Reddit mentions: The best cardiology books

So here are my recommendations then.

https://www.amazon.com/gp/product/0323017029/ref=as_li_ss_tl?ie=UTF8&camp=1789&creative=390957&creativeASIN=0323017029&linkCode=as2&tag=daynightrever-20

The above is an ultrasound requisites series book. The radiology requisites series is pretty popular and well regarded. I found it quite useful.

If you are planning to be a procedural oriented radiologist, or go into IR later. I recommend

this....https://www.amazon.com/dp/143771417X/ref=as_li_ss_tl?ie=UTF8&linkCode=sl1&tag=daynightrever-20&linkId=521eba90123660ea6bb3af27fa3febfd

I always have felt that ultrasound is only as good as the user. So technique is important. For this just general practice is good. However a very good understand of the views and anatomy in ultrasound is important. Ultrasound anatomy is less defined compared to CXRs, or CT/MR. Mainly because it is often a real time analysis, that is subjected to large amounts of human error based on your own(or a tech's) technique. As such, understanding the anatomy well is important so you know what you are doing.

Always follow the basic principles.in ultrasound WHERE are you, WHERE do you want to go, HOW do you get there, CAN you get there without having the patient moving positions , SHOULD you move the patient if you need different views. WHy do you need different views. ARE you confident in the diagnostic efficacy without continuing u/s analysis.

These two books aren't necessarily "radiology" level, as a physiican. They are more geared towards techs and midlevels. But are good for a good introductory text/review. https://www.amazon.com/Ultrasound-Teaching-Manual-Performing-Interpreting/dp/3131110430/ref=sr_1_8?ie=UTF8&qid=1480490856&sr=8-8&keywords=ultrasound

This atlas is decent, I always found it to be a great reference back when I was a resident.

https://www.amazon.com/Color-Atlas-Ultrasound-Anatomy-Berthold/dp/3131390522/ref=sr_1_21?ie=UTF8&qid=1480490961&sr=8-21&keywords=ultrasound+book

Lastly, I'd recommend buying some sort of u/s physics textbook(algebra based) just to give you a working understanding of the technology. And as you move through your training and beyond the baiscs, you can move onto specialzied ultrasound texts. The main ones are usually obstetrics, EM/Trauma, and abdominal(sometimes the latter two are combined, soemtimes 1 and three are combined in one text. You can search around).

I had to purchase this book for my coronary care course. I'm not usually a fan of assigned reading material, but this book actually explains things really clearly. It goes over the steps involved in obtaining and interpreting rhythm strips, all your major arrhythmias, treatments, and the 12-lead ECG.

As far as rhythms, the bare minimum you should be able to recognize (at least by the time you're caring for basic tele patients): normal sinus, sinus tachycardia, sinus bradycardia, sinus arrhythmia, afib, PVCs, vtach, vfib, asystole (imo these are the most common and/or the most recognizable). You should know what PQRST represents. How to determine heart rate, PR interval, and QRS duration, and what are the normal values. Knowing when a strip is showing an ominous rhythm vs. simply artifact. Also doesn't hurt to go over normal cardiac anatomy and physiology.

FYI my nursing school taught me nothing about tele, it was all self-taught via the above textbook + online post-graduate coronary care courses. I needed to submit a passing grade to my place of employment before I was allowed to care for tele patients. Maybe your hospital has a similar policy?

Dubin's is probably going to be the most popular suggestion, but I'm going to offer a dissenting voice. Dubin is a great first step, but in my opinion the way it's taught focuses too heavily on rote memorization to develop pattern recognition, and not enough on what the pathology is behind certain patterns. Raj Anand's A Practical Approach to EKG Interpretation goes more into the physiology and pathology that causes EKGs. The first half of the book is all about systematically reading EKGs, the second half is several dozen EKGs, presented initially with a step-wise explanation that decreases as time goes on. Eventually all you have is the EKG and the answer (don't look before hand!). I also like Anand's book because his method of determining the QRS axis is superior and far quicker than to other methods, I have found.

