Clinical Electrocardiography: Review & Study Guide / Edition 2

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The best review available for the ECG section of the cardiology boards! This exceptional resource offers 200 full-sized ECGs with accompanying patient histories in a format parallel to the cardiology certification exam. The included ECGs range from simple to complex, reflecting conditions common and rare.

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Editorial Reviews

Doody's Review Service
Reviewer: Sammy Khatib, MD (Ochsner Clinic Foundation)
Description: This is a study guide which facilitates the interpretation of ECGs with a particular emphasis on preparing for the cardiology board examinations. The book is structured to simulate test exams, with ECGs and a clinical scenario given. Subsequently, there is a summation of the abnormalities of the ECG, followed by a short explanation. There is also a listing of the answers that one would be expected to give on the board certification examinations.
Purpose: The purpose is to "provide physicians with a clinically relevant approach to the interpretation of electrocardiograms." The objectives include helping the reader recognize common and uncommon ECG diagnoses, learn the principles of interpreting cardiac arrhythmias, identify areas of weakness, and correlate ECG data with clinically relevant information. The book is successful in facilitating the recognition of common and uncommon ECG patterns, as well as helping the reader identify weaknesses which need to be improved. It is also moderately successful in correlating ECG data with clinically relevant information.
Audience: The book is designed for any physician interpreting ECGs. The author is a credible authority on this subject, as evidenced by the quality of the work.
Features: The main strength of this book is its format, which is designed to assist the reader in preparing for the cardiology boards. It allows for as close a simulation of the examination as possible. The ECGs used are relevant and run the spectrum from the basic with minimal abnormalities to complex. I was very happy to see an index that allows one to look at particular ECGs with certain abnormalities. This feature is lacking in other books using a similar format.
Assessment: This will be a valuable addition to the medical library of any physician involved in interpreting ECGs. The book would be more useful than others when preparing for the cardiology board examinations, and I would recommend it over other books for this purpose in particular.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780071423021
  • Publisher: McGraw-Hill Professional Publishing
  • Publication date: 3/5/2004
  • Edition description: Subsequent
  • Edition number: 2
  • Pages: 425
  • Product dimensions: 8.30 (w) x 10.80 (h) x 0.85 (d)

Meet the Author

Dr. Zimmerman is a reviewer for CIRCULATION, POST GRADUATE MEDICINE and the INTERNATIONAL JOURNAL OF CARDIOLGOY. He is also on the editorial board of American Journal of Medicine & Sports.

