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Monitor Tech Certification Course

Chapter 1: Anatomy and Physiology of the Heart
11 Topics | 3 Quizzes
Anatomy of the Heart – Pretest
Anatomy of the Heart – Overview
Anatomy of the Heart – Cardiac Blood Flow
The Cardiac Cycle – Pretest
The Cardiac Cycle – Pretest Answer Key
The Cardiac Cycle – Overview
Electrophysiology – Pretest
Electrophysiology – Overview
Electrophysiology – Polarization
Electrophysiology – The Conduction System
Electrophysiology – Cardiac Rate Governors
Electrophysiology – Irritability and Escape
Electrophysiology – Innervation of the Heart
Chapter 1: Anatomy and Physiology of the Heart Quiz
Chapter 2: Electrocardiography: The Basics
13 Topics | 3 Quizzes
Electrocardiography – Pretest
Electrocardiography – Overview
Electrocardiography – Electrical Flow and Vector Projection
Electrocardiography – Understanding the ECG Grid
Electrocardiography – Monitoring the Leads
Electrocardiography – Waves, Complexes, Segments, and Intervals
Electrocardiography – Artifact
Approach to ECG Interpretation – Pretest
Approach to ECG Interpretation – Overview
Approach to ECG Interpretation – Regularity
Approach to ECG Interpretation – Rate
Approach to ECG Interpretation – The P Wave
Approach to ECG Interpretation – PR Intervals and QRS Complexes
Approach to ECG Interpretation – The AV Node
Approach to ECG Interpretation – Supraventricular vs. Ventricular Arrhythmias
Chapter 2: Electrocardiography: The Basics – Quiz
Chapter 3: Rhythms Originating at the Sinus Node
8 Topics | 3 Quizzes
Sinus Node Rhythms – Pretest
Sinus Node Rhythms – Overview
Sinus Node Rhythms – Normal Sinus Rhythm
Sinus Node Rhythms – Sinus Bradycardia
Sinus Node Rhythms – Sinus Tachycardia
Sinus Node Rhythms – Sinus Arrhythmias
Sinoatrial Node Dysfunction – Pretest
Sinoatrial Node Dysfunction – Overview
Sinoatrial Node Dysfunction – Sinus Arrest
Sinoatrial Node Dysfunction – Sinoatrial Node Exit Block (AV Blocks)
Chapter 3: Rhythms Originating at the Sinus Node – Quiz
Chapter 4: Rhythms Originating from the Atria
7 Topics | 2 Quizzes
Atrial Rhythms – Pretest
Atrial Rhythms – Overview
Atrial Rhythms – Wandering Pacemaker
Atrial Rhythms – Ectopic Beats
Atrial Rhythms – Premature Atrial Contraction
Atrial Rhythms – Atrial Tachycardia
Atrial Rhythms – Atrial Flutter
Atrial Rhythms – Atrial Fibrillation
Chapter 4: Rhythms Originating from the Atria – Quiz
Chapter 5: Atrioventricular Junctional Rhythms and Heart Block
10 Topics | 3 Quizzes
Atrioventricular Junctional Rhythms – Pretest
Atrioventricular Junctional Rhythms – The Junctional Pacemaker
Atrioventricular Junctional Rhythms – Junctional P Waves
Atrioventricular Junctional Rhythms – Premature Junctional Complex
Atrioventricular Junctional Rhythms – Junctional Escape Rhythm
Atrioventricular Junctional Rhythms – Junctional Tachycardia
Atrioventricular Junctional Rhythms – Supraventricular Tachycardia
Atrioventricular Block – Pretest
Atrioventricular Block – Overview
Atrioventricular Block – First-Degree Atrioventricular Block
Atrioventricular Block – Second-Degree Atrioventricular Block
Atrioventricular Block – Third-Degree Atrioventricular Block
Chapter 5: Atrioventricular Junctional Rhythms and Heart Block – Quiz
Chapter 6: Rhythms That Originate from the Ventricles
10 Topics | 2 Quizzes
Ventricular Rhythms – Pretest
Ventricular Rhythms – Overview
Ventricular Rhythms – Premature Ventricular Complexes (PVCs)
Ventricular Rhythms – Unifocal Versus Multifocal
Ventricular Rhythms – The R-on-T Phenomenon
Ventricular Rhythms – Runs and Couplets
Ventricular Rhythms – Grouped Beating
Ventricular Rhythms – Ventricular Tachycardia (VT)
Ventricular Rhythms – Ventricular Fibrillation (VF)
Ventricular Rhythms – Idioventricular Rhythm
Ventricular Rhythms – Asystole
Chapter 6: Rhythms That Originate from the Ventricles – Quiz
Chapter 7: Identify the Arrhythmia
