ECG Masters’ Collection: Favorite ECGs from Master Teachers Around the World PDF
Preview ECG Masters’ Collection: Favorite ECGs from Master Teachers Around the World
ECG Masters’ Collection Favorite ECGs from Master Teachers Around the World V O L U M E 2 ECG Masters’ Editors: Mohammad Shenasa, MD • Mark E. Josephson, MD • N. A. Mark Estes III, MD Ezra A. Amsterdam, MD • Melvin Scheinman, MD Collection Over 300 exceptional electrocardiogram case studies curated from the libraries of 60 internationally recognized master teachers of ECG interpretation are brought together in this one-of-a-kind resource for student and teacher alike. Favorite ECGs from Presented in two individual volumes and organized by disease type, ECG case Master Teachers studies are shown in a clinical context followed by questions and discussion. Medical students, residents, fellows, physicians — anyone who is involved in caring for Around the World patients with various cardiovascular diseases and other systemic pathologies — will fnd this unique colection with a global perspective useful and practical in developing V O L U M E 2 the skills necessary to read ECGs. Editors: This book should serve as an important reference, and I guarantee it will be Mohammad Shenasa pulled from the shelf for decades to come. Mark E. Josephson –Francis E. Marchlinski, MD N. A. Mark Estes III VOL. 2 The collection of ECGs is remarkable. Students of electrocardiography will Ezra A. Amsterdam enjoy reading this book and teachers will utilize many of its tracings as Shenasa Melvin Scheinman materials for their ECG rounds. Josephson –Prof. Jerónimo Farré MD, PhD Estes Amsterdam Forewords by Scheinman Francis E. Marchlinski and Samuel Lévy This book includes a free digital 9V9Vo7l8u-m1-e9 214 2-– 9 720939 0E-20 CE08GC- G08c acsaes es tsutduideise. s. edition for use by the first buyer. 3405 W. 44th Street For additional information regarding Minneapolis, Minnesota 55410 personal or institutional use, please www.cardiotextpublishing.com visit www.cardiotextpublishing.com. +1 (612) 925-2053 ECG Masters’ Collection Favorite ECGs from Master Teachers Around the World ECG Masters’ Collection Favorite ECGs from Master Teachers Around the World Volume 2 Mohammad Shenasa, MD Mark E. Josephson, MD N.A. Mark Estes III, MD Ezra A. Amsterdam, MD Melvin Scheinman, MD Minneapolis, Minnesota © 2018 Mohammad Shenasa, Mark E. Josephson, N.A. Mark Estes III, Ezra A. Amsterdam, Melvin Scheinman Cardiotext Publishing, LLC 3405 W. 44th Street Minneapolis, Minnesota 55410 USA www.cardiotextpublishing.com Any updates to this book may be found at: www.cardiotextpublishing.com/electrophysiology-heart-rhythm-mgmt/ecg-masters-collection-volume-2 Comments, inquiries, and requests for bulk sales can be directed to the publisher at: Dedication We dedicate this book in memory of Mark E. Josephson, MD (January 27, 1943 – January 11, 2017), who inspired and mentored many of us. He gave the electrogram a new look: “ECG as a mapping tool.” He is also the senior editor on this book. Contents Contributors ...........................................................................................................................vii Forewords ..............................................................................................................................xiii Dr. Francis E. Marchlinski Dr. Samuel Lévy Preface ..................................................................................................................................xvii Abbreviations ........................................................................................................................xix Section 1 Introduction to the Interpretation of the Electrocardiogram ...........................1 Section 2 Conduction Disturbances: Sinus Node Disease/Sick Sinus Syndrome, AV Conduction Disturbances, AV Blocks, Bundle Branch Blocks, and Fascicular Blocks ...................................................................................................3 Section 3 Miscellaneous Phenomena: Concealed Conduction, Superabnormalities, Aberrancy Conduction, Premature Atrial and Ventricular Contractions (PACs and PVCs) ............................................................................33 Section 4 Preexcitation Syndromes ...................................................................................39 Section 5 Early Repolarization (ECG Pattern and the Syndrome) ....................................55 Section 6 Long and Short QT Syndromes ..........................................................................61 A. Long QT Syndrome .......................................................................................61 B. Short QT Syndrome* C. Torsades de Pointes ......................................................................................63 D. Other Proarrhythmias* Section 7 Brugada Syndrome .............................................................................................65 Section 8 Narrow QRS Complex Arrhythmias ...................................................................79 A. Inappropriate Sinus Tachycardia* B. Sinus Node Reentrant Tachycardia* C. Atrial Tachycardia/Atrial Flutter ...................................................................79 D. Atrioventricular Nodal Reentrant Tachycardia ............................................91 E. Atrioventricular Reentrant Tachycardia* F. Atrial Fibrillation* G. Junctional Rhythms ....................................................................................103 * Included only in Volume 1. v Section 9 Wide Complex Arrhythmias .............................................................................105 A. Ventricular Tachycardia/Fibrillation ...........................................................105 B. Supraventricular Tachycardia (SVT) with Bundle Branch Block (BBB)* C. Preexcited Tachycardia ...............................................................................123 D. Idioventricular Rhythm* Section 10 Ischemia and Infarction ....................................................................................125 Section 11 Electrolyte Disturbances, Pharmacological and Recreational Agents* Section 12 Paced Rhythms and Device Troubleshooting .................................................129 Section 13 Heart Failure, Left Ventricular Hypertrophy, and Cardiomyopathies ...........149 A. Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) .........................................................149 B. Hypertrophic Cardiomyopathy (HCM)* C. Dilated Cardiomyopathy (DCM)* D. Chagas* E. Takotsubo (Stress) Cardiomyopathy* F. Non-Compaction Cardiomyopathy* G. Pericarditis ................................................................................................... 159 H. Other Cardiomyopathies* Section 14 Congenital Heart Diseases* Section 15 Special Considerations: Age, Race, Gender, and Athletes .............................165 Section 16 Syncope and ECG Troubleshooting .................................................................187 Appendix ..............................................................................................................................195 * Included only in Volume 1. vi u Contents Contributors Editors Contributors Mohammad Shenasa, MD, FACC, FHRS, Ahmed Abdel Aziz, MD, PhD FAHA, FESC Professor, Critical Care Medicine Department, Attending Physician, Department of Cairo University Hospitals, Cairo, Egypt Cardiovascular Services, O’Conner Hospital; Heart & Rhythm Medical Group, San Jose, Baris Akdemir, MD California Cardiac Electrophysiology Fellow, Cardiology, University of Minnesota, Minneapolis, Mark E. Josephson, MD, FACC, FHRS, Minnesota FAHA Jason Andrade, BSc, MD, FRCPC, FHRS Director, Harvard-Thorndike Electrophysiology Clinical Assistant Professor, Department of Institute and Arrhythmia Service; Medicine, University of British Columbia, Chief Emeritus, Division of Cardiovascular Vancouver, British Columbia, Canada; Adjunct Medicine, Beth Israel Deaconess Medical Professor, Université de Montréal, Clinical Center; Herman C. Dana Professor of Medicine, Electrophysiology Service, Montreal Heart Harvard Medical School, Boston, Institute, Montreal, Quebec, Canada Massachusetts Adrian Baranchuk, MD, FACC, FRCPC, FCCS N.A. Mark Estes III, MD, FACC, FHRS, Professor of Medicine (Tenure), Head, Heart FAHA, FESC Rhythm Service, Queen’s University, Kingston, Professor of Medicine, Tufts University School Ontario, Canada of Medicine; Director, New England Cardiac Arrhythmia Center, Tufts Medical Center, Antoni Bayés de Luna, MD, PhD, FESC, FACC Boston, Massachusetts Senior Investigator, Catalan Institute of Cardiovascular Sciences, St. Pau Hospital, Ezra A. Amsterdam, MD Barcelona, Spain Distinguished Professor, Associate Chief (academic affairs), Division of Cardiovascular Bernard Belhassen, MD, FHRS Medicine, University of California, Davis, Department of Cardiology, Tel Aviv Sourasky Medical Center, Sacramento, California Medical Center; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Melvin Scheinman, MD, FACC, FHRS Professor of Medicine, Walter H. Shorenstein David G. Benditt, MD, FACC, FHRS, FRCPC, Endowed Chair in Cardiology; Chief of FESC Cardiology Genetics Arrhythmia Program, Cardiac Arrhythmia Center, Cardiovascular University of California, San Francisco, Division, University of Minnesota Medical San Francisco, California School, Minneapolis, Minnesota vii Dan Blendea, MD, PhD, FHRS Paolo China, MD Cardiac Arrhythmia Service, Department of Unit of Electrophysiology and Cardiac Medicine, Massachusetts General Hospital, Pacing, Ospedale Dell’Angelo, Boston, Massachusetts Venice, Italy Maichel Sobhy Naguib Botros, MD, PhD, Jane E. Crosson, MD ECES Associate Professor of Pediatrics, EHRA Certified Electrophysiology Specialist Johns Hopkins Hospital, Baltimore, Maryland Lecturer, Critical Care Medicine Department, Andrei G. Dan, MD, PhD, FESC, FAHA, Cairo University Hospital FACC, FEHRA Cairo, Egypt Head of Cardiology Department and Internal Medicine Clinic, Colentina University Jonathan Bui, MD Hospital; Professor, “Carol Davila” University of Internal Medicine Resident, Medicine, Bucharest, Romania Billings Clinic, Billings, Montana Marc Dubuc, MD, FRCPC, FACC, FHRS Associate Professor of Medicine, Université de Haran Burri, MD Montréal; Clinical Electrophysiology Service, Associate Professor, Cardiology Department, Montreal Heart Institute, Montreal, University Hospital of Geneva, Quebec, Canada Geneva, Switzerland Kenneth A. Ellenbogen, MD, FHRS Catalin A. Buzea, MD, PhD Kontos Professor of Medicine, Cardiology Consultant, Cardiology Chair, Division of Cardiology, Department, Colentina University Hospital; Virginia Commonwealth University, Associate Professor, “Carol Davila” University Pauley Heart Center, Richmond, Virginia of Medicine, Bucharest, Romania Tamer S. Fahmy, MD, PhD David J. Callans, MD, FHRS Associate Professor, Critical Care Medicine Professor of Medicine, Perelman School of Department, Cairo University Hospitals, Medicine; Associate Director of Cairo, Egypt Electrophysiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania Miquel Fiol, MD, PhD Balearic Islands Health Research Institute Sanoj Chacko, MD, PhD (IdISBa) and Son Espases Hospital. Palma, Heart Rhythm Service, Queen’s University, Spain; Physiopathology of Obesity and Kingston, Ontario, Canada Nutrition Networking Biomedical Research Centre (CIBERObn), Carlos III Health Institute, Alan Cheng, MD, FACC, FAHA, FHRS Madrid, Spain Adjunct Associate Professor of Medicine, Adjunct Associate Professor of Pediatrics, Robert Frank, MD Johns Hopkins University School of Medicine, Institut de Cardiologie, Hopital Pitié Baltimore, Maryland Salpétrière, Paris, France viii u Contributors
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