Critical Decisions in Emergency and Acute Care Electrocardiography

Copyright © 2009 Blackwell Publishing Ltd

Critical Decisions in Emergency and Acute Care Electrocardiography

Editor(s): William J. Brady, Jonathon D. Truwit

Published Online: 26 FEB 2009

Print ISBN: 9781405159067

Online ISBN: 9781444303551

DOI: 10.1002/9781444303551

About this Book

Product Information

About The Product

This scenario-based text provides answers to urgent and emergent questions in acute, emergency, and critical care situations focusing on the electrocardiogram in patient care management. The text is arranged in traditional topics areas such as ACS, dysrhythmia, etc yet each chapter is essentially a question with several cases illustrating the clinical dilemma - the chapter itself is a specific answer to the question.

This is a unique format among textbooks with an ECG focus. The clinical scenarios cover the issues involved in detecting and managing major cardiovascular conditions. Focused, structured discussion then solves these problems in a clinically relevant, rapid, and easy to read fashion.

This novel approach to ECG instruction is ideal for practicing critical care and emergency physicians, specialist nurses, cardiologists, as well as students and trainees with a special interest in the ECG.

Table of contents

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      Front Matter (pages i–xiii)

  2. Part 1: The ECG in Clinical Practice

    1. Chapter 1

      What are the Clinical Applications of the ECG in Emergency and Critical Care? (pages 1–11)

      Rajan A. G. Patel and Christopher M. Rembold

    2. Chapter 2

      What are the Indications for the ECG in the Pediatric Emergency Department? (pages 12–18)

      Michael A. McCulloch and D. Scott Lim

    3. Chapter 3

      What are the Limitations of the ECG in Clinical Practice? (pages 19–23)

      J. Jason West and Allan G. Simpson

    4. Chapter 4

      Is the ECG Indicated in Stable, Non-Cardiac Patients Admitted to the Hospital? (pages 24–27)

      Andrew Darby and Michael Ragosta

    5. Chapter 5

      What is the Use of the ECG in Preoperative Assessment and Cardiovascular Risk Stratification? (pages 28–32)

      Peter M. Pollak and Ellen C. Keeley

    6. Chapter 6

      Which Patients Benefit from Continuous Electrocardiographic Monitoring during Hospitalization? (pages 33–38)

      Adam Helms and John Ferguson

  3. Part 2: The ECG in Cardinal Presentations

    1. Chapter 7

      How should the ECG be Used in the Syncope Patient? (pages 39–48)

      Christopher T. Bowe

    2. Chapter 8

      How should the ECG be Used in the Chest Pain Patient? (pages 49–57)

      Jason T. Schaffer

    3. Chapter 9

      How should the ECG be Used in the Dyspneic Patient? (pages 58–63)

      Carl A. Germann

    4. Chapter 10

      How should the ECG be Used in the Patient with Altered Mentation? (pages 64–68)

      Tamas R. Peredy

    5. Chapter 11

      How should the ECG be Used in the Patient During and Following Cardiac Arrest? (pages 69–74)

      John R. Saucier

    6. Chapter 12

      What is the Impact/Proper Role of the Ecg in the Undifferentiated Cardiorespiratory Failure Patient? (pages 75–81)

      Michael Osmundson

  4. Part 3: The ECG in ACS

    1. Chapter 13

      What is the Role of the ECG in ACS? (pages 83–91)

      Samuel J. Stellpflug, Joel S. Holger and Stephen W. Smith

    2. Chapter 14

      What Pseudoinfarction Patterns Mimic ST Elevation Myocardial Infarction? (pages 92–102)

      Stephen W. Smith and David M. Larson

    3. Chapter 15

      What ECG Changes might Myocardial Ischemia Cause other than ST Segment Elevation or Q Waves and What are the Differential Diagnoses of these Changes? (pages 103–114)

      Stefan C. Bertog and Stephen W. Smith

    4. Chapter 16

      What is a Hyperacute T Wave? (pages 115–121)

