Main description:

b>Clinical Electrocardiography Electrocardiography is a transthoracic recording over a period of time. Electrical activity is detected and recorded via electrodes attached to the outer surface of the skin. The recording produced by this noninvasive procedure is termed as electrocardiogram. ECGs are used to measure the rate and regularity of heartbeats as well as the size and position of the chambers, the presence of any damage to the heart, and the effects of drugs or devices used to regulate the heart.

Clinical Electrocardiography is the clearest and most accessible guide available to the application and interpretation of the ECG in clinical practice. The book proceeds from the belief that ECG patterns should not be memorized, but rather must be understood based on how they originate; it is only by achieving this level of understanding that clinicians can make the most informed diagnoses and thus manage patient care with complete confidence. This fully revised 5th edition:

Gives clear information about the correct diagnoses of different heart diseases based on ECG alterations.
Presents an exceedingly clear and linear approach to understanding the application and interpretation of the ECG in clinical practice.
Explains the electrical activity of the heart and basic electrocardiographic principals.
Offers guidance on normal ECG patterns and the changes various heart diseases produce in ECG morphology
Provides a practical, deductive approach to the diagnosis of arrhythmias - one of the most challenging tasks for many clinicians
Summarizes current knowledge of the clinical implication of rhythmic disturbances.

Contents:

Preface by Prof. Antoni Bayes de Luna vii

Preface by Drs Miquel Fiol-Sala, Antoni Bayes-Genis, and Adrian Baranchuk viii

Foreword by Dr Marcelo V. Elizari ix

Foreword by Dr Pedro Brugada xi

Recommended Reading xiii

Part 1 Introductory Aspects

1 The Electrical Activity of the Heart 3

2 The History of Electrocardiography 11

3 Utility and Limitations of the Surface ECG: Present and Future 17

Part 2 The Normal ECG

4 The Anatomical Basis of the ECG: From Macroscopic Anatomy to Ultrastructural Characteristics 25

5 The Electrophysiological Basis of the ECG: From Cell Electrophysiology to the Human ECG 35

6 The ECG Recording: Leads, Devices, and Techniques 56

7 Characteristics of the Normal Electrocardiogram: Normal ECG Waves and Intervals 69

8 Diagnostic Criteria: Sensitivity, Specificity, and Predictive Value 100

Part 3 Abnormal ECG Patterns

9 Atrial Abnormalities 107

10 Ventricular Enlargement 133

11 Ventricular Blocks 170

12 Ventricular Pre-excitation 215

13 Ischemia and Necrosis 229 Part 4 Arrhythmias

14 Mechanisms, Classification, and Clinical Aspects of Arrhythmias 299

15 Active Supraventricular Arrhythmias 321

16 Active Ventricular Arrhythmias 350

17 Passive Arrhythmias 376

18 Diagnosis of Arrhythmias in Clinical Practice: A Step-by-Step Approach 396

Part 5 The Clinical Usefulness of Electrocardiography

19 The Diagnostic Value of Electrocardiographic Abnormalities 411

20 The ECG in Different Clinical Set of Ischemic Heart Disease 427

21 Inherited Heart Diseases 478

22 The ECG in Other Heart Diseases 498

23 The ECG in Other Diseases and Different Situations 520

24 Other ECG Patterns of Risk 539

25 Limitations of the Conventional ECG: Utility of Other Techniques 552

26 The Electrocardiology of the Twenty-First Century 571

Index 574