심전도 홀로서기

1 장 심전도 기록의 원리 / 1
1. 심전도 ·····························································1
2. 심전도 파의 생성 원리 ···············································3
3. 심전도 유도 ························································8
4. 심전도 기록의 표준 ················································20
5. 심전도 기록의 오류와 잡신호 ········································22
◈ 자율평가문제 ···················································27 
 
2 장 심장의 구조와 전기생리 / 29
1. 심장의 전기생리학적 구조 ··········································29
2. 심장의 자극 생성 및 전달 조직(자극전도계) ···························30
3. 심장세포의 전기생리학적 특성 ······································34
4. 심장세포의 활동전위 ···············································34
5. 심방과 심실의 특이한 탈분극 과정 ···································36
◈ 자율평가문제 ···················································38
 
3 장 정상 심전도 파와 간격 / 41
1. 정상 심전도 파와 간격 ··············································41
2. 특수 심전도 파 ····················································43
3. 심전도 파와 분절의 생성기전 ········································44
4. 심전도 파와 간격의 정상 기준(100의 법칙) ····························53
◈ 자율평가문제 ···················································55

4 장 심전도 파와 분절의 이상 / 57
1. P파의 이상 ························································57
1) 구조적인 P파 이상 ···············································57
2) 근원적인 P파 이상 ···············································60
2. QRS파의 이상 ·····················································64
1) 폭이 좁은 경우 ··················································64
2) 폭이 넓은 경우 ··················································66
3) 심실 후흥분파: 입실론파 ··········································77 
3. PR간격의 이상 ·····················································78
방실전도지연, 조기흥분
4. J점의 이상(조기재분극) ·············································78
1) 1형(측벽형) ·····················································79
2) 2형(하벽형) ·····················································79
3) 3형(범발형) ·····················································80
4) 4형(Brugada 증후군) ·············································80
5. ST절의 이상 ·······················································81
1) ST절 상승 ·······················································81
2) ST절 하강 ·······················································84
6. T파의 이상 ························································86
7. U파의 이상 ························································90
8. QT간격의 이상·····················································90
9. 전해질 불균형에 의한 심전도 변화 ···································90
◈ 자율평가문제 ···················································94
 
5 장 심장 율동 이상 (부정맥) / 97
I 정상 율동 / 97 1. 정상 동율동 ·······················································97
2. 비동성 정상 율동 ··················································98
II 서맥성 부정맥(느린맥) / 100
1. 동기능부전 ······················································100
2. 방실전도차단 ····················································103
III 빈맥성 부정맥(빠른맥) / 110
1. 심실상성 빈맥 ····················································110
2. 심실성 빈맥 ······················································125 
IV 조기박동 또는 기외수축 / 139
1. 심방 조기박동 ····················································139
2. 접합부 조기박동 ·················································140
3. 심실 조기박동 ····················································141
V 부정맥의 임상적 의미 / 145
1. 치료가 필요 없는 부정맥 ···········································145
2. 치료가 필요한 병적인 부정맥 ·······································146
◈ 자율평가문제 ··················································148
  
6 장 심전도 징후 및 현상 / 151
1. 심전도 징후 ······················································151
2. 심전도 현상 ······················································156
◈ 자율평가문제 ··················································168
 
7 장 심전도 판독의 순서와 기법 / 171
1. 기록의 기준과 질의 평가 ···········································172
2. 심장 율동의 분석 ·················································176
3. 파와 분절의 분석 ·················································214
4. 심전도 분석의 이중 선회법 ·········································265
5. 심전도 분석 결과 서술 방법 ········································266
◈ 자율평가문제 ··················································270 

8 장 심전도 홀로서기 연습 / 275

참고 문헌 ··························································338
찾아 보기 ··························································333 
INDEX ·····························································339