Preface to third edition vii
About the author ix
Acknowledgements xi
Abbreviations xiii
Part 1: Understanding the electricity of the heart and how it produces an ECG complex 1
1 What is an ECG? 3
2 The electricity of the heart 4
3 Rhythms of sinus origin 10
Part 2: Abnormal electricity of the heart 15
4 Recognising and understanding ectopia 17
5 Ventricular arrhythmias 27
6 Supraventricular arrhythmias 44
7 Abnormalities in the conduction system 54
8 Changes in the P–QRS–Tmorphology 63
Part 3: More advanced electrocardiography 71
9 Understanding the ECG limb lead systems 73
10 Mean electrical axis (MEA) explained 75
11 Intraventricular conduction defects 79
12 Supraventricular arrhythmias: in-depth 86
Part 4: Management, clinical significance and treatment of arrhythmias 95
13 Management of arrhythmias 97
14 Clinical significance and treatment of tachyarrhythmias 102
15 Clinical significance and treatment of bradyarrhythmias 112
Part 5: Recording and interpreting ECGs 119
16 Approach to interpretation of the ECG recording 121
17 Artefacts 124
18 Recording an ECG 130
19 Choosing an ECG recorder 137
20 Ambulatory ECG monitoring 143
Further reading 152
Index 153