Welcome to the comprehensive resource on 12-lead ECG! This all-encompassing text is designed to bring you from having little or no electrocardiographic knowledge to the level of a fully advanced interpreter of ECGs. Whether you are a paramedic, nurse, nurse practitioner, physician assistant, medical student, or physician wanting to learn or brush up on your knowledge of electrocardiography, this book (12-lead ECG) will meet your needs.

This text contains over 250 full-size, real-life ECGs. Each chapter introduces background information that is followed by ECG strips, analyses, and interpretations. The final chapter allows you to put together everything you have learned, and a new final section provides 50 full-size, real-life 12-lead ECGs with which to practice your interpretation skills.

Unlike other texts, this book (12-lead ECG) is set up to be accessed by three different levels of readers:

12-lead ECG

12-Lead ECG: The Art of Interpretation is designed to grow with you as your knowledge of electrocardiography progresses. Your journey into electrocardiography begins when you establish your level (see How to Pick Your Starting Level, on p. 2 at the beginning of Part 1). As a Level 1 or Level 2 student, read the text that pertains only to your level. Once you have mastered this material, return to the beginning of the book and read the text in the next level. You always have the previous levels’ information available for reference, only a few pages away. The entire text, regardless of the level, is written in a friendly, easy-to-read tone that is clear and understandable, maximizing your comfort.

Read on to learn how to pick your starting level and to begin learning how to read an ECG. Before long, you will become an advanced ECG interpreter and better equipped to save lives.

Most electrocardiography textbooks were created for either beginners or advanced students, but leave the intermediate student, or person with some knowledge of 12-lead and arrhythmia recognition, out of the picture. This text was written for beginner, intermediate, and advanced students alike.

The format allows you to move at your own speed by providing information in bite-sized chunks. It is written in an easy-to-read, friendly tone so that you can feel comfortable while you are reading. There is plenty humor throughout, because life is short and you have to have fun. We hope this approach enhances your reading experience and facilitates learning.

The book is broken down into three parts:

Part 1 presents basic information about the complexes, waves, and intervals, as well as the ECG and calibration. You will learn about the basic beat or complex and review the basic anatomy of the heart and the electrical conduction system. You will also learn how to use some tools that can be very helpful in interpreting the ECG.

•   Part 2 focuses on each wave and interval of the complex, the axis, and the 12-lead presentation of some rhythm disturbances. This book is not intended to cover all of the rhythms and you are referred to the reference section for some suggested reading on this material. Part 2 will cover the electrocardiographic criteria for the various types of acute myocardial infarctions and provides examples of each. Finally, Part 2 includes a chapter on putting it all together. This extremely useful chapter synthesizes all of the information you have learned to this point. You should plan on spending some time in this chapter and understanding the concepts thoroughly before you move on.

•   Part 3, new to the second edition, includes 50 additional, unique 12-lead ECGs for practicing your interpretation skills. Included after these ECGs are discussions and analyses on each of them.

The book has been created to be continuously useful during your development and is intended to be read and reread as you advance in your knowledge and comfort level with the material. By rereading the material at increasingly advanced levels, you will get more out of the material and retain it with greater use.

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