Contents
PREFACE TO THIRD EDITION . .........
PREFACE TO SECOND EDITION . .. .
PREFACE TO FIRST EDITION
LIST OF FREQUENTLY USED ABBREVIATIONS
1 / Basic Measurements l
Heart Rate . 2
Determination of Intervals and Durations .5
Determination of Amplitude 6
The R/S Ratio. .7
The QRS Axis . . .7
The P Axis and T Axis 21
The QRS-T Angle .23
Horizontal Reference System 23
Morphology of ECG Deflections. 28
Review Questions 29
2 / Normal Electrocardiograms 32
Age-Related Changes in ECG 32
Normal ECG Tracings 34
Review Questions 41
3 / Normal ECG Values and Deviations From Normal . 42
Heart Rate 42
Rhythm . 43
P Wave 43
PR Interval 44
QRS Complex 45
ST Segment;. 51
T Wave 52
QRS-T Angle 53
QT Interval 54
Review Questions . . . . .55
4 / Hypertrophy .56
Atrial Hypertrophy. 56
Ventricular Hypertrophy 61
Review Questions 74
Normal Ventricular Depolarization 76
Right Bundle Branch Block (RBBB) 77
Left Bundle Branch Block (LBBB) 83
Hemiblocks or Fascicular Blocks 85
Intraventricular Block 86
Implanted Ventricular Pacemaker . 88
Preexcitation 90
Review Questions 95
6 / Changes in ST Segment and T Wave 97
Nonpathologic ST Segment Shift 97
Pathologic ST-T Changes .99
Review Questions .109
7 / Arrhythmias HO
Mechanisms of Abnormal P Wave and QRS Complex Hi
Basic Arrhythmias Л-13
Disturbances of AV Conduction 126
Review Questions 129
8 / Chamber Localization 131
Locating the Atria and Ventricles 131
Locating Abnormal Chambers .132
Review Questions 138
9 / Systematic Approach 139
10 / Analysis of Arrhythmias and Atrioventricular
Conduction Disturbances . . . .180
APPENDIX . .228
How to Avoid Common Errors and Artifacts in Recording 228
Classification of Congenital Heart Disease According to
ECG anS Clinical and Physiologic Status 234
Tables of Normal Values 236
ANSWERS TO REVIEW QUESTIONS 238
INDEX 241