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Practical ECG Interpretation: Clues to Heart Disease in Young Adults



Practical ECG Interpretation: Clues to Heart Disease in Young Adults

George A. Stouffer

ISBN: 978-1-444-31186-0 April 2009 Wiley-Blackwell 168 Pages


Practical ECG Interpretation draws on Dr. Stouffer's clinical experience to identify specific tracings and findings that will aid diagnosis of a wide variety of disorders, incluidng atrial spetal defect,  mitral stenosis, pericarditis, and more.
Introduction to ECG Interpretation.

Part I: The Basics of Electrocardiography – A Brief Introduction to the Essentials.

1 Action Potentials.

2 Anatomy and Blood Supply of the Conduction System.

3 Normal Conduction and Complexes.

4 Electrodes and Leads.

Part II: Helpful Hints in Interpreting ECGs in Young Adults.

5 Normal Rhythm and Rate.

6 Determining Axis and Intervals.

7 Effects of Electrolyte Abnormalities on ECG.

8 ECG Clues to the Presence of Hemodynamically Significant Congenital or Valvular Heart Disease in Young Adults.

9 ECG Clues to the Presence of an Increased Risk of Sudden Cardiac Death in Young Adults.

Part III: Specific ECG Tracings and Diagnoses.

Section A: Conduction System Disease.

10 Atrial Flutter with 1:1 Conduction.

11 Atrioventricular Nodal Re-Entry Tachycardia.

12 Atrial Fibrillation.

13 Atrial Tachycardia.

14 Brugada Syndrome.

15 Complete Heart Block.

16 Long QT Syndrome.

17 Ventricular Tachycardia.

18 Wolff–Parkinson–White Syndrome.

Section B: Congenital Heart Disease, Pulmonary Hypertension and Valvular Heart Disease.

19 Atrial Septal Defect – Secundum.

20 Atrial Septal Defect – Primum.

21 Dextrocardia.

22 Patent Ductus Arteriosus.

23 Tetralogy of Fallot.

24 Ventricular Septal Defect.

25 Mitral Stenosis.

26 Aortic Insufficiency.

27 Pulmonic Stenosis.

28 Pulmonary Hypertension.

Section C: Coronary Artery Disease, Pericarditis and Cardiomyopathies.

29 Dilated Cardiomyopathy.

30 Hypertrophic Cardiomyopathy.

31 Arrhythmogenic Right Ventricular Dysplasia.

32 Anterior Myocardial Infarction.

33 Inferior-Posterior Myocardial Infarction.

34 Diagnosis of Myocardial Infarction with Existing Bundle Branch Block.

35 Pericarditis.

Section D: Cardiovascular Manifestations of Systemic Diseases.

36 Muscular Dystrophy.

37 Intracerebral Bleed.

38 Pulmonary Embolus.

39 Hyperthyroidism.

Section E: Miscellaneous.

40 Hyperkalemia.

41 Early Repolarization.

42 P-Pulmonale.

43 Digoxin Toxicity.

44 Atrial Myxoma.

45 Hypothermia.


  • Provides ECG information and examples drawn from young adults with interesting stories
  • Author has spent many years developing material to teach ECGs to medical students
  • Starts with an introductory section (outlining the basics of ECG interpretation) followed by 'ECG case studies' from young patients
  • Provides more details on the clinical vignette, limiting the ECGs examples to those from young adults