Chapter 8: Theories in ECG Interpretation
6 Topics | 1 Quiz
What is Electrocardiology?
Action Potentials of Heart Cells
Simplifying the Ventricular Vectors
The QRS Vectors
T and ST Wave Changes in Ischemia
The Cardiac Axis
Monitor Tech Chapter 8 Quiz
Chapter 9: Systematic Approach to ECG Interpretation
2 Topics | 1 Quiz
Rhythm Analysis
Definitive Electrocardiogram Diagnosis
Monitor Tech Chapter 9 Quiz
Chapter 10: The Normal ECG: Variants of the P Wave, PQ interval, & QRS Complex
4 Topics | 1 Quiz
Combining the Frontal Axis and Horizontal Axis
P Wave
PQ Interval
The QRS Complex
Monitor Tech Chapter 10 Quiz
Chapter 11: The Normal ECG: Variants of the ST Segment, T Waves, and U Waves
5 Topics
The ST Segment
T waves and U waves
QT Interval
Arrhythmia
Normal Daily ECG Changes or Circadian Variations
Chapter 12: Abnormalities of the P Wave
6 Topics | 1 Quiz
Left Atrial Enlargement / P Mitrale
Right Atrial Enlargement or P Pulmonale
Biatrial Enlargement or P Biatriale
Acute Left Atrial Overload
Acute Right Atrial Overload
Other Abnormalities of the P Wave
Monitor Tech Chapter 12 Quiz
Chapter 13: Left Ventricular Hypertrophy
3 Topics | 1 Quiz
Epidemiology of Left Ventricular Hypertrophy
Clinical Findings and Evaluation
Electrocardiographic Criteria for Diagnosing Left Ventricular Hypertrophy
Monitor Tech Chapter 13 Quiz
Chapter 14: Right Ventricular Hypertrophy
4 Topics
Epidemiology of Right Ventricular Hypertrophy
Clinical Findings of Right Ventricular Hypertrophy
Electrocardiographic Findings
Exercises
Chapter 15: Biventricular Hypertrophy
4 Topics | 1 Quiz
Introduction
ECG Criteria for Biventricular Hypertrophy
Cases
Exercise
Monitor Tech Chapter 15 Quiz
Chapter 16: Acute Pulmonary Embolism
7 Topics | 1 Quiz
Introduction
ECG Findings in Pulmonary Embolism
The Value of ECG in the Setting of Pulmonary Embolism
Chronic Pulmonary Embolism
Perils and Pitfalls
Cases
Exercise
Monitor Tech Chapter 16 Quiz
Chapter 17: Fascicular Blocks
7 Topics | 1 Quiz
Introduction
Etiology
Left Anterior Fascicular Block
Left Posterior Fascicular Block
Diagnosis of Left Ventricular Hypertrophy in Left Anterior Fascicular Block
Case 1
Case 2
Monitor Tech Chapter 17 Quiz
Chapter 18: Complete and Incomplete Bundle-Branch Blocks
5 Topics | 1 Quiz
Introduction
Complete Right Bundle-Branch Block
Incomplete Right Bundle Branch Block
Complete Left Bundle-Branch Block
Incomplete Left Bundle-Branch Block
Monitor Tech Chapter 18 Quiz
Chapter 19: Bilateral Bifascicular Block
5 Topics
Introduction
Right Bundle-Branch Block with Left Anterior Fascicular Block
Right Bundle-Branch Block + Left Posterior Fascicular Block
Prognosis of Bilateral Bifascicular Blocks
Trifascicular Block (RBBB + LAFB + LPFB)
Chapter 20: Atrioventricular Blocks & Atrioventricular Dissociation
7 Topics
Introduction
First-Degree AV Block
Second-Degree AV Block, Mobitz Type I (Wenckebach Type)
Second-Degree Atrioventricular Block, Mobitz Type II
Second-Degree AV Block, Advanced Type
Third-Degree AV Block, Complete AV Block
Atrioventricular Dissociation
Chapter 21: Myocardial Infarction
10 Topics | 1 Quiz
Introduction
Electropathophysiology
Myocardial Infarction on ECG
Q, ST, and T Vectors in Coronary Artery Disease
Nomenclature of the Stages of Myocardial Ischemia
Localization of Q Wave Infarction
Differential Diagnosis of Myocardial Infarction ECG Patterns
Complex Infarction Patterns
Special Infarction Patterns
Complications of Acute Myocardial Infarction
Monitor Tech Chapter 21 Quiz
Chapter 22: The Differential Diagnosis of Pathologic Q Waves
3 Topics
Introduction
Myocardial Infarction
Other Causes of Q Waves
Chapter 23: Pericarditis
6 Topics
Introduction
Acute Pericarditis
Intermediate Pericarditis
Subacute Pericarditis
Chronic Pericarditis
Patients with Chronic Kidney Diseases
Chapter 24: ECG Changes in Repolarization
3 Topics
Introduction
Changes in the ST Segment