      Mark D. Connelly, Joel S. Holger and Stephen W. Smith

    5. Chapter 17

      What is the Significance of Q Waves? (pages 122–127)

      Wayne Whitwam and Vipin Khetarpal

    6. Chapter 18

      What are the ECG Indications for Additional Electrocardiographic Leads (Including Electrocardiographic Body-Surface Mapping) in Chest Pain Patients? (pages 128–137)

      Daniel T. O'Laughlin, Khaled Bachour and Wayne Whitwam

    7. Chapter 19

      What further Diagnostic Adjuncts to the Standard 12-Lead ECG may Help to Diagnose ACS? (pages 138–147)

      Mark D. Connelly, Joel S. Holger, Stefan C. Bertog and Stephen W. Smith

    8. Chapter 20

      Is Serial Electrocardiography (Serial ECGs and ST Segment Monitoring) of Value in the ECG Diagnosis of ACS? (pages 148–154)

      Daniel T. O'Laughlin

    9. Chapter 21

      What QRS Complex Abnormalities Result in ST Segment Elevation that may Mimic or Obscure AMI? (pages 155–166)

      Stephen W. Smith and David M. Larson

    10. Chapter 22

      What are the Electrocardiographically Silent Areas of the Heart? (pages 167–175)

      Samuel J. Stellpflug, Joel S. Holger and Stephen W. Smith

    11. Chapter 23

      What is the Value of the Prehospital Acquired 12-Lead ECG? (pages 176–181)

      Michael Christopher Kurz

    12. Chapter 24

      What are the Electrocardiographic Indications for Reperfusion Therapy? (pages 182–194)

      William Brady, David Burt, Chris Ghaemmaghami, Robert O'Connor and Stephen W. Smith

    13. Chapter 25

      What are the ECG Manifestations of Reperfusion and Reocclusion? (pages 195–203)

      Daniel T. O'Laughlin

    14. Chapter 26

      Does Localization of the Anatomic Segment/Identification of the Infarct-Related Artery Affect Early Care? (pages 204–215)

      Wayne Whitwam and Stephen W. Smith

    15. Chapter 27

      Can the ECG be Used to Predict Cardiovascular Risk and Acute Complications in ACS? (pages 216–229)

      Wayne Whitwam, Nima Taha and Khaled Bachour

  5. Part 4: The Dysrhythmic ECG

    1. Chapter 28

      Can the Electrocardiogram Determine the Rhythm Diagnosis in Narrow Complex Tachycardia? (pages 231–243)

      Lisa M. Filippone and Claire C. Caldwell

    2. Chapter 29

      Can the ECG Guide Treatment of Narrow QRS Tachycardia? (pages 244–250)

      Michael A. Bohrn

    3. Chapter 30

      How can the ECG Guide the Diagnosis and Management of Wide Complex Tachycardias? (pages 251–266)

      Traci Thoureen and Amal Mattu

    4. Chapter 31

      Can the ECG Guide Management in the Patient with Bradydysrhythmias? (pages 267–275)

      Joseph Shiber

    5. Chapter 32

      What are the Electrocardiographic Indications for Temporary Cardiac Pacing? (pages 276–283)

      Michael Abraham and Michael C. Bond

    6. Chapter 33

      Can the ECG Accurately Diagnose Pacemaker Malfunction and/or Complication? (pages 284–294)

      Kevin C. Reed

    7. Chapter 34

      How can the ECG Guide Acute Therapy in the Wolff Parkinson White (WPW) Patient? (pages 295–302)

      Michael C. Bond

    8. Chapter 35

      What is the Role of the ECG in PEA Cardiac Arrest Scenarios? (pages 303–314)

      Colin G. Kaide

  6. Part 5: The ECG in Critical Care

    1. Chapter 36

      What is the Role of the ECG in the Critically Ill, Non-Coronary Patient? (pages 315–325)

