This 304 page full-color textbook was written and edited by veteran cardiac cath lab interventionalists, and is essentially two volumes in one. The first 92 pages present the basic principles of 12 lead ECG interpretation. The remainder of the book focuses on the evaluation of Acute Coronary Syndrome (ACS) patients. 13 ECG patterns associated with ACS are presented, including the most subtle ECG changes most often missed by clinicians and the ECG machines automated interpretation software. The curriculum provides an in-depth, balanced approach to patient assessment, combining advanced ECG interpretation skills with patient history, risk factor and cardiac marker evaluation. Correlation of ECG leads with the coronary arterial distributions which commonly supply each region of the heart are reinforced by use of 24 case studies of ST Segment Elevation Myocaridal Infarction (STEMI), Non ST Segment Elevation Myocardial Infarction (NSTEMI), Unstable Angina, and Brugada Syndrome. STEMI Case Studies emphasize the ECG identification of the infarct related artery, and complications to be expected based on failure of cardiac structures commonly supplied by the obstructed arterial distribution. Case studies begin with patients' initial assessment data obtained in the emergency department and continue into the cardiac catheterization lab where coronary artery angiography illustrates the location of arterial obstruction. Key learning objectives for each type of Myocardial Infarction (MI) are highlighted. 453 full color images, 135 review questions, and 114 ECGs reinforce the learning process. Target audience is all medical professionals whom are already competent in single-lead rhythm strip evaluation, and desire to become proficient in the 12 lead ECG evaluation of Acute Coronary Syndrome patients. An instructor s package with PowerPoint slides is also available from TriGen Publishing.
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Wayne Ruppert is an Interventional Cardiovascular Technologist and Electrophysiology Technologist, employed at the St. Joseph s Hospital Heart Institute in Tampa, Florida since 1996. He has taught 12 Lead ECG Interpretation at St. Joseph s since 1997 and at York Hospital in York, PA since 2000. He studied 12 Lead ECG Interpretation under the late Dr. Henry J.L. Marriott in 1982 and 1994. Mr. Ruppert is an accomplished national conference speaker, and has taught 12 Lead ECG interpretation at multiple conferences since 1997. He is certified as an Instructor in ACLS, PALS, and BCLS. He began his career with the paramedic response squad operated by York Hospital in 1980, in York, PA. He has served as an EMT and Paramedic Instructor in Pennsylvania and Florida, and Field Training Officer / Director of Education for the Pinellas County, Florida EMS system. From 1991 to 1993, he served as the National Director of Quality Improvement for a publicly traded private ambulance company, where he developed, implemented and coordinated quality improvement and continuing education programs for 14 operations nationwide. He is also a certified law enforcement officer, and serves as a Reserve Deputy for the Pasco County, Florida, Sheriff s Office. He resides in Florida with his wife and two children. One adult son, Jeremy, resides in Texas.
I think this book will be a wonderful addition to the textbooks that are already available, with a fresh perspective! --Joseph P. Ornato, MD FACP FACC FACEP - Professor and Chairman, Department of Emergency Medicine, Medical College of Virginia - Virginia Commonwealth University
This book integrates academic ECG principles with real-world clinical practice by incorporation of well chosen cath lab case studies into its curriculum. This combination lets readers see patients and their ECGs through the eyes of an experienced cath lab Interventionalist, and provides a balanced approach to patient evaluation that compensates for the ECGs inherent lack of sensitivity and specificity. I highly recommend this book for all Emergency Medicine and Cardiology Fellows. For experienced clinicians, its a superb review. --Humberto Coto MD FACC FACP - Chief of Interventional Cardiology, St. Josephs Hospital, Tampa, Florida
I cannot imagine a critical care nurse who would not benefit from utilizing this book. A combination of highlighting essential information, lots of graphic images and providing review questions facilitates rapid, effective learning. --Walter Page Young, RN, BSN, CEN - Clinical Education Specialist, St. Joseph's Hospital, Tampa, Florida
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