Abbreviations
Dedication
About the Author
Preface
Acknowledgments
Sequence of ECG Interpretation (inside back cover)
Normal Values (inside back cover)
Part I The Electrocardiogram (ECG)
Chapter 1 Basic Electrocardiography
Cardiac electrical activity and the ECG • The cardiac conduction system • ECG electrodes and leads
Chapter 2 A Systematic Approach to ECG Interpretation
The standard 12-lead ECG • Rate and rhythm • The P wave • The QRS complex • The T wave • The U wave • The PR interval • The ST segment • The QT interval • QRS axis
Part II Major ECG Abnormalities: Diagnostic Clues and Clinical Correlations
Chapter 3 Myocardial Ischemia and Infarction
ECG changes in ischemia, injury, and infarction • Classic (stable and unstable) angina pectoris • Prinzmetal’s (variant) angina • ST elevation (Q wave) MI • Non-ST elevation (non-Q wave) MI • Localization of myocardial infarction • Inferior wall MI • Lateral wall MI • Anterior wall MI • Posterior wall MI • Evolution of myocardial infarction • Right ventricular MI • ST elevation MI in LBBB • ECG signs of reperfusion • Limitations of the ECG in MI
Chapter 4 Cardiac Chamber Enlargement and Hypertrophy
Left atrial enlargement • Right atrial enlargement • Left ventricular hypertrophy • Right ventricular hypertrophy
Chapter 5 Arrhythmias and Conduction Disturbances
Mechanisms of arrhythmias • Supraventricular arrhythmias • Premature atrial contractions • AV nodal reentrant tachycardia • AV reentrant tachycardia • Preexcitation (Wolff-Parkinson-White syndrome, Lown-Ganong-Levine syndrome) • Multifocal atrial tachycardia • Atrial flutter • Atrial fibrillation • AV junctional arrhythmias • Vagal maneuvers • Ventricular arrhythmias • Premature ventricular contractions • Ventricular tachycardia • VT versus SVT with aberrancy • Torsades de pointes • Ventricular fibrillation • Electrical cardioversion and defibrillation • Sinus arrest and sinus exit block • Sick sinus syndrome • First-, second-, and third- degree AV block • Bundle branch block • Fascicular block • Cardiac pacemakers and implantable cardioverter defibrillators
Chapter 6 Miscellaneous ECG Patterns
Pericarditis • Early repolarization • Hypothermia • LV aneurysm • Mimics of myocardial ischemia and infarction
Chapter 7 Pearls and Pitfalls in ECG Interpretation
Misinterpretation of ECG findings • Limitations of computer ECG analysis • Athlete’s heart • ECG markers of sudden cardiac death • Hypertrophic cardiomyopathy • Arrhythmogenic RV cardiomyopathy • Brugada syndrome • Long QT syndrome
Chapter 8 Specialized ECG-based Tools and Techniques
Ambulatory ECG (Holter) monitoring • Event recording • Tilt table testing • Exercise ECG stress testing • Signal-averaged ECG • Electrophysiologic studies (EPS)
Appendix A Common ECG Findings in Selected Cardiac and Noncardiac Conditions
Appendix B Practice ECGs: Putting It All Together
Selected Reading
Index
