If the innocent or uninitiated were to wander through the cardiac unit, telemetry unit, or in fact through any unit where ECG monitoring is in use (we will stick with the English ElectroCardioGram spelling), he or she would likely encounter rhythms which were un familiar. It is even possible such rhythms might be rudely thrust into one’s face with a request to evaluate them or even take drastic action: “Should I shock him?” or “Do you think this is Mobitz I second degree exit block?” In fact, traveling through a unit in such fashion may be likened to a wanderer strolling through a forest, unsure of the names of the trees or wildflowers, or the significance of certain tracks.
When one is in the woods it greatly increases the pleasure and possibly the safety of the trip if the hiker has a Field Guide which enables the wanderer to safely identify the various flora and fauna encountered along the way. It should then take the reader just a moment to realize, carrying the metaphor only a little further, the need for a similar Field Guide to the Arrhythmias, as one navigates the various hazards of the typical cardiac unit. Hence this work.
PART 1: THE RHYTHMS,
Normal Sinus Rhythm, Preexcitation, Sinus Bradycardia, Sinus Tachycardia, Sinus Arrhythmia,
Wandering Atrial Pacemaker, Multifocal Atrial Tachycardia, Junctional Rhythm, Asystole, Heart Block: First Degree, Second Degree (Mobitz I and II), and Third Degree (Complete),
Premature Beats (Blocked and Otherwise), Atrial Fibrillation, Atrial Flutter, Supraventricular (Paroxysmal Atrial) Tachycardia, Pacemaker Rhythms, Ventricular Tachycardia, Accelerated Idioventricular Rhythm, Prolonged QT/Torsades de Pointes, Ventricular Fibrillation.
Title: Field Guide To The Arrhythmias
Author: ELLIS W. LADER