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Table of Contents

Table of Electrocardiographic Diagnoses


A. Supraventricular Rhythms and Complexes

1. Sinus rhythm

2. Sinus arrhythmia

3. Sinus bradycardia

4. Sinus tachycardia

5. Wandering atrial pacemaker within the sinus node

6. Wandering atrial pacemaker to the AV junction

7. Sinus arrest or pause

8. Sinoatrial exit block

9. Ectopic atrial rhythm

10. Atrial premature complexes, normally conducted

11. Atrial premature complexes, aberrantly conducted

12. Atrial premature complexes, nonconducted

13. Multifocal atrial rhythm

14. Multifocal atrial tachycardia

15. Atrial tachycardia, regular 1:1 conduction, sustained

16. Atrial tachycardia, regular 1:1 conduction, short paroxysms

17. Atrial tachycardia, with non-1:1 conduction (with block)

18. Supraventricular tachycardia, unspecified

19. Atrial flutter

20. Atrial fibrillation

B. AV Junctional Rhythms and Complexes

21. AV junctional rhythm

22. AV junctional escape rhythm

23. AV junctional rhythm, accelerated

24. AV junctional escape complexes

25. AV junctional premature complexes

C. Ventricular Rhythms and Complexes

26. Ventricular premature complex(es), uniform

27. Ventricular premature complex(es), multiform

28. Ventricular premature complexes, paired

29. Ventricular parasystole

30. Ventricular tachycardia

31. Accelerated idioventricular rhythm

32. Ventricular fibrillation

33. Torsades de pointes

D. Pacemaker Function, Rhythms, and Complexes

34. Single-chamber atrial pacing

35. Single-chamber pacemaker, ventricular pacing on demand

36. Single-chamber pacemaker, ventricular pacing with complete control

37. Dual-chamber pacemaker, atrial sensing with ventricular pacing

38. Dual-chamber pacemaker, atrial and ventricular sensing and pacing

39. Pacemaker malfunction, failure to capture atrium or ventricle appropriately

40. Pacemaker malfunction, failure to sense atrial or ventricular complexes appropriately

41. Pacemaker malfunction, failure to fire appropriately on demand (inappropriate sensing of stimuli or complex)


42. AV block, first-degree

43. AV block, second-degree, Mobitz I (Wenckebach)

44. AV block, second-degree, Mobitz II

45. AV block, second-degree, 2:1

46. AV block, high-grade

47. AV block, third-degree or complete

48. Accelerated AV conduction (short PR interval
pattern with normal QRS duration in sinus rhythm)

49. Ventricular preexcitation (WPW pattern)

50. Physiologic AV conduction delay associated with supaventricular tachyarrhythmias.

51. Nonphysiologic AV conduction delay associated with su praventricular tachyarrhythmias


52. Ventriculophasic sinus arrhythmia

53. AV dissociation

54. Reciprocal (echo) complexes

55. Retrograde atrial activation from a ventricular focus

56. Fusion complexes

57. Ventricular capture complexes

58. Interpolation of ventricular premature complexes


59. Right atrial abnormality

60. Left atrial abnormality

61. Biatrial abnormality

62. Nonspecific atrial abnormality

63. PR depression


64. Left axis deviation

65. Right axis deviation

66. Poor R-wave progression

67. Low voltage, limb leads

68. Low voltage, precordial leads

69. Electrical alternans


70. Right bundle branch block, complete

71. Right bundle branch block, incomplete

72. Left anterior fascicular block

73. Left posterior fascicular block

74. Left bundle branch block, complete

75. Left bundle branch block, incomplete

76. Intraventricular conduction delay, nonspecific (includes IVCD associated with chamber enlargement)

77. Probable aberrant intraventricularconduction associated with supraventricular arrhythmia


78. Left ventricular hypertrophy by voltage criteria, with or without associated ST-T-wave abnormalities

79. Right ventricular hypertrophy

80. Combined ventricular hypertrophy


81. Anteroseptal, acute or recent

82. Anteroseptal, old or of indeterminate age

83. Anterior, acute or recent

84. Anterior, old or of indeterminate age

85. Anterolateral, acute or recent

86. Anterolateral, old or of indeterminate age

87. Extensive anterior, acute or recent

88. Extensive anterior, old or of indeterminate age

89. Lateral or high lateral, acute or recent

90. Lateral or high lateral, old or of indeterminate age

91. Inferior or diaphragmatic, acute or recent

92. Inferior or diaphragmatic, old or of indeterminate age

93. Posterior, acute or recent,

94. Posterior, old or of indeterminate age

95. Suggestive of ventricular aneurysm


96. Normal variant, isolated J-point elevation (early repolarization pattern)

97. Isolated J-point depression

98. Normal variant, RSR’ pattern lead V1

99. Normal variant, persistent juvenile T-wave pattern
100. ST- and/or T-wave abnormalities suggesting acute or recent myocardial injury

101.ST- and/or T-wave abnormalities suggesting either reciprocal change or myocardial ischemia in the setting of acute myocardial injury

102. ST- and/or T-wave abnormalities suggesting myocardial ischemia in the absence of acute myocardial injury

103. ST- and/or T-wave abnormalities associated with ventricular hypertrophy

104. ST- and/or T-wave abnormalities associated with ventricular conduction abnormality

105. ST- and/or T-wave abnormalities suggesting early, acute pericarditis

106. Nonspecific ST- and/or T-wave abnormalities

107. Post extrasystolic T-wave abnormality

108. Peaked T waves

109. Prolonged QT interval for heart rate (QTc)

110. Prominent U waves

111. Inverted U waves


112. Incorrect electrode placement

113. Artifact secondary to tremor
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