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Introduction

In this program, you learned the basic principles of arrhythmia interpretation. You also

learned the rules for twenty-two of the most common arrhythmias. This book has

provided you with a format for analyzing any arrhythmia so that you can compare it to

the rules and identify it. The format directs you to systematically inspect the regularity,

rate, P waves, PR intervals, and QRS complexes, and to use all of that information to

help you identify the arrhythmia.

As you practice on more and more rhythm strips, you will develop your

interpretation skill. The more you practice, the easier this process will become,

and you will find that you are conducting many of the format steps without really

thinking about them. It will become almost second nature to you. At that point, you

might begin to think that the format is no longer useful, or that it no longer applies.

In fact, you have simply learned to perform the process quickly. The important

issue is that you know the format, and if you ever need to interpret a very complex

arrhythmia, you can always revert to the five-step process. Once you are comfortable

using this format, it will always be available to help you identify even the most

intimidating arrhythmia.

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For you to be truly comfortable in arrhythmia identification, you must practice.

That is what this chapter is for. As you go through the practice strips, remember the

analysis format, even if you only use it mentally most of the time. When you check

your answers with the key, look to see how the answers were reached. If you repeatedly

make errors in the same area, go back to the related chapter and review the key points.

If possible, have an instructor or other knowledgeable person assist you.

This book was designed to provide you with a solid foundation of knowledge

and skill in arrhythmia interpretation. As you complete the program, you should be

very capable of recognizing and understanding the most common uncomplicated

arrhythmias. But this is only the tip of the iceberg in the field of electrocardiography.

If you are interested in continuing to learn more about this field, you can add to the

core of information you already have by attending higher-level EKG classes, reading

the many books that are available, or talking to people who work with EKGs every day.

This is a fascinating area of study. Researchers are discovering new things daily that

add to our understanding of electrocardiography. The most difficult step in the learning

process is the very first phase of learning the basics, and now you have completed

that phase. Now there is nothing to prevent you from becoming an expert in this field.

Nothing but practice, that is. And practice begins here.

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