Contents
vii
SECTION III:
ABNORMAL RHYTHMS
CHAPTER 14
INTRODUCTION TO ARRHYTHMIAS
291
Galen S. Wagner and David G. Strauss
Approach to Arrhythmia Diagnosis
292
Problems of Automaticity
294
Problems of Impulse Conduction: Block
296
Problems of Impulse Conduction: Reentry
297
Clinical Methods for Detecting Arrhythmias
300
Dynamic (Holter) Monitoring
301
Transtelephonic Monitoring
302
Memory Loop Monitoring
303
Invasive Methods of Recording the Electrocardiogram
304
Incidences of Arrhythmias in Healthy Populations
307
Ladder Diagrams
308
CHAPTER 15
PREMATURE BEATS
313
Galen S. Wagner
Premature Beat Terminology
314
Differential Diagnosis of Wide Premature Beats
316
Mechanisms of Production of Premature Beats
317
Atrial Premature Beats
318
Junctional Premature Beats
322
Ventricular Premature Beats
324
The Rule of Bigeminy
329
Right- versus Left-Ventricular Premature Beats
330
Multiform Ventricular Premature Beats
333
Groups of Ventricular Premature Beats
334
Ventricular Premature Beats Inducing Ventricular Fibrillation
335
Prognostic Implications of Ventricular Premature Beats
336
CHAPTER 16
ACCELERATED AUTOMATICITY
339
Galen S. Wagner
Introduction to Accelerated Automaticity
340
Sinus Tachycardia
342
Atrial Tachyarrhythmias
345
Accelerated Junctional Rhythm
347
Accelerated Ventricular Rhythm
350
CHAPTER 17
REENTRANT ATRIAL
TACHYARRHYTHMIAS—THE ATRIAL
FLUTTER/FIBRILLATION SPECTRUM
353
Galen S. Wagner and David G. Strauss
Paroxysmal Atrial Tachycardia
355
Atrial Rate and Regularity in Atrial Flutter/Fibrillation
356
Ventricular Rate and Regularity in Atrial Flutter/Fibrillation
358
Onset of Atrial Flutter/Fibrillation
361
Termination of Atrial Flutter/Fibrillation
362
