The Art of EKG Interpretation

section 1 The Conduction System and Related Matters 
input section 1.1 Automaticity, the Cardiac Cycle, and the Conduction System 
input section 1.2 The P Wave and P-R Interval 
input section 1.3 The QRS Complex 
input section 1.4 The ST Segment, the U wave,and the QT Interval 9input section 1.5 Paper Time 
input section 1.6 Measuring P, P-R, and QRS Intervals 
input section 1.7 Calculating Heart Rate 
input section 1.8 Normal Sinus Rhythm (NSR) 
input section 1.9 Interpreting Dysrhythmias 
Understanding th e 12-Lead Approach to EKG Monitoring
input section 2.1 Monitoring the Heart’s Electrical Activity 
input section 2.2 The 12-Lead EKG System: Limb, Augmented and Pre-cordial Leads 
input section 2.3 Bedside Monitoring 

section 2 Sinus Dysrhythmias 
input section 3.1 Steps for Interpreting Dysrhythmias 
input section 3.2 Sinus Dysrhythmia/Sinus Arrhythmia 
input section 3.3 Sinus Bradycardia 
input section 3.4 Sinus Tachycardia 
Atrial Dysrhythmias 
input section 4.1 Wandering Atrial Pacemaker (WAP) 
input section 4.2 Premature Atrial Contractions 
input section 4.3 Atrial Tachycardia (A.T.) and Supraventricular Tachycardia (S.V.T.) 
input section 4.4 Atrial Flutter 
input section 4.5 Atrial Fibrillation 
input section 4.6 Atrial Flutter-Fibrillation (“Flutter-Fib”) 
input section 4.7 Bypass Re-Entry Mechanisms (Wolff-Parkinson-White Syndrome) Advanced Study 
Junctional Dysrhythmias 
input section 5.1 Junctional Rhythm and Junctional Escape Rhythm 
input section 5.2 Premature Junctional Contractions (PJCs) 
input section 5.3 Junctional Tachycardia 
Ventricular Dysrhythmias 
input section 6.1 Premature Ventricular Contractions (PVCs) 
input section 6.2 Fusion (Dressler) Beats 
input section 6.3 Ventricular Tachycardia 
input section 6.4 Ventricular Fibrillation 
input section 6.5 Ventricular Escape Beats and Rhythms 
input section 6.6 Pulseless Electrical Activity (PEA) 
input section 6.7 Ventricular Re-Entry Mechanisms (Advanced Study) 
input section 6.8 Torsades de Pointes (TdP) (Advanced Study) 
Conduction Disturbances and AV Blocks 
input section 7.1 Sinus Arrest and Sinus Block 
input section 7.2 Atrio-Ventricular (AV) Blocks 
Input Section 7.3 First Degree AV Block 
input section 7.4 Second Degree AV Block 
Input section 7.5 Third Degree Block (CHB) 
input section 7.6 Bundle Branch Blocks 

section 3 EKG Changes Associated with Ischemia, Injury, and Infarct 
input section 8.1 Myocardial Ischemia 
input section 8.2 Myocardial Injury and Infarction 
input section 8.3 Posterior Wall Myocardial Infarction Advanced study 
input section 8.4 Serum Markers 

section 4 Overview of Emergency Treatment for Dysrhythmias 
Cardioversion and Defibrillation 
input section 10.1: Refractory and Vulnerable Phases of the Cardiac Cycle 
Pacemaker Basics 
input section 11.1 Pacemaker Fundamentals 
input section 11.2 Determining Pacemaker Rate 
input section 11.3 More about Capture 
input section 11.4 Failure to Sense 
input section 11.5 The Pacemaker Codes 
Advanced Pacemaker Features and Interventions (The Not so Basics of Pacemaker Function!) 
input section 12.1 Rate Responsive or Rate Modulated Pacing 
input section 12.2 Hysteresis, Mode Switch, and Auto-Capture 
input section 12.3 Atrial Dysrhythmia Suppression/Atrial Rate Stabilization (AKA Overdrive Pacing for Atrial Dysrhythmias) 
input section 12.4 Pacemaker Mediated Tachycardia (PMT) 
input section 12.5 Implantable Devices for Overdrive Pacing and Defibrillation 
input section 12.6 Bi-Ventricular Pacing 

section 5 Pediatric Dysrhythmias 
input section 13.1 General Rules and Concepts 
input section 13.2 Sinus Dysrhythmias 
input section 13.3 Atrial Dysrhythmias 
input section 13.4 Junctional Dysrhythmias and Rhythms 
input section 13.5 Ventricular Dysrhythmias 
input section 13.6 Pulseless Electrical Activity (PEA) and Long QT Syndrome 
input section 13.7 Conduction Disturbances 
input section 13.8 Drug and Electrolyte Induced Dysrhythmias 
input section 13.9 Kids’ Artifact 

section 6 Artifact . . . To Be, or Not To Be . . . 
input section 14.1 Introduction to Artifact 
input section 14.2 60-Cycle Interference 
input section 14.3 Motion Artifact 
input section 14.4 Artifact Produced by Electrical Devices 
input section 14.5 “Off the Monitor,” 

section 7 Test Your Skill 

Index