Wagner_Marriot's Practical Electrocardiography, 12e

SECTION III: ABNORMAL RHYTHMS

CHAPTER 14

INTRODUCTION TO ARRHYTHMIAS

291

Galen S. Wagner and David G. Strauss

Approach to Arrhythmia Diagnosis

292 294 296 297 300 301 302 303 304 307 308 314 316 317 318 322 324 329 330 333 334 335 336

Problems of Automaticity

Problems of Impulse Conduction: Block Problems of Impulse Conduction: Reentry Clinical Methods for Detecting Arrhythmias

Dynamic (Holter) Monitoring Transtelephonic Monitoring Memory Loop Monitoring

Invasive Methods of Recording the Electrocardiogram Incidences of Arrhythmias in Healthy Populations

Ladder Diagrams

CHAPTER 15

PREMATURE BEATS

313

Galen S. Wagner

Premature Beat Terminology

Differential Diagnosis of Wide Premature Beats Mechanisms of Production of Premature Beats

Atrial Premature Beats

Junctional Premature Beats Ventricular Premature Beats

The Rule of Bigeminy

Right- versus Left-Ventricular Premature Beats Multiform Ventricular Premature Beats

Groups of Ventricular Premature Beats

Ventricular Premature Beats Inducing Ventricular Fibrillation Prognostic Implications of Ventricular Premature Beats

CHAPTER 16

ACCELERATED AUTOMATICITY

339

Galen S. Wagner

Introduction to Accelerated Automaticity

340 342 345 347 350

Sinus Tachycardia

Atrial Tachyarrhythmias

Accelerated Junctional Rhythm Accelerated Ventricular Rhythm

CHAPTER 17

REENTRANT ATRIAL TACHYARRHYTHMIAS—THE ATRIAL FLUTTER/FIBRILLATION SPECTRUM

353

Galen S. Wagner and David G. Strauss

Paroxysmal Atrial Tachycardia

355 356 358 361 362

Atrial Rate and Regularity in Atrial Flutter/Fibrillation Ventricular Rate and Regularity in Atrial Flutter/Fibrillation

Onset of Atrial Flutter/Fibrillation Termination of Atrial Flutter/Fibrillation

vii

Contents