If you're also looking for free materials, [ECGpedia.org] (http://en.ecgpedia.org/wiki/Main_Page) is a wiki on EKGs and has some good explanations of tracings, although they don't have the greatest sample EKGs to show pathology. ECG Maven, put out by Harvard Medical School, is a good place to cut your teeth afterwards on EKGs with varying difficulties. Just make sure you click to see high resolution images because the resolution is terrible on the initial images. Finally Life in the Fast Lane has some good example EKGs, and their approach is somewhere between Dubin and Anand's.

I know you wanted a website, but I would still like to recommend the book 150 ECG cases by Hampton. The book is amazing, and taught me a lot when I was starting out my electrical puzzlesolving journey. It has a short clinical history and an ECG on one page. When you turn the page it systematically goes through the specific pathologies in the ECG, what this means, and what you should do now. Just a great way to learn ECGs in a clinical context, and really explains why rather than just what.

https://www.amazon.co.uk/150-ECG-Problems-3e-Ecg/dp/0443068232

Edit: There is a free sample available from inkling.com so you can see what the format is like.

Not an RT, but CVT here. I just finished 2 years of school (1 year of clinicals) specifically to learn cath lab stuff and I STILL feel overwhelmed. Don't get down on yourself, it takes a long time. Everybody I know says 1-2 years before you're comfortable.

If you haven't read or looked at it yet, I HIGHLY recommend this book by Kern. Easy to understand and good pictures.

https://www.cvphysiology.com

This website is really useful for all things cardiology. Basically a textbook and pretty in-depth but all inclusive. We used this as my school(not the school the author is from) and most lectures were based on it. Really well done for understanding I thought. Didn’t even have to really study cardio that much for step 1. There’s a lot of info there so if it’s too much you can always just use it to dig deeper into what you’re struggling with.

While not free, I thought this book was fantastic for EKG’s: https://www.amazon.com/Only-Book-Youll-Ever-Need/dp/1496377230/ref=mp_s_a_1_1?ie=UTF8&qid=1541210064&sr=8-1-spons&pi=AC_SX236_SY340_QL65&keywords=the+only+ekg+book+you%27ll+ever+need&psc=1

I still reference it regularly during rotations and learned really well from the book how to get a system down for systematically reading ekg’s and what to look for.

Hope either of these might help!

Not sure if you are going to get open heart surgical patients, but by far the best book related to a cardiac ICU is Bojar.

It has a large focus on surgical patients, but goes into detail that would be applicable for regular cardiac ICU patients. Really good book that we reference a lot on our unit. It contains everything from basic cardiac ICU stuff to very specific situational things like hooking a 12 lead EKG directly to temporary pacer wires

Electrophyslogic Testing by Richard Fogoros

https://www.amazon.com/Electrophysiologic-Testing-Richard-N-Fogoros/dp/0470674237

https://www.amazon.com/Electrophysiologic-Testing-Fourth-Richard-Fogoros/dp/1405104783/ref=pd_sbs_14_t_1?_encoding=UTF8&psc=1&refRID=7J5MS6B697Q93D9H7417

Great book for a budding EP staff member. A used 4th edition for cheap would probably be fine.

IBHRE Exam resources

http://pacericd.com/ibhre.htm (free)

http://atischool.org/product-category/books/(pricey books, make your hospital pay for them!)

Heart Rhythm Society (hrsonline.org) is one of the bigger societies related to EP.

eplqbdigest.com is a free resource/news magazine website. Signing up for the monthly printed magazine is free.

ECG

http://ecg.utah.edu/

http://lifeinthefastlane.com/author/edward-burns/

First of all, regarding the "bladeless" fan, the vanes of the impeller are practically the same thing. Inside the base of each unit is an impeller. The trick is that it takes advantage of the Bernoulli principle to entrain a greater volume of air, and reduces the amount of loss due to turbulent flow by allowing the expelled gas to build a slight compression within the ring shape prior to exiting. This leads to stagnant pockets, which would be disastrous for a patient.

