150 ECG Problems - download pdf or read online

By David Adlam, John R. Hampton DM MA DPhil FRCP FFPM FESC, Jo Hampton

ISBN-10: 0443072493

ISBN-13: 9780443072499

Wow, do not move move eyed but when it's a development attractiveness ECG publication you wish, this is often it, you could have to learn the significant other ECG made effortless first - or purchase them jointly.

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Extra resources for 150 ECG Problems

Sample text

See p. 103 See p. 266 * m Tnis ECG was recorded from a 70-year-old man who had had angina for some time and was treated with a beta-blocker. He came to the A & E department complaining of pain similar to his angina, but much more severe and persistent for 4 h. What does the ECG show and what treatment would be appropriate? 8 K> CJ ANSWER 23 The ECG shows (note: leads at half sensitivity): • • • • • • Sinus rhythm Supraventricular (junctional) extrasystoles Normal axis Broad QRS complexes (140 ms) 'M' pattern of QRS complex in leads V4-V6 Inverted T waves in leads I, VL, V4-V6 had been noted previously.

However, the fact that leads Vj-Vs are affected suggests a right ventricular problem. oo Summary ** Sinus tachycardia with widespread ST/T changes suggesting pulmonary embolism. What to do This is a case where the ECG must be considered in the light of the patient's history and physical signs (if any). Clearly something has happened; 1 1 s See p. 92 See p. 289 |££££i This ECG was recorded from a 50-year-old man who was admitted to hospital as an emergency, having had chest pain characteristic of a myocardial infarction for 3 h.

What to do First degree block does not cause any haemodynamic impairment, and by itself is of little significance. However, when a patient has symptoms which might be due to a bradycardia (in this case dizziness), there may be episodes of second or third degree block, or possibly Stokes-Adams attacks, associated with a slow ventricular rate. The appropriate action is therefore to request a 24 h ECG tape-recording invthe hope that the patient will have one of her Summary Sinus rhythm with first degree block.

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150 ECG Problems by David Adlam, John R. Hampton DM MA DPhil FRCP FFPM FESC, Jo Hampton


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