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Understanding the Electrocardiogram

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  2. Understanding the Electrocardiogram In Health & Disease
  3. 9.0.0 The ECG of Heart Murmurs-introduction
  4. 9.1.0 Systolic Heart Murmurs (frame 3)

9.1.8 (10)


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This ECG is from an asymptomatic 25 year old male with a grade 4/6 systolic murmur similar to that reproduced here. It was heard best in the 2nd and 3rd left intercostal spaces and radiated towards the neck. Note the ejection sound (ES) and the very narrowly split 2nd heart sound. Which of the following do you think is the most likely cause of the murmur and what would you estimate to be the severity of the lesion? Ventricular Septal Defect Aortic Stenosis Pulmonic Stenosis

Book traversal links for 9.1.8 (10)

  • 9.1.7 (9)
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  • 9.1.9 (11)

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  • Introduction to First Edition
  • 1.0.0 Generation of the ECG
  • 2.0.0 The Normal Electrocardiogram
  • 3.0.0 Inter and intra-ventricular Conduction Disturbances
  • 4.0.0 Ventricular Hypertrophy
  • 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
  • 6.0.0 Ischemia and Infarction - Introduction (frame i and ii)
  • 7.0.0 Tachycardias- Introduction
  • 8.0.0 The Bradycardias frame i-introduction
  • 9.0.0 The ECG of Heart Murmurs-introduction
    • 9.0.1 (frame 1)
    • 9.0.2 (2)
    • 9.1.0 Systolic Heart Murmurs (frame 3)
      • 9.1.1 (4)
      • 9.1.2 (frame 4 again)
      • 9.1.3 (5)
      • 9.1.4 (6)
      • 9.1.5 (7)
      • 9.1.6 (8)
      • 9.1.7 (9)
      • 9.1.8 (10)
      • 9.1.9 (11)
      • 9.1.10 (12)
      • 9.1.20 (29)
    • 9.2.0 Diastolic Murmurs (frame 38)
    • 9.3.0 Systolic and Diastolic Murmurs (frame 43)
  • 10.0.0 The Electrocardiogram in the Emergency Department-Introduction
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