Secondly, you really don't have to fear the blades. The field of mechanical circulatory support is lead by products that use impellers. The trend over this past decade is to magnetically levitate the impeller in order to allow blood to flow around it on all sides. That said, some designs you may find interesting would be those of diaphragm pumps, peristaltic pumps (as mentioned by /u/chillywillylove), multiple disk centrifugal pumps, and the wild and crazy [read:developing] world of 'capillary action' pumps.

Lastly, I wish you the best of luck.

Some things to brush up on:

• Reynold's number for blood
  
• Relation to flow behavior
  
• The latest, fairly comprehensive publication on the topic
  
• The bible of centrifugal pump design
  
  
  

>The vast majority of a CCT’s training is on lead II, so that’s where I focused.

Bahahahahaha!

So you are trained to interpret a single lead - ie a rhythm strip - so presumably you can spot elementary rhythm abnormalities and suggest to a nurse when they should maybe call a doctor? Good for you!

None of that qualifies you to opine on the OP's 12 lead ECG and it certainly doesn't qualify you to espouse entirely unfounded opinions on potassium homeostasis. If you think it does, then you do undoubtedly need more training, because - as the saying goes - a little knowledge is a dangerous thing.

BTW the link was for your benefit, not mine. But the book below has served generations of medical students and would be a good intro to the 12-lead ECG for you.

Best wishes.

https://www.amazon.com/Made-Easy-John-Hampton-DPhil/dp/0702046418

Sorry to be a wet blanket, but I'm fairly certain this is textbook A-flutter with variable AV conduction. I use the term AV conduction rather that AV Block, because according to Marriott's, the term "block" implies dysfunction of the AV node, which is not the case here. The AV node is functioning in its protective role by withholding extra impulses from over stimulating the ventricles. The Atrial rate is 220 with a ventricular rate of 100. I've marked the flutter waves here.

Edited to be sure people look further down in this comment chain for a couple of better explanations than mine.
Special thanks to /u/ERdoc987, and /u/MedlifeCrisis for their clarifications!

Know you asked for links but this book
http://www.amazon.com/Only-Book-Youll-Ever-Need/dp/1451119054 is amazing. I learned all my foundation of ecg with this one. Highly recommend it

Try LITFL's ECG basics, and Maven should keep you in sinus once the basics set in.

There's also this book which is great for the basics, but I'd say LITFL does a great job.

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edit: typo

Everyone is going to say Dubin's, but The Only EKG Book You'll Ever Need is very good as well. Both are introductory EKG books. I skimmed Dubin's at first along with 90% of my classmates, but I ended up ditching it because the organization wasn't very good and the explanations left something to be desired. You should check your library to see if you can compare them.

Handbook of Interventional Radiology procedures is an easy book to digest and carry around. I would recommend looking at the schedule for the following day and definitely reading sections for cases you want to observe/scrub into. Also always look at preprocedure images when available and start to figure out what things would be important to note in those studies before doing certain cases to help speed things up and trouble shoot potential issues.

https://www.amazon.com/Handbook-Interventional-Radiologic-Procedures-Lippincott/dp/0781768160

The metric is effectively average LDL size. There’s a lot of study of LDL size, specifically using the CardioIQ series of tests which is an ion mobility test which produces a detailed graph of concentration by particle size. The guy who licensed the test to Quest is named Dr. Ron Krauss and has a number of papers published on the topic from that test and one of an earlier generation. I met him at the Weight of the Nation conference in San Francisco last year and he’s quite a cool guy.

One reason these findings aren’t talked about a lot is because most of the findings tend to correlate a high concentration of small-dense LDL particles with higher incidence of CVD. The “problem” is that the small-dense LDL pattern is also associated with low fat, high carbohydrate dietary patterns and seems to get better on a high fat, low carbohydrate diet. In that fashion the finding is actually diametrically opposed to the traditional diet-heart hypothesis which is that fat and SFA in particular => LDL-C => CVD and therefore both cannot be true.

The general topic of CVD and cause w.r.t. lipoproteins is pretty interesting because it exposes the possibility that small dense LDL is strongly correlated with hyperinsulinemia. Krauss contended that he had seen counterexamples in his data but I didn’t get further details at the time.

