Noninvasive Electrocardiology in Clinical Practice / Edition 1

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Computerized ECG exams are currently flourishing, and further development of these inexpensive and noninvasive diagnostic tools is expected in upcoming years. Because there is so much clinically relevant and useful information that can be obtained using modern electrocardiology, the editors strongly believe that a book summarizing current state-of-the-art methods of noninvasive electrocardiology will assist physicians in optimizing their clinical practice. Accordingly, the contributors comprise an international "who's who" in noninvasive electrocardiography.

The object of noninvasive electrophysiology is to reconcile comprehensive invasive electrophysiology with conventional surface electrocardiography, by extracting from the latter more extensive and dynamic information. Numerous facets of these new orientations are presented in this book, which is organized in two main sections. Part one describes noninvasive ECG tests, their methodology, and applications. Part two focuses on specific clinical conditions and diseases, and allows the reader to learn when it is worth using specific tests and when they are not of much benefit.

Clinical cardiologists and electrophysiologists at all levels will benefit from this well-written, informative update.

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Editorial Reviews

Doody's Review Service
Reviewer: Edwin V Palileo, M.D.(Loyola University Stritch School of Medicine)
Description: This is a timely and useful reference on the rapidly evolving and developing area of noninvasive cardiac tests. The authors attempt a comprehensive review of a variety of newer technologies, some that have established applications in clinical cardiology and some that are still in the infancy stage awaiting validation and appropriate clinical applications.
Purpose: The book is intended to summarize the current state-of-the-art of a variety of noninvasive cardiac tests derived from detailed analysis of various components of the standard surface electrocardiogram scrutinized in detail either in the time domain or frequency domain or both, as well as their ability to correlate with a variety of cardiac disorders in the context of diagnosis, prognosis, and their utility as a guide to therapy. These are worthy objectives in view of the burgeoning data accumulating on the relevance and the clinical importance of these various new technologies. This book more than meets the authors' objectives.
Audience: This book is written for practitioners in clinical cardiology, but is also a good resource for residents or students who have a keen interest and who might be involved in clinical research on any of these noninvasive modalities. The index and references provide a good starting point for anyone interested in a more in-depth understanding. The authors and contributors are all credible authorities in the field.
Features: The first part of the book covers, in a concise but thorough manner, the current state-of-the-art in methodology and clinical application, including pertinent validating clinical trials of each noninvasive modality. Ambulatory ECG and event recording for arrhythmia detection, signal averaging of P waves and QRS complexes, ST segment analysis in the stress laboratory and ambulatory conditions, QT interval and T wave analysis, and various tests of autonomic function such as heart rate variability and heart rate turbulence, baroreceptor sensitivity, and tilt table testing are all discussed. The second part of the book covers specific cardiac conditions and situations in which noninvasive testing might or might not be useful and how to best use these tests for diagnosis and prognosis, as well as a tool to guide and monitor therapy.
Assessment: This is an important addition to the clinical resources of cardiology practitioners on the subject of noninvasive electrocardiology. It helps readers understand and make a choice on the most useful and most appropriate methodology to use for diagnosis, prognosis, and selection of therapy for a variety of cardiac conditions that are well covered in this book.
From the Publisher
"This is an important addition to the clinical resources of cardiology practitioners on the subject of noninvasive electrocardiology. It helps readers understand and make a choice on the most useful and most appropriate methodology to use for diagnosis, prognosis, and selection of therapy for a variety of cardiac conditions that are well covered in this book."—Doody’s Review Service

"...very readable and informative...highly applicable in clinical practice."
—Texas Heart Institute Journal
Researchers and practitioners from Europe, the US, and the Middle East explain how to conduct computerized electrocardiogram exams, which are spreading rapidly through cardiology as inexpensive and noninvasive diagnostic tools that are able to extract more extensive and dynamic information from conventional surface electrocardiography than earlier detection methods, and therefore often make invasive methods unnecessary. They discuss such methods as signal averaging of the P wave, baroreflex sensitivity, and tilt-table testing. Then they examine aspects of clinical use for various purposes and under various conditions. Annotation c. Book News, Inc., Portland, OR (

3 Stars from Doody
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Product Details

  • ISBN-13: 9780879934675
  • Publisher: Wiley
  • Publication date: 4/28/2001
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 504
  • Product dimensions: 6.30 (w) x 9.30 (h) x 1.30 (d)

Table of Contents



Philippe Coumel.


Wojciech Zareba, Pierre Maison-Blanche, Emanuela H. Locati.

Part I: Modern Methods of Noninvasive ECG Testing.

1. Holter and Event Recordings for Arrhythmia Detection.

Johan E.P. Waktare, A. John Camm.

2. Signal Averaging of the P Wave.

Sharmila Dorbala, Jonathan S. Steinberg.

3. QRS Averaging.

Gioia Turitto, Alberico Sorgato, Mazen Alakhras, Nabil El-Sherif.

4. QT Interval Duration and Adaptation to Heart Rate.

Emanuela H. Locati.

5. Dispersion of Repolarization: Concept, Methodology, and Clinical Experience.

Wojciech Zareba, Atsunobu Nomura, Juha Perkiömäki.

6. T Wave Alternans and T Wave Variability: Noninvasive Indices of Vulnerability to Ventricular Tachycardias.

Wojciech Zareba, Jean-Phillippe Couderc, Laura Burattini.

7. Time Domain Heart Rate Variability.

Azad Ghuran, Marek Malik.

8. Frequency Domain Analysis of Heart Rate Variability.

Federico Lombardi.

9. Baroreflex Sensitivity.

Maria Teresa La Rovere, Roberto Maestri, Andrea Mortara.

10. Heart Rate Turbulence.

Georg Schmidt, Marek Malik.

11. Tilt-Table Testing.

Jean-Jacques Blanc, Jacques Mansourati.

12. ST Segment Analysis in Exercise Stress Testing.

Paul Kliegfield.

13. ST Segment Analysis in Ambulatory ECG (Holter) Monitoring: Clinical Significance and Analytical Techniques.

Peter Stone.


Part 2: Clinical Use of Noninvasive ECG Testing in Management of Patients.

14. Noninvasive ECG Testing in Management of Patients with Atrial Arrhythmias.

Pierre Maison-Blanche.

15. Noninvasive ECG Testing in Management of Patients with.

Ventricular Arrhythmias.

Vinzenz Hombach, Birgit Scharf, Mathias Kochs, Hans-Heinrich Osterhues.

16. Noninvasive ECG Testing in Management of Patients with Syncopal Episodes.

Franco Giada, Antonio Raviele.

17. Noninvasive ECG Testing for Risk Stratification of Patients with Recent Myocardial Infarction.

Thomas Klingenheben, Stefan H. Hohnloser.

18. Noninvasive ECG Testing in Patients with Chronic Coronary Artery Disease.

Arthur J. Moss.

19. Noninvasive ECG Testing in Patients with Dilated Cardiomyopathy.

Prakash Deedwania.

20. Noninvasive ECG Testing in Management of Patients with Hypertension.

José Luis Palma-Gámiz, Antonio Hernández-Madrid, Ana Garciá de Castro, José M. González Rebollo.

21. Clinical Use of Holter Monitoring in Patients with Implanted Pacemakers.

Ali Oto.

22. Implanted Defibrillators.

Sven Reed, Christoph J. Geller, Helmut U. Klein.

23. Pediatric Patients.

Seshadri Balaji, J. Philip Saul.

24. Evaluating Proarrhythmia.

Marco Stramba-Badiale, Livia Diehl.

25. Future of Noninvasive Electrocardiology.

Antoni Bayés de Luna, Shlomo Stern.


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