Changes in the T Wave
Chapter 25: Effects of Electrolyte Disturbances on ECG
5 Topics
Introduction
Hyperkalemia
Hypokalemia
Hypercalcemia
Hypocalcemia
Chapter 26: Atrial Arrhythmias
5 Topics | 1 Quiz
Premature Atrial Beats and Complexes
Premature Atrial Contractions in the Inferior Aspect of the Right Atrium
Atrial Tachycardias
Atrial Flutter
Atrial Fibrillation
Monitor Tech Chapter 26 Quiz
Chapter 27: Sick Sinus Syndrome
10 Topics | 1 Quiz
Sinus Node Dysfunction
Sinus Node Fibrosis
Pharmaceuticals and Toxins
Children
Other Causes of Sinus Node Dysfunction
Electrocardiogram Characteristics of Sinus Node Dysfunction
Clinical Significance
Prognosis
Treatment of Sinus Node Dysfunction
Differential Diagnosis of Sinus Node Dysfunction
Monitor Tech Chapter 27 Quiz
Chapter 28: Wolff-Parkinson-White Syndrome
6 Topics
Preexcitation Pattern
Types of Wolff-Parkinson-White Syndrome
Electrocardiogram Patterns in Preexcitation
Differential Diagnosis of Wolff-Parkinson-White Syndrome
Tachycardias in Wolff-Parkinson-White Syndrome
Symptoms and Therapy
Chapter 29: Atrioventricular Junctional Tachycardias
5 Topics | 1 Quiz
Conduction in Sinus Rhythm
Conduction in Atrioventricular Nodal Reentrant Tachycardia
Differential Diagnosis
Symptoms and Clinical Significance
Treatment of AVNRT
Monitor Tech Chapter 29 Quiz
Chapter 30: Premature Ventricular Contractions
7 Topics | 1 Quiz
Nomenclature
Coupling Interval
Compensatory Pause
Morphology and Origin
Special Types of Premature Ventricular Contractions
Therapy
Differential Diagnosis
Monitor Tech Chapter 30 Quiz
Chapter 31: Ventricular Tachycardia
3 Topics
Types of Ventricular Tachycardia
Differential Diagnosis
Treating Ventricular Tachycardia
Chapter 32: Pacemaker Electrocardiogram
9 Topics
Pacemaker Electrocardiogram
One-Chamber Pacemaker
Double-Chamber Pacemaker
Electrical Complications and Failures
Undersensing
Oversensing
Lead Fracture and Lead Insulation Damage
Management Of Pacemaker Patients
Indications For Pacemaker Placement
Chapter 33: Congenital & Acquired Valvular Heart Disease
12 Topics
Atrial Septal Defect (Ostium Secundum)
Atrial Septal Defect (Ostium Primum)
Valvular Pulmonary Stenosis
Tetralogy of Fallot
Ventricular Septal Defect
Transposition of the Great Arteries
Situs Inversus
Ebstein Anomaly
Eisenmenger Syndrome
Mitral Valve Prolapse
Hypertrophic Obstructive Cardiomyopathy
Acquired Valvular Heart Diseases
Chapter 34: Digitalis Toxicity
1 Topic
Other Symptoms of Digitalis Toxicity
Chapter 35: Monitor Tech Skills Training
10 Topics
Arrhythmia Interpretation Skills Videos
Arrhythmia Interpretation Practice Exams
Arrhythmia Interpretation Knowledge Base
Arrhythmia Interpretation Flashcards
12-Lead ECG Skills Videos
12-Lead ECG Practice Exams
12-Lead ECG Knowledge Base
12-Lead ECG Flashcards
12-Lead ECG – Rhythm Recognition Game
12-Lead ECG – Shock or Not Game
Chapter 36: Abbreviations
Chapter 37: Glossary
Monitor Tech Final Exam
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Chronic Pericarditis

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Chronic Pericarditis

There are no specific ECG findings in patients with chronic pericarditis. T wave inversion may persist. Pericardial effusion dampens the voltage on ECG. 

Electrical alternans is observed in the presence of cardiac tamponade due to significant pericardial effusion. However, these findings are obsolete because significant pericardial effusion is detected early. 

In patients with constrictive pericarditis, atrial fibrillation and T wave inversion may appear.

Cardiac tamponade electrical alternans.

Cardiac Tamponade Electrical Alternans 27

27 Burns E, Buttner R. Massive pericardial effusion. Life in the fastlane website. Accessed March 1, 2019.

https://litfl.com/wp-content/uploads/2018/08/ECG_massive_pericardial_effusion.jpg

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