Electrocardiography

  • Jason Homsy
  • Philip J. Podrid
  • Philip J. Podrid
  • Philip J. Podrid
Chapter

Abstract

Two most frequent complaints of test takers for the electrocardiography (ECG) section of the board exam were that they did not have enough time and that they did not know the answer options (and therefore they ended up wasting a lot of time looking for the answers that they wanted on the answer options page!). Even if you get everything else on the board exam right, if you fail the ECG section, you still fail the boards. This is the most important part of your board exam. If you don’t know the answers, then move on and come back to it. You must KNOW how to diagnose the answers on the answer options list. We recommend that you practice coding a set of ECG’s in a timed session using the ABIM answer options list (There are typically 37 ECG’s in one 2-h session, that's an average of 3.2 min/ECG). Pay special attention to the brief description of the patient. They contain invaluable clues to diagnoses.

You can find the answer option lists on the American Board of Internal Medicine (ABIM) official website, http://www.abim.org/, under the tab, “take the exam your complete guide,” then under the “Prepare for the Exam: Take the Tutorial” section, near the bottom is a pdf file called “Sample Cases - Electrocardiograms and Imaging Studies (pdf).” Pay extra attention to the last few pages, which explains the scoring of sample cases.

Keywords

Toxicity Magnesium Depression Ischemia Respiration 

Abbreviations

AIVR

Accelerated idioventricular rhythm

AV

Atrioventricular

AVNRT

Atrioventricular nodal reentrant tachycardia

AVRT

Atrioventricular reentrant tachycardia

CNS

Central nervous system

ECG

Electrocardiogram

IVCD

Intraventricular conduction delay

LA

Left atrial

LAFB

Left anterior fascicular block

LBBB

Left bundle branch block

LGL

Lown-Ganong-Levine

LPFB

Left posterior fascicular block

LV

Left ventricle

LVH

Left ventricular hypertrophy

MI

Myocardial infarction

PVB

Premature ventricular beats

PVC

Premature ventricular complexes

RA

Right atrium

RBBB

Right bundle branch block

RV

Right ventricle

RVH

Right ventricular hypertrophy

VA

Ventriculoatrial

VPB

Ventricular premature beats

VPC

Ventricular premature complexes

VT

Ventricular tachycardia

WPW

Wolff-Parkinson-White

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  • Jason Homsy
    • 1
  • Philip J. Podrid
    • 2
  • Philip J. Podrid
    • 3
  • Philip J. Podrid
    • 4
  1. 1.Harvard Medical School Cardiology Division, Department of MedicineMassachusetts General HospitalBostonUSA
  2. 2.Boston University School of MedicineBostonUSA
  3. 3.Harvard Medical SchoolBostonUSA
  4. 4.Department of MedicineVA Boston Healthcare System, West Roxbury DivisionWest RoxburyUSA

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