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Table of Contents
(Participant Objectives Precede Each Section)
LEADing into Section 1, 1
Section 1: The Conduction System and Related Matters, 13
Input Section 1.1: The Conduction System, 14
Input Section 1.2: The P Wave and P-R Interval, 15
Input Section 1.3: The QRS Complex, 17
Input Section 1.4: The ST Segment and the T Wave, 20
Input Section 1.5: Paper Time, 22
Input Section 1.6: Measuring P, P-R, and QRS Intervals, 24
Input Section 1.7: Calculating Heart Rate, 27
Input Section 1.8: Sinus Rhythm, 32
Input Section 1.9: Interpreting Dysrhythmias, 33
Section 2: Sinus and Atrial Dysrhythmias, 43
Input Section 2.1: Steps for Interpreting Dysrhythmias, 44
Input Section 2.2: Sinus Arrhythmia, 45
Input Section 2.3: Sinus Bradycardia, 48
Input Section 2.4: Sinus Tachycardia, 51
Input Section 2.5: Premature Atrial Contractions, 53
Input Section 2.6: Atrial Tachycardia, 58
Input Section 2.7: Wandering Atrial Pacemaker (W.A.P.), 61
Input Section 2.8: Sick Sinus Syndrome (Brady-Tachy Syndrome), 62
Input Section 2.9: Atrial Flutter, 63
Input Section 2.10: Atrial Fibrillation, 67
Input Section 2.11: Atrial Flutter-Fibrillation ("flutter-fib"), 70
Section 3: Junctional Escape and Ectopic Rhythms, 79
Input Section 3.1: Junctional Escape Rhythm, 80
Retrograde P Wave, 81
The Hidden P Wave, 84
Input Section 3.2: Premature Junctional Beats, 88
Input Section 3.3: Junctional Tachycardia, 90
Section 4: Ventricular Ectopic and Escape Rhythms, 97
Input Section 4.1: Premature Ventricular Contractions, 98
P Wave Buried in QRS Complex, 99
Retrograde P Wave, 99
R on T Phenomenon, 102
Multifocal P.V.C.s, 102
Interpolated P.V.C.s, 104
Input Section 4.2: Fusion (Dressler) Beats, 107
Input Section 4.3: Ventricular Tachycardia, 110
Capture Beats, 113
Input Section 4.4: Ventricular Flutter, 116
Input Section 4.5: Ventricular Fibrillation, 116
Input Section 4.6: Ventricular Escape Beats and Rhythms, 119
Atrial Kick, 120
Section 5: Conduction Disturbances and Heart Block, 127
Input Section 5.1: Sinus Arrest (Sinus Pause) and Sinus Block, 128
Input Section 5.2: Atrial Tachycardia with Block, 130
Input Section 5.3: Early Studies and Relevant History, 131


