ECG Interpretation for Everyone

Fred Kusumoto, MD is Associate Professor of Medicine at Mayo College of Medicine and Director of the Electrophysiology and Pacing Section at Mayo Clinic, Jacksonville, Florida. He has been heavily involved in teaching throughout his career and received Mayo’s Excellence in Training in the Discipline of Cardiovascular Diseases two years in a row. He also earned the Teacher of the Year award at the University of New Mexico. Dr. Kusumoto has written two books on cardiac devices and cardiac pathophysiology and has authored over fifty journal articles and book chapters. His most recent book is our own Understanding Intracardiac EGMs and ECGs (2010). Pam Bernath, RN, also of Mayo Clinic, Jacksonville, FL, has been a nurse for almost forty years and has taught ECG analysis to the nursing staff at Mayo for the past six years. This will be her first book publication.

Master Algorithm, viii

Preface, ix

Chapter 1: Technical Issues, 1

Chapter 2: The Normal ECG, 13

Chapter 3: ECG Interpretation Basics, 32

Chapter 4: Abnormal Repolarization: ST Segment Elevation, 37

Chapter 5: Abnormal Repolarization: ST Segment Depression, 98

Chapter 6: Abnormal Repolarization: T Wave Changes and the QT Interval, 117

Chapter 7: Abnormal Depolarization: A Prominent R Wave in V1 , 148

Chapter 8: Abnormal Depolarization: Wide QRS Complexes and Other Depolarization Abnormalities, 184

Chapter 9: Arrhythmias: Normal Rates and Skips, 214

Chapter 10: Arrhythmias: Bradycardia, 241

Chapter 11: Arrhythmias: Tachycardia, 272

Chapter 12: Arrhythmias: Pacing, 334

Chapter 13: Clinical Use of the ECG: Stress Testing, 347

Chapter 14: Clinical Use of the ECG: Clinical Problems, 366

Appendices, 380

Index, 387