If you’re interested more in CVD I would recommend Subbotin and Constantin Velican though sadly I appear to have bought the last reasonably priced used copy of his book — he also has a series of papers published in the journal Atherosclerosis from the late 60s through the 80s and performed hundreds of autopsies to develop an understanding of the time series progression of the disease.

While free almost always seems better, I really like this book. Divided into chapters where it briefly reviews electrophysiology, then presents multiple examples. Left side of page is ekgs without any comments, then the right side of the page shows you what you should have noticed and the underlying rhythm, etc. The new edition comes with an ebook too, you may find the first edition for cheaper.

https://www.amazon.com/Visual-Guide-ECG-Interpretation/dp/1496321537

Wholeheartedly recommend this book - the ECG made easy https://www.amazon.co.uk/dp/0702074578/ref=cm_sw_r_cp_api_i_YqZPDb3E1FFP3

Very simple to understand, not long and complicated, lots of pictures. Helped me loads.

This and just practice! Have a go, look at as many as you can and ask your seniors for help interpreting them.

For ECG: https://www.amazon.co.uk/ABC-Clinical-Electrocardiography-Francis-Morris/dp/1405170646
It's the book that I find explains things best and in the most understandable manner. I've had a few edge books, this is the one I always go back to.

For clinical examination, MacLeod's clinical examination is the definitive work.


For anatomy, physiology and pathophysiology, find out what your course bases it's exams off and use that.


I would personally avoid EMS specific books like Nancy Caroline as they try to be all things to all men and just end up summarising complicated topics in a way that leaves you with too little information, too poorly explained. Go to Caroline's sources, like MacLeod!

> This is what gave me that idea.

I can see where the confusion arose. The operative word in that sentence was synchronized. You don't give people unsynchronized shocks, I didn't mean to imply that default treatment for VT is cardioversion.

> If you are segregating tachycardias purely by their anatomical source, sure. Most cardiologists, intensivists, and physicians I know use the term "SVT" to refer specifically to paroxysmal SVT, and use the more specific names of the other "supraventricular" tachycardias when discussing them to avoid confusion.

Maybe this is a regional thing as I'm not in the US, but that is not a common term here.

I looked into it, this is what Braunwald has to say:
>Tachyarrhythmias are boardly characterized as supraventricular tachycardia (SVT), defined as a tachycardia in which the driving circuit or focus originates, at least in part, in tissue above the level of the ventricle [..] and ventricular tachycardia (VT)

Which is more or less literally what I told you before. Neither paroxysmal SVT nor PSVT are mentioned.

After some searching this guideline mentions the following definition:
> Episodes of regular and paroxysmal palpitations with sudden onset and termination (also referred to as PSVT)

So basically all SVT except for afib (although patients might not be able to distinguish regular and fast from irregular and fast).

> If I was trying to communicate to another physician that a patient has A fib, I wouldn't use the term SVT, that's just asking for trouble.

If I knew the diagnosis, I would just tell them the diagnosis.

>Lol, OK. I guess my lowly pediatrics training wasn't good enough to impress you, you mysterious heart expert.

Don't be butthurt when you're the one that brought it up. I didn't imply anything negative about pediatrics.

A book called ECG's made easy is a great resource. Takes you through every step, then shows you examples of all you need to know. http://www.amazon.com/The-ECG-Made-Easy-8e/dp/0702046418/ref=sr_1_5?ie=UTF8&qid=1396159650&sr=8-5&keywords=ECG+made+easy

https://www.amazon.com/Cardiac-Catheterization-Handbook-Morton-MSCAI/dp/0323340393/ref=sr_1_3?ie=UTF8&qid=1536618435&sr=8-3&keywords=cardiac+catherization+handbook

This book is a great place to start. Your background will help you tremendously but be prepared to feel like you have no idea what is happening for a little while. There is a lot of equipment and supplies that are foreign to us ER transplants, but with a little time it all starts to make sense.

