ECG Diagnosis Made Easy by FESC Romeo Vecht FRCP FACC

By FESC Romeo Vecht FRCP FACC

The interpreting of ECGs will be rather trouble-free given that cardiac stipulations are characterised by means of general electric styles still, the ECG explanations difficulties to pupil and health care provider alike. Romeo Vecht has assembled into one quantity 350 ECGs, explaining each intimately, including tables depicting the most recent details on drug administration. This transparent method should still help the health practitioner to familiarize himself with ECG styles, permitting him to accomplish a extra detailed prognosis.
The accompanying CD includes the entire ECGs from the e-book and may turn out useful for speedy reference.

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Q waves are seen in leads V2, V3, II, III and aVF (Mr J; 12/6/99). Further signs of ischaemic changes on ECG • • • • New, tall and peaked T waves may appear as a result of narrowing or obstruction of an epicardial artery; ‘hyperpolarisation’ occurs in the epicardial layer. Depression of the ST segment with T wave inversion in the lateral leads can be caused by acute elevation of left ventricular end diastolic pressure (related to subendocardial ischaemia). Distortion of the terminal QRS complex with reduced S waves can appear as a result of late depolarisation of the Purkinje system.

I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 II ECG 33: Several hours later, Q waves are seen in leads II, III and aVF (JB; 12/10/98). 28 ECG Diagnosis Made Easy I aVR II aVL III aVF V1 V4 V2 V5 V3 V6 ECG 34: Normal trace (AL; 14/9/70). I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 II ECG 35: The same patient suffered inferior infarction 16 years later. There are Q waves in leads II, III and aVF, and T inversions in the anterior lateral leads. The patient underwent bypass surgery (AL; 3/12/86). Ischaemic (coronary) heart disease I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 II ECG 36: After another 12 years, the patient has a left bundle branch block.

Reciprocal changes are seen in leads I and aVL (FL; 15:10—28/4/96). I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 II ECG 52: Some four and a half hours later, Q waves are seen in leads III and aVF with ST elevation and reciprocal changes in I, aVL and V2–V5 (FL; 19:35—28/4/96). 38 ECG Diagnosis Made Easy I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 II ECG 53: A further 24 hours later, inferior infarction is established. Q waves are visible in leads III and aVF, with minor ST segment elevation. There are resolving reciprocal changes (FL; 29/4/96).

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