Table of Contents
Cover
Title Page
Dedication
Copyright
Preface to third edition
About the author
Acknowledgements
Abbreviations
Part 1: Understanding the electricity of the heart and how it produces an ECG complex
Chapter 1: What is an ECG?
Chapter 2: The electricity of the heart
Electrical coordination of atrioventricular contraction
Formation of the normal P–QRS–T complex
Nomenclature of the QRS complex
Chapter 3: Rhythms of sinus origin
Rhythms of sinus origin
Part 2: Abnormal electricity of the heart
Chapter 4: Recognising and understanding ectopia
4.1 Recognising and understanding ectopia
4.2 First identify the morphology of the
normal
QRS complex
Chapter 5: Ventricular arrhythmias
Ventricular arrhythmias
Ventricular fibrillation (VF)
Ventricular escape rhythms
Accelerated idioventricular rhythm (AIVR)
Chapter 6: Supraventricular arrhythmias
Supraventricular arrhythmias
Atrioventricular dissociation
Atrial fibrillation
Junctional escape rhythms
Chapter 7: Abnormalities in the conduction system
Sinus arrest
Sick sinus syndrome
Atrial standstill
Heart block
Complete (third-degree) AV block
Ventricular standstill
Asystole
Chapter 8: Changes in the P–QRS–T morphology
Wandering pacemaker
Changes associated with chamber enlargement
Left atrial enlargement
Right atrial enlargement
Left ventricular enlargement
Right ventricular enlargement
Low-voltage QRS complexes
Electrical alternans
Q–T interval abnormalities
S–T segment abnormalities
Abnormalities of the T wave
Hyperkalaemia
Part 3: More advanced electrocardiography
Chapter 9: Understanding the ECG limb lead systems
The six ECG limb leads
Chapter 10: Mean electrical axis (MEA) explained
Understanding the mean electrical axis (MEA)
How to calculate the mean electrical axis
Chapter 11: Intraventricular conduction defects
Anatomy of the bundle branches
Right bundle branch block
Left bundle branch block
Left anterior fascicular block
Broad QRS complex tachycardia
Ashman's phenomenon
Chapter 12: Supraventricular arrhythmias: in-depth
Supraventricular arrhythmias in dogs: in-depth
Atrioventricular reciprocating tachycardia
Focal atrial tachycardia
Part 4: Management, clinical significance and treatment of arrhythmias
Chapter 13: Management of arrhythmias
1. Does the arrhythmia suggest the presence of an underlying condition?
2. Is the arrhythmia of primary clinical significance?
The decision on treatment of arrhythmias
Chapter 14: Clinical significance and treatment of tachyarrhythmias
Sinus tachycardia
Supraventricular arrhythmias
Atrial fibrillation
Ventricular arrhythmias
Accelerated idioventricular rhythm (AIVR)
Ventricular fibrillation (VF)
Chapter 15: Clinical significance and treatment of bradyarrhythmias
Sinus bradycardia
Sinus arrest
Sick sinus syndrome (sinus node dysfunction)
Atrial standstill
AV (heart) block
Bundle branch block
Part 5: Recording and interpreting ECGs
Chapter 16: Approach to interpretation of the ECG recording
Calculate the heart rate
Determine the rhythm
Measure the complex amplitudes and intervals
Chapter 17: Artefacts
Electrical interference
Muscle tremor artefact
Movement artefact
Incorrectly placed electrodes
Chapter 18: Recording an ECG
The connectors (electrodes)
Making the connection
Where to place the electrodes
Isolating the electrodes
How to position the ECG cables
Positioning the animal
Setting up and preparing the ECG machine
Recording an ECG – a suggested routine
Chapter 19: Choosing an ECG recorder
Quality
Continuous recording
Ease of use
Automatic labelling
Automatic versus manual recording mode
Interpretative software
Multichannel versus single channel
Paper width
Precordial chest leads
Calibration settings
Automatic centring versus manual control
Internal battery
Jack plug lead fitting
Monitor screen
Thermal paper versus ink paper
New versus second-hand
My ideal veterinary ECG machine would have the following features
Chapter 20: Ambulatory ECG monitoring
Holter monitors
How to fit a Holter monitor on animals
Artefacts on Holter recordings
Implantable loop recorder
Further reading
Index
End User License Agreement
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Guide
Cover
Table of Contents
Preface to third edition
Begin Reading
Begin Reading