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Basic Ekg Facts
Basic Ekg Facts
Basic Ekg Facts
Ebook191 pages48 minutes

Basic Ekg Facts

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Basic EKG Facts is a complete beginners guide to the understanding of EKG interpretation.

In this text, the user will learn the basic anatomy of an EKG waveform as it relates to the cardiac rhythm cycle. It provides step-by-step instruction from the initial to the final wave with simple, easy to read and understand rhythm strip examples.

Included are charts, tables, templates and other references to assist the user in the quick and accurate interpretation of EKG's.

LanguageEnglish
Release dateJan 28, 2004
ISBN9781412219167
Basic Ekg Facts
Author

James B. Martin RN

Jim is a registered nurse at Monongalia General Hospital in Morgantown, West Virginia. He is also a former Marion County Rescue Squad Paramedic and an ACLS instructor with over 26 years experience in both hospital and pre-hospital critical care settings. In his spare time, he enjoys photography, computers, electronics and attempting to be a handyman around the house. He and his wife Beth are the parents of two sons, Jeremy (Meghann) and Jared. He also has one granddaughter, Ava Elaine. He currently resides in Fairmont, West Virginia.

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    Book preview

    Basic Ekg Facts - James B. Martin RN

    Basic EKG Facts

    49716.png

    James B. Martin, RN

    ©

    Copyright 2004 James B. Martin.

    All rights reserved. No part of this publication may be reproduced, stored in a retrieval

    system, or transmitted, in any form or by any means, electronic, mechanical, photocopying,

    recording, or otherwise, without the written prior permission of the author.

    ISBN: 978-1-4120-1710-7 (sc)

    ISBN: 978-1-4122-1916-7 (e)

    Because of the dynamic nature of the Internet, any web addresses or links contained

    in this book may have changed since publication and may no longer be valid. The views

    expressed in this work are solely those of the author and do not necessarily reflect the

    views of the publisher, and the publisher hereby disclaims any responsibility for them.

    Any people depicted in stock imagery provided by Getty Images are models, and such images

    are being used for illustrative purposes only.

    Certain stock imagery © Getty Images.

    Trafford rev.  03/29/2022

    33164.png   www.trafford.com

    North America & international

    toll-free: 844-688-6899 (USA & Canada)

    fax: 812 355 4082

    To my wife, Beth,

    for her encouragement and support,

    And

    To my sons, Jeremy and Jared,

    for the artwork used in this book.

    With

    A special Thank You to all of my co-workers

    who encouraged me throughout the writing of this book.

    Basic EKG Facts

    Table of Contents

    Introduction

    Chapter One

    Down the Correct Path

    Electrical Anatomy of The Heart

    Chapter Two

    Wires, Wires, Everywhere

    Lead Placement

    ELECTRODE PLACEMENT

    Chapter Three

    Making Waves

    The Paper

    The Waves

    Chapter Four

    From the Top Atrial Rhythms

    Sinus Rhythm

    Sinus Bradycardia

    Sinus Tachycardia

    Supraventricular Tachycardia

    Sinus Arrhythmia

    Sinus Arrest

    Sinus Block/ Sino-Atrial Block

    Premature Atrial Contractions

    Wandering Atrial Pacemaker

    Atrial Tachycardia

    Multifocal Atrial Tachycardia

    Atrial Fibrillation

    Atrial Flutter

    Chapter 5

    In the Middle Junctional Rhythms

    Junctional Rhythm

    Premature Junctional Contractions

    Accelerated Junctional Rhythm & Junctional Tachycardia

    Chapter Six

    From the Bottom Ventricular Rhythms

    Premature Ventricular Complexes

    Ventricular Tachycardia

    Torsades De Pointes

    Wolfe-Parkinson-White Syndrome

    Aberrant Ventricular Conduction

    Accelerated Idioventricular Rhythm

    Ventricular Fibrillation

    Asystole

    Agonal Rhythm-

    Chapter Seven

    Traffic Delays Blocks

    First Degree AV Block

    Second Degree Block Mobitz Type I

    Second Degree Block Mobitz II

    Third Degree Heart Block

    Bundle Branch Blocks

    Chapter Eight

    Pacemakers

    Pacemakers

    Chapter Nine

    Odds and Ends... Evens and Middles

    Ischemia and Infarction

    EKG Changes During the Evolution of an Infarction

    Atrial Hypertrophy

    Ventricular Hypertrophy

    Common Drug Effects

    Introduction

    If one were to look at a timeline of medical history, events and discoveries would be spaced rather far apart at the beginning and extremely close together as today’s date approached. Much of early medicine was based on philosophy rather than biological principal, and it wasn’t until Hypocrites distinguished a difference between the two that modern medicine began to evolve.

    Early cave drawings depict man and animals with hearts at the center of their bodies. The ancient Egyptians are credited with the discovery of the pulse and it’s relationship to the circulation of blood, and as early as 600 B.C. the Greeks had distinguished between arteries and veins, and had reasoned that the brain, not the heart, was the center of sensation.

    Medicine moved quite slowly into and through the Renaissance period with aseptic techniques, the use of anesthetics and advancements in the study of anatomy being the most noted achievements.

    The 17th century brought us advances in physiology, gross pathology, and the clinical study of disease with inventions such as the microscope; while the 18th century brought serious doubt that the science was advancing at all. It did include advances however, such as the development and discoveries of the harnessing of electricity and it’s effects on animal tissues. In 1678 frog’s legs were found to respond to the passage of an electrical current through the tissues, and in 1775 chickens were rendered lifeless with a single shock to the head, and then shocked back to life using another shock to the thorax.

    Narrowing now to the electrical advances, development moved somewhat faster during the 19th century; techniques became more refined, and inventions of various pieces of equipment advanced discoveries forward. The galvanometer was invented in 1880. It consisted of a magnetized needle, which moved when an electrical current would flow through a surrounding wire coil. The tracings were recorded on a paper moving at a fixed speed. In 1887 Augustus D. Waller published the first human EKG, and in 1893 Willem Einthoven introduced the term electrocardiogram to the Dutch Medical Association.

    A timeline of the 20th century would include these highlights:

    1902-Einthoven publishes the first human EKG using a string galvanometer, which weighs 600 pounds

    1908- The University of Edinburgh purchases the first string galvanometer for clinical use

    1909- EKG changes are noted during an angina attack

    1920- EKG changes are noted during an acute myocardial infarction

    1924- Einthoven wins the Nobel Prize

    1926- An Australian physician, who wished to remain unknown because of ethical considerations at the time, resuscitates a newborn using a device later to be called a pacemaker.

    1928- the first portable EKG machine, weighing 50 pounds and powered by a car battery, is introduced.

    1931- a pacemaker small enough to fit into a doctor’s bag (and powered by a hand crank) is introduced.

    1942- The 12 lead EKG is introduced.

    1947- the first successful defibrillation of a human, a 14-year-old boy, is recorded.

    1949- the first monitor capable

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