Great online tool
http://www.skillstat.com/tools/ecg-simulator

For more advanced knowledge-this book is literally the only EKG book you'll ever need!
https://www.amazon.com/Only-Book-Youll-Ever-Thaler-ebook/dp/B00RM4T1ZM

I tried Dubin's, did not like it that much. Much more preferred Malcolm Thaler's book, was super useful during a cardiology elective I did.

https://www.amazon.ca/Only-Book-Youll-Ever-Need/dp/1451193947/ref=sr_1_1?s=books&ie=UTF8&qid=1478375011&sr=1-1&keywords=the+only+ekg+book+you%27ll+ever+need

Edit: Also, Life in the Fast Lane (EM/Crit Care-oriented blog) has a massive set of ECG cases and examples to go through for specific conditions.

Cardiac Catheterization Handbook, 6e https://www.amazon.com/dp/0323340393/ref=cm_sw_r_cp_api_CnpIAbP8VJ4WT

I like this book.

Know your cardiac meds (duh), anti-coags, vasoactives... pretty much the ones we use most.

I did a majority of my self learning through the text books, and supplemented with mybrady, medic tests, and a couple of more advanced books like https://www.amazon.com/Only-Book-Youll-Ever-Need/dp/1496377230/ref=pd_lpo_sbs_14_img_0?_encoding=UTF8&psc=1&refRID=TN54Z1Z7N1PFDTFSKWFY

And for quick study I used this
https://www.amazon.com/Paramedic-Crash-Course-Online-Practice/dp/0738612464/ref=mp_s_a_1_4?keywords=paramedic+prep&qid=1574426568&sprefix=paramedic+prwp&sr=8-4

Richard Fogoros has a couple books that are good for general knowledge of electrophysiology and antiarrhythmic drugs

http://www.amazon.com/gp/aw/d/0470674237/ref=mp_s_a_1_1?qid=1418841372&sr=8-1&pi=AC_SY200_QL40

http://www.amazon.com/gp/aw/d/1405163518/ref=mp_s_a_1_2?qid=1418841372&sr=8-2&pi=AC_SY200_QL40

Murgatroyd is one of my favorites, but it's more directed for an EP lab setting.

http://www.amazon.com/gp/aw/d/1901346374/ref=mp_s_a_1_1?qid=1418841501&sr=8-1&pi=AC_SX200_QL40

And if you want to go higher detail, Issa is what I go to

http://www.amazon.com/gp/aw/d/1455712744/ref=mp_s_a_1_1?qid=1418841593&sr=8-1&pi=AC_SY200_QL40

This one is great for beginners: http://www.amazon.com/Only-Book-Youll-Ever-Need/dp/1451119054

More clinical: http://www.amazon.com/Chous-Electrocardiography-Clinical-Practice-Pediatric/dp/1416037748/ref=sr_1_17?s=books&ie=UTF8&qid=1419552313&sr=1-17&keywords=EKG+textbook

I have not read it but a lot of cardios recommended this when I was on rotation. So maybe it's worth checking out.

http://www.amazon.com/Only-Book-Youll-Ever-Need/dp/1451119054

The best option is this book(i read it on an ipad, does that count?)

the only ekg book you'll ever need

I know youre not after a book, but this is written in a fun way, i accidentally read the whole thing..

This is RIDICULOUSLY good. So easy, intuitive and progressing!

http://www.amazon.co.uk/The-ECG-Made-Easy-8e/dp/0702046418

Videos: https://www.khanacademy.org/science/health-and-medicine/circulatory-system

Books: http://www.cvphysiology.com, https://www.amazon.com/Only-Book-Youll-Ever-Thaler/dp/1451193947/ref=pd_sbs_14_t_0?_encoding=UTF8&psc=1&refRID=PVZK7GHPGGQXBP2ME4MB (if you Google it you can find a PDF...) and/or https://www.amazon.com/Physiology-STUDENT-CONSULT-Online-Costanzo/dp/145570847X

Grab this book by Bojar.

https://www.amazon.co.uk/ECG-Made-Easy-8e/dp/0702046418

The Bible

The book by Fogoros is the standard.

Electrophysiologic Testing (Fogoros, Electrophysiologic Testing) https://www.amazon.com/dp/0470674237/ref=cm_sw_r_awd_K3r.tb1A2F8PY