbooks with an ECG focus. The clinical scenarios cover the issues involved in detecting and managing major cardiovascular conditions. Focused, structured discussion then solves these problems in a clinically relevant, rapid, and easy to read fashion.This novel approach to ECG instruction is ideal for practicing critical care and emergency physicians, specialist nurses, cardiologists, as well as students and trainees with a special interest in the ECG. Zusammenfassung This scenario-based text provides answers to urgent and emergent questions in acute, emergency, and critical care situations focusing on the electrocardiogram in patient care management. Inhaltsverzeichnis Section Editors vii Contributors viii Preface xi Forewords xii Part 1 The ECG in Clinical Practice 1 1 What are the clinical applications of the ECG in emergency and critical care? 3 2 What are the indications for the ECG in the pediatric emergency department? 12 3 What are the limitations of the ECG in clinical practice? 19 4 Is the ECG indicated in stable non-cardiac patients admitted to the hospital? 24 5 What is the use of the ECG in preoperative assessment and cardiovascular risk stratification? 28 6 Which patients benefit from continuous electrocardiographic monitoring during hospitalization? 33 Part 2 The ECG in Cardinal Presentations 39 7 How should the ECG be used in the syncope patient? 41 8 How should the ECG be used in the chest pain patient? 49 9 How should the ECG be used in the dyspneic patient? 58 10 How should the ECG be used in the patient with altered mentation? 64 11 How should the ECG be used in the patient during and following cardiac arrest? 69 12 What is the impact/proper role of the ECG in the undifferentiated cardiorespiratory failure patient? 75 Part 3 The ECG in ACS 83 13 What is the role of the ECG in ACS? 85 14 What pseudoinfarction patterns mimic ST elevation myocardial infarction? 92 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 16 What is a hyperacute T Wave? 115 17 What is the significance of Q waves? 122 18 What are the ECG indications for additional electrocardiographic leads (including electrocardiographic body-surface mapping) in chest pain patients? 128 19 What further diagnostic adjuncts to the standard 12-lead ECG may help to diagnose ACS? 138 20 Is serial electrocardiography (serial ECGs and ST segment monitoring) of value in the ECG diagnosis of ACS? 148 21 What QRS complex abnormalities result in ST segment elevation that may mimic or obscure AMI? 155 22 What are the electrocardiographically silent areas of the heart? 167 23 What is the value of the prehospital acquired 12-lead Ecg? 176 24 What are the electrocardiographic indications for reperfusion therapy? 182 25 What are the ECG manifestations of reperfusion and reocclusion? 195 26 Does localization of the anatomic segment/identification of the infarct-related artery affect early car...
