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12-Lead EKG Confidence, Third Edition

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12-Lead EKG Confidence, Third Edition

SKU# 9780826119049

A Step-By-Step Guide

Author: Jacqueline M. Green MS,RN,APN, NE-BC, Anthony J. Chiaramida MD, FACC

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Praise for the Second Edition:

This is an excellent workbook for students or healthcare professionals who are just beginning to interpret 12-lead EKGs. The book covers what is expected, but the manner in which it presents the material brings much clarity to the topic.
--Doody's Medical Reviews

This handy, step-by-step guide for medical and nursing students and novice practitioners delivers ample information for confidently interpreting 12-lead EKGS. It goes beyond the many EKG books that rely on rote memorization by actively engaging students in the learning process. The guide fosters the understanding needed for students to comprehend, analyze, and interpret the variety of rhythm strips involved with 12-lead EKGs, and provides a solid grounding in the clinical relevance of dysrhythmias. This third edition features an expanded section on arrhythmias with double the amount of EKGs for practice, a revised worksheet design with larger 12-lead EKG printouts for readability, more practice worksheets and case studies, and additional 12-Lead EKGs in a digital folder for extra practice.

Written clearly while avoiding a simplistic approach, the guide features a step-by-step progression that enables self-paced study. It presents basic principles of anatomy and physiology, including a review of the heart's electrical system, followed by foundational EKG concepts. The segment featuring the 12-Lead EKG rhythm strip is enlarged to ensure students can view the appropriate lead while seeing the entire strip. The guide discusses clinical reasoning for each type of rhythm and includes actual EKGs at the end of each chapter to test comprehension. Worksheets in each chapter include guidelines for interpreting actual EKG printouts and require students to practice measurement, evaluation, and analysis of rhythms and develop improved diagnostic reasoning skills. Case examples, Critical Concept Boxes, and tables highlight important points within the text.

New to the Third Edition:

  • Expanded Arrhythmia section with twice as many practice EKGs
  • Revised Worksheet design offers larger 12-lead EKG printouts for readability
  • More practice worksheets and case studies
  • Additional 12-Lead EKGs in digital folder for extra practice

Key Features:

  • Facilitates step-by-step, self-paced learning
  • Organizes EKG changes by causative abnormality
  • Teaches clinical reasoning for each type of rhythm
  • Includes plentiful worksheets for practicing measurement, evaluating and analyzing rhythms, and honing diagnostic reasoning skills
  • Offers actual EKGs at the end of each chapter

Product Details 

  • Publication Date October 23, 2014
  • Page Count 504
  • Product Form Paperback / softback
  • ISBN 13 9780826119049
  • EISBN 9780826119056

Table of Contents 

Preface xi

Acknowledgments xiii

Need and Use xv

12 Critical Concepts xvii

Section I: Overview of Heart Function and the EKG

CHAPTER 1 Anatomy Review of the Human Heart 3

CHAPTER 2 Physiology Review of the Heart’s Conduction System 17

CHAPTER 3 Basics of the 12-Lead EKG 23

Section II: Methodology: Measurements and Their Clinical Significance

CHAPTER 4 Heart Rate 33

Worksheets 44

CHAPTER 5 The PR, QRS, and QT Intervals 49

Worksheets 68

CHAPTER 6 Axis—The Science of Direction 73

Worksheets 114

SECTION II Worksheets 118

Section III: Common Clinical Arrhythmias

CHAPTER 7 Atrial Arrhythmias 125

Worksheets 130

CHAPTER 8 Ventricular Arrhythmias 133

Worksheets 138

CHAPTER 9 Junctional Rhythm, Heart Block, and Pacemakers 143

Worksheets 152

SECTION III Worksheets 154

Section IV: EKG Changes Related to Conduction Abnormalities

CHAPTER 10 Hemiblock 165

Worksheets 174

CHAPTER 11 Right Bundle Branch Block 179

Worksheets 190

CHAPTER 12 Left Bundle Branch Block 195

Worksheets 208

SECTION IV Worksheets 212

Section V: The Ischemic Disorders: EKG Changes Related to Ischemia

and Myocardial Infarction (MI)

CHAPTER 13 The Partially-Occluded Artery: Angina and Non-ST Elevation MI 219

Worksheets 239

CHAPTER 14 The Totally Occluded Artery: ST Elevation MI 243

Worksheets 260

CHAPTER 15 Prolonged Arterial Occlusion: Q Waves and Equivalents 265

Worksheets 281

SECTION V Worksheets 285

Section VI: The Non-Ischemic Disorders: EKG Changes Related

to Hypertrophy

CHAPTER 16 Atrial Abnormalities 293

Worksheets 301

CHAPTER 17 Left Ventricular Hypertrophy 305

Worksheets 319

CHAPTER 18 Right Ventricular Hypertrophy 323

Worksheets 334

SECTION VI Worksheets 338

viii Contents

Section VII: The Non-Ischemic Disorders: EKG Changes Related to Drugs,

Electrolyte Abnormalities, and Other Diseases

CHAPTER 19 Drug and Electrolyte Effects 345

Worksheets 360

CHAPTER 20 Clinical Conditions That Affect the EKG 365

Worksheets 387

SECTION VII Worksheets 391

Section VIII: Self-Assessment

SECTION VIII Worksheets 399

Answers to EKG Worksheets 409

Index 417