ECG from Basics to Essentials

Roland X. Stroobandt MD, PhD, FHRS Professor of Medicine Ghent University Hospital Ghent, Belgium S. Serge Barold, MD, FRACP, FACP, FACC, FESC, FHRS The Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA Alfons F. Sinnaeve ing., MSc Professor Emeritus of Electronic Engineering Technical University KUL-Vives, Department of Electronics Oostende, Belgium

Preface, vi About the companion website, vii

1 Anatomy and Basic Physiology, 1

2 ECG Recording and ECG Leads, 21

3 The Normal ECG and the Frontal Plane QRS Axis, 53

4 The Components of the ECG Waves and Intervals, 73

5 P waves and Atrial Abnormalities, 85

6 Chamber Enlargement and Hypertrophy, 99

7 Intraventricular Conduction Defects, 105

8 Coronary Artery Disease and Acute Coronary Syndromes, 123

9 Acute Pericarditis, 187

10 The ECG in Extracardiac Disease, 193

11 Sinus Node Dysfunction, 203

12 Premature Ventricular Complexes (PVC), 217

13 Atrioventricular Block, 227

14 Atrial Rhythm Disorders, 243

15 Ventricular Tachycardias, 279

16 Ventricular Fibrillation and Ventricular Flutter, 305

17 Preexcitation and Wolff -Parkinson-White Syndrome (WPW), 311

18 Electrolyte Abnormalities, 327

19 Electrophysiologic Concepts, 333

20 Antiarrhythmic Drugs, 351

21 Pacemakers and their ECGs, 359

22 Errors in Electrocardiography Monitoring, Computerized ECG, Other Sites of ECG Recording, 391

23 How to Read an ECG, 407

Index, 425