Flip and See ECGs - Revised Reprint, 3rd Edition

Flip and See ECGs - Revised Reprint

3rd Edition

By Elizabeth Gross Cohn, RN, MS, NP, ACNP, DNSc, CEN, EMT-CC, Adelphi University, Garden City, NY


Symbols Used in This Book

How to Approach ECGs

Tab 1: How the Heart Works

The Heart

Location

Physiology (Function)

Anatomy (Structure)

Cardiac Cycle

Summary

Conduction Pathways

Sinoatrial Node

Atrioventricular Node

Tab 2: The ECG

The ECG

Lead Placement and Vectors

Reading ECGs: P-waves, QRS Complexes and T Waves - P Wave - P-R Interval - QRS Complex - ST Segment

T Wave

Tab 3: Introduction to the Rhythms

Introduction to the Rhythms

Naming Rhythms

Normal Sinus Rhythm

Sinus Arrhythmia

Sinus Bradycardia

Sinus Tachycardia

Atrial Flutter

Atrial Fibrillation

Supraventricular Tachycardia

Ventricular Tachycardia

Torsades de Pointes

Ventricular Fibrillation

Asystole

Heart Blocks - First Degree AV Heart Block

Second Degree AV Heart Block, also known as Mobitz Type I (Wenckebach)

Second Degree AV Heart Block, Also Known as Mobitz Type II

Complete Heart Block (Third Degree)

Artificial Pacemakers

Tab 4: How to Interpret ECGs

ECG Paper

Normal ECG

Calculating Rate

Measuring ECG Waveforms

ECG Calipers

The Isoelectric Line

Ectopic Activity - Premature Atrial Contraction

Premature Junctional Contraction - Pemature Ventricular Contraction Summary

Clues to Identifying Rhythms

Tab 5: How to Use the Flip and See Portion of This Book

Flip and See Guided Tutorial

1. normal

2. sinus arrhythmia

3. sinus bradycardia

4. sinus tachycardia

5. premature atrial contractions

6. premature ventricular contraction

7. atrial flutter

8. atrial fibrillation

9. supraventricular tachycardia

10. ventricular tachycardia

11. Torsades de Pointes

12. ventricular fibrillation

13. junctional or nodal rhythm

14. asystole

15. first degree heart block

16. second degree heart block, Mobitz type- I, or Wenckebach

17. second degree heart block, Mobitz type II

18. complete heart block

19. artificial pacemaker with capture - Heart Blocks - Look-alike Rhythms - Nonrhythms - Pulseless Electrical Activity

Summary and a Few Golden Rules

Tab 6: Rhythms

Normal Sinus Rhythm

Sinus Arrhythmia

Sinus Bradycardia

Sinus Tachycardia

Premature Atrial Contractions

Atrial Flutter

Atrial Fibrillation

Supraventricular Tachycardia

Junctional (Nodal) Rhythm - Premature Ventricular Contractions

Ventricular Tachycardia

Torsades de Pointes

Ventricular Fibrillation

Asystole

First Degree AV Heart Block

Second Degree Heart Block Mobitz Type I (Wenckebach)

Second Degree Heart Block Mobitz Type II

Third Degree AV Heart Block: Complete Heart Block

Pacemaker With 1:1 Capture

Loose Lead/Cable Movement

60-Cycle Interference

Junctional Rhythm With Rate of 40 Beats per Minute

Normal Sinus Rhythm With Rate of 100 Beats per Minute

Tab 7: Glossary

Glossary