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Clinical Electrocardiography


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Table of Contents

Preface, vii Foreword by Dr Eugene Braunwald, ix Foreword by Dr Marcelo Elizari, x Recommended Reading, xi 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, 16 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, 34 6 The ECG Recording: Leads, Devices, and Techniques, 54 7 Characteristics of the Normal Electrocardiogram: Normal ECG Waves and Intervals, 67 8 Diagnostic Criteria: Sensitivity, Specificity and Predictive Value, 95 Part 3 Abnormal ECG Patterns 9 Atrial Abnormalities, 103 10 Ventricular Enlargement, 123 11 Ventricular Blocks, 158 12 Ventricular Pre-excitation, 203 13 Ischemia and Necrosis, 216 Part 4 Arrhythmias 14 Mechanisms, Classification, and Clinical Aspects of Arrhythmias, 279 15 Active Supraventricular Arrhythmias, 301 16 Active Ventricular Arrhythmias, 329 17 Passive Arrhythmias, 354 18 Diagnosis of Arrhythmias in Clinical Practice: A Step-by-Step Approach, 373 Part 5 The Clinical Usefulness of Electrocardiography 19 The Diagnostic Value of Electrocardiographic Abnormalities, 387 20 The ECG in Different Clinical Settings of Ischemic Heart Disease, 402 21 Inherited Heart Diseases, 453 22 The ECG in Other Heart Diseases, 473 23 The ECG in Other Diseases and Different Situations, 494 24 Other ECG Patterns of Risk, 511 25 Limitations of the Conventional ECG: Utility of Other Techniques, 523 Index, 541 Color plate section facing p. 276

About the Author

Antonio Bayes de Luna has been Associate Professor of the Universidad Autonoma de Barcelona, and Chief of Electrocardiography and Arrhythmic Unit in Hospital de Sant Pau. From 1992 to 1998 he chaired the Department of Cardiology and Cardiac Surgery in Hospital de Sant Pau, was a full Professor of Cardiology in the Universidad Autonoma de Barcelona, and the Director of the Institut Catala Cardiologia-Hospital Sant Pau. Dr Bayes de Luna has been extremely active in the activities of the European Society of Cardiology (ESC), most notably as a member of the ESC's Executive Scientific Committee. He has served as President of the XIV European Congress of Cardiology, the XIIth International Congress on Cardiovascular Pharmacotherapy, and was President of the World Heart Federation. Dr Bayes de Luna has served on the editorial boards of many of the most highly-regarded journals in cardiovascular medicine. He authored 5 books in English or Spanish, and previous editions of this book, Clinical Electrocardiography, have been translated into French, Russian, Polish and Turkish. He has edited 15 other books and has published more than 200 chapters in other books or monographs.


"This is a unique book because, rather than emphasizing memorization of ECG patterns, it focuses on the cellular, anatomical, and physiological parameters of conduction to facilitate an understanding of electrocardiography." ( Doody's , 30 November 2012)

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