This CD-ROM contains over 118 clinical EKGs in 9 clinical categories. The tracings are standard 12-lead versions with zoom enlargements of critical areas. In some cases, orthogonal XYZ leads are also included. A detailed interpretation is presented which includes the criteria and the rationale for the diagnosis.

This new version contains an EKG tutorial, a Student Assessment, a section on vectorcardiography and the ability to ZOOM or expand any lead in any EKG for greater detail. This new upgrade is a significant improvement.

The tracings are hyperlinked with 10 discussion topics which include: the specialized conduction system, A-V block, bundle branch block, chamber enlargement, loop rotation, the EKG in CVA, electrolytes, myocardial infraction, tachycardia, and ventricular pre-excitation. This CD-ROM will operate on Windows XP, VISTA, 3.1, Windows 95/98 or Windows NT.

The authors are Sherman M. Steinzeig, M.D., FACC, Marvin I. Dunn, M.D., FACC, David Wilson, M.D., FACC from the Division of Cardiovascular Diseases, and Tseng Kuo Shiao, M.D. from the department of Information Technology at the University of Kansas Medical Center, Kansas City, Kansas.

Examples of Electrocardiograms on the Learning EKG software program

• Normal with horizontal axis
• Normal with vertical axis
• LVH (systolic overload)
• LVH (diastolic overload)
• Cor Pulmonale (Pulmonary hypertension due to COPD)
• Right bundle branch block (CLOSE UP)

with LAFB

with VPCs

            with pulmonary hypertension

            with cardiomyopathy

            with LAFB, atrial tachycardia

            with anerior lateral MI

            rate dependent

            2:1 AV block

• Left anterior vascular block
• Left bundle branch block
• Anterior and anterolateral myocardial infarction
• Myocardial infarction

            subtle inferior MI

            anterior MI with RBBB

            anterior MI

            antlat MMI with LBBB

            anterior infarction

            multiple MI 1

            multiple MI 2

            High lateral posterior

            Posterobasal MI

            Massive anterior wall MI

            Subtle anterior wall MI

            Old inf MI with LVH

• Hypokalemia (4 examples)
• Hypocalemia
• Hypercalcemia
• Multiple electrolyte disturbance (2 examples)
• Arrhythmias

            Ventricular fibrillation

            Atrial flutter

            Alternating beats

            AV dissociation

            Left atrial rhythm

            Ventricular tachycardia

            Interpolated VPCs

            2:1 AV block

• The EKG in CVA

            Prolonged PR

            CVA Pattern

            Inc. intracranial pressure

            Cerebral T waves

• Chamber Enlargement

            LAE, LVH with old MI

            LAE, LVH with pulmonary atresia

            LAE, Massive anterior MI

            LVH

• LHV with repolarization

            Early repolarization

            LVH, LAFB, atrial rhythm

            LVH diastolic overload

            LVH Lown, Ganong Levine

            LVH, LAE

            LVH, RBBB, LAFB

            REA, RVH

            RVH pulmonary hypertension

            RVH, type A

            RVH, type B

            RVH due to COPD

• Ventricular Preexcitation

            WPW

            WPW, intermittent

            WPW, type B

            LVH Lown, Ganong Levine

• Misc.

            Prolonged QT

            Acute Cor pulmonale

            Pericarditis

            Dextrocardia

            Tension pneumothorax