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.
About the Authors
Antoni Bayés de Luna is Emeritus Professor of Cardiology, Autonomous University of Barcelona. Senior Investigator, Research Institute Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau, Barcelona, Spain.
Miquel Fiol-Sala is Scientific Director of the Health Research Institute of the Balearic Islands. Former Director of the Coronary Care Unit, Son Espases University Hospital. Associate professor at the University of the Balearic Islands. Spain
Antoni Bayés-Genís is Head of the Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona; Full professor, Universitat Autònoma de Barcelona, Barcelona, Spain
Adrián Baranchuk is Professor of Medicine at Queen’s University in Kingston, Ontario, Canada and serves as President Elect of the Interamerican Society of Cardiology (SIAC)
TABLE OF CONTENTS
Preface by Dr. Antoni Bayés de Luna
Preface by Dr. Miquel Fiol-Sala, Antoni Bayés-Genís, Adrián Baranchuk
Foreword by Dr Marcelo Elizari
Foreword by Dr Pedro Brugada
Recommended Reading
Part 1 Introductory Aspects
Chapter 1. The Electrical Activity of the Heart
Chapter 2. The History of Electrocardiography
Chapter 3. Utility and Limitations of the Surface ECG: Present and Future
Part 2 The Normal ECG
Chapter 4. The Anatomical Basis of the ECG: From Macroscopic Anatomy to Ultrastructural Characteristics
Chapter 5. The Electrophysiological Basis of the ECG: From Cell Electrophysiology to the Human ECG
Chapter 6. The ECG Recording: Leads, Devices, and Techniques
Chapter 7. Characteristics of the Normal Electrocardiogram: Normal ECG Waves and Intervals
Chapter 8. Diagnostic Criteria: Sensitivity, Specificity and Predictive Value
Part 3 Abnormal ECG Patterns
Chapter 9. Atrial Abnormalities
Chapter 10. Ventricular Enlargement
Chapter 11. Ventricular Blocks
Chapter 12. Ventricular Pre-excitation
Chapter 13. Ischemia and Necrosis
Part 4 Arrhythmias
Chapter 14. Mechanisms, Classification, and Clinical Aspects of Arrhythmias
Chapter 15. Active Supraventricular Arrhythmias
Chapter 16. Active Ventricular Arrhythmias
Chapter 17. Passive Arrhythmias
Chapter 18. Diagnosis of Arrhythmias in Clinical Practice: A Step-by-Step Approach
Part 5 The Clinical Usefulness of Electrocardiography
Chapter 19. The Diagnostic Value of Electrocardiographic Abnormalities
Chapter 20. The ECG in Different Clinical Settings of Ischemic Heart Disease
Chapter 21. Inherited Heart Diseases
Chapter 22. The ECG in Other Heart Diseases
Chapter 23. The ECG in Other Diseases and Different Situations
Chapter 24. Other ECG Patterns of Risk
Chapter 25. Limitations of the Conventional ECG
Chapter 26. The cardiology of the 21st century
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