      Clay A. Cauthen and Ajeet Vinayak

    2. Chapter 37

      Can the ECG Distinguish between Coronary and Non-Coronary Etiologies in the Critically Ill Patient? (pages 326–334)

      Michael J. Lipinski and D. Kyle Hogarth

    3. Chapter 38

      What is the Role of the ECG in Therapeutic Considerations/Medical Management Decisions in the Critically Ill Patient? (pages 335–344)

      Billie Barker, Adam Helms and Ajeet Vinayak

    4. Chapter 39

      Can the ECG Predict Risk in the Critically Ill, Non-Coronary Patient? (pages 345–353)

      Clay A. Cauthen and Ajeet Vinayak

    5. Chapter 40

      What is the Proper Role of the ECG in the Evaluation of Patients with Suspected PE? (pages 354–361)

      Peter M. Pollak and Joseph E. Levitt

    6. Chapter 41

      What is the Role and Impact of the ECG in the Patient with Hyperkalemia? (pages 362–370)

      Steve Herndon, Benjamin Holland and Ajeet Vinayak

    7. Chapter 42

      What is the Role and Impact of the ECG in the Patient with Electrolyte Abnormalities other than Hyperkalemia? (pages 371–377)

      Benjamin Holland and Franklin McGuire

    8. Chapter 43

      What is the Role of the ECG in the Hypothermic Patient? (pages 378–383)

      Raed Wahab, Clay A. Cauthen and Daniel Grinnan

    9. Chapter 44

      What are the Non-ACS “Deadly” ECG Presentations? (pages 384–394)

      Adam Helms, Clay A. Cauthen and Ajeet Vinayak

  7. Part 6: The Toxicologic ECG

    1. Chapter 45

      How Useful is the ECG in the Evaluation of the Poisoned Patient? (pages 395–401)

      Nathan P. Charlton

    2. Chapter 46

      Can the ECG Guide Management in the Critically Ill, Poisoned Patient? (pages 402–406)

      Nathan P. Charlton

    3. Chapter 47

      Do Characteristics of the QRS Complex in the Poisoned Patient Correlate with Outcome? (pages 407–411)

      Stephen D. Lee, Nathan P. Charlton and Christopher P. Holstege

    4. Chapter 48

      What is the Treatment for Wide Complex Dysrhythmias in the Poisoned Patient? (pages 412–416)

      David T. Lawrence

  8. Part 7: Electrocardiographic Differential Diagnosis

    1. Chapter 49

      What is the ECG Differential Diagnosis of ST Segment Elevation? (pages 417–427)

      Richard A. Harrigan and Theodore C. Chan

    2. Chapter 50

      What is the ECG Differential Diagnosis of ST Segment Depression? (pages 428–435)

      Richard A. Harrigan and Theodore C. Chan

    3. Chapter 51

      What is the ECG Differential Diagnosis of the Abnormal T Wave? (pages 436–443)

      Theodore C. Chan and Richard A. Harrigan

    4. Chapter 52

      What is the ECG Differential Diagnosis of Narrow Complex Tachycardia? (pages 444–451)

      Theodore C. Chan and Richard A. Harrigan

    5. Chapter 53

      What is the ECG Differential Diagnosis of Wide Complex Tachycardia? (pages 452–460)

      Theodore C. Chan and Richard A. Harrigan

    6. Chapter 54

      What is the ECG Differential Diagnosis of Bradycardia? (pages 461–468)

      Richard A. Harrigan and Theodore C. Chan

    7. Chapter 55

      What is the ECG Differential Diagnosis of the Abnormally Wide or Large QRS Complex? (pages 469–478)

      Theodore C. Chan and Richard A. Harrigan

    8. Chapter 56

      What is the ECG Differential Diagnosis of a Prolonged Qt Interval? (pages 479–482)

      Richard A. Harrigan and Theodore C. Chan

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      Index (pages 483–492)

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