ABC of Clinical Electrocardiography by David Kerr, Annie Young, Richard Hobbs

By David Kerr, Annie Young, Richard Hobbs

(BMJ Books) Univ. of Birmingham, united kingdom. Covers key parts of sufferer care and gives debate round the a number of uncertanties in regards to the sickness. colour illustrations. Softcover.

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Note that the ST segments are elevated in leads V5 and V6 (inappropriate concordance) and grossly elevated (> 5 mm) in leads V2, V3, and V4; note also the ST segment depression in leads III and aVF 33 ABC of Clinical Electrocardiography I aVR V1 V4 II aVL V2 V5 A B III aVF V3 Inappropriate concordance in lead V1 in patient with left bundle branch block (A); inappropriate concordance in lead V6 in patient with left bundle branch block (B); and exaggeration of appropriate discordance in lead V1 in patient with left bundle branch block (C) C V6 ST segment depression in precordial leads in 68 year old man with chest pain I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 Development of left bundle branch block in same man shortly after admission (note ST segment depression in lead V3; this is an example of inappropriate concordance) Right bundle branch block Right bundle branch block is most commonly seen in association with coronary artery disease, but in many cases no organic heart disease is present.

I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 Ventricular tachycardias Fascicular tachycardia Fascicular tachycardia is uncommon and not usually associated with underlying structural heart disease. It originates from the region of the posterior fascicle (or occasionally the anterior fascicle) of the left bundle branch and is partly propagated by the His-Purkinje network. 14 s). Consequently, this arrhythmia is commonly misdiagnosed as a supraventricular tachycardia. The QRS complexes have a right bundle branch block pattern, often with a small Q wave rather than primary R wave in lead V1 and a deep S wave in lead V6.

Appropriate discordance in uncomplicated left bundle branch block (note ST elevation in leads V1 to V3) I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 Acute myocardial infarction and left bundle branch block. Note that the ST segments are elevated in leads V5 and V6 (inappropriate concordance) and grossly elevated (> 5 mm) in leads V2, V3, and V4; note also the ST segment depression in leads III and aVF 33 ABC of Clinical Electrocardiography I aVR V1 V4 II aVL V2 V5 A B III aVF V3 Inappropriate concordance in lead V1 in patient with left bundle branch block (A); inappropriate concordance in lead V6 in patient with left bundle branch block (B); and exaggeration of appropriate discordance in lead V1 in patient with left bundle branch block (C) C V6 ST segment depression in precordial leads in 68 year old man with chest pain I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 Development of left bundle branch block in same man shortly after admission (note ST segment depression in lead V3; this is an example of inappropriate concordance) Right bundle branch block Right bundle branch block is most commonly seen in association with coronary artery disease, but in many cases no organic heart disease is present.

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ABC of Clinical Electrocardiography by David Kerr, Annie Young, Richard Hobbs
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