Electrocardiography of Arrhythmias: A Comprehensive Review
This book is a compendium of hundreds of examples of surface ECGs intermixed with other figures of ladder diagrams, intracardiac electrophysiological recordings, anatomic figures, and CARTO 3-dimensional maps. Each chapter starts with a brief review followed by multiple, clear examples of various arrhythmias. The book is a companion to Cardiac Electrophysiology: From Cell to Bedside.1
There are 13 chapters, >450 figures, and 486 pages to the book. Chapter 1 reviews important concepts such as bundle-branch blocks and fascicular blocks, including diagnostic criteria in well-organized tables in addition to 47 clear ECG examples. Some of the better ECG figures include premature atrial complexes initiating atrial fibrillation, rate-related right bundle- branch block, atrial tachycardia with left bundle-branch block aberrant conduction, bradycardia-dependent left bundle-branch block, and the gap phenomenon. Chapter 2 examines sinus node dysfunction (27 figures), including several figures showing progressive sinus node dysfunction, tachycardia–bradycardia syndrome, and a sinus pause from carotid sinus massage. Chapter 3 evaluates AV conduction abnormalities with 41 figures and excellent examples of all forms of AV block, including AV block mimicked by concealed His extrasystoles. Chapter 4 assesses junctional rhythm (26 figures) and includes several examples of junctional escape rhythms and junctional tachycardia in addition to AV nodal echo beats. Chapter 5 studies AV nodal reentrant tachycardia (24 figures) with multiple examples highlighted with ladder diagrams for easier interpretation. Chapter 6 looks at AV reentrant tachycardia (32 figures) with clear figures and illustrations demonstrating the location and participation of accessory pathways in AV reentrant arrhythmias. Chapter 7 details atrial tachycardia (44 figures), including common anatomic locations of these foci and anatomic maps to accompany ECG figures. Chapter 8 reviews atrial flutter (47 figures) with multiple examples, CARTO maps, and illustrations depicting typical and atypical atrial flutter. Chapter 9 evaluates atrial fibrillation (28 figures), including excellent examples of Ashman's phenomenon and atrial fibrillation with overt preexcitation. Chapter 10 is a compendium of wide complex tachycardia (29 figures), which includes algorithms of common wide QRS tachycardias. Chapter 11 assesses ventricular tachycardia in structural heart disease (46 figures), including figures of how to identify locations of initiating sites and multiple anatomic drawings and CARTO maps for clinical correlation. Chapter 12 reviews ventricular tachycardia in the absence of structural heart disease (29 figures), and the last chapter (Chapter 13) examines examples of ventricular fibrillation in the absence of structural heart disease (55 figures).
As an arrhythmia expert, I really enjoyed reviewing this book. The ECG figures are very clear and can also be reviewed via the Web site, http://www.expertconsult.com, and saved as PowerPoint slides. This compendium is not a comprehensive ECG teaching book, and it spends very little time on and has few examples of myocardial infarction, ST segment changes, electrolyte disturbances, and so forth. However, this book presents one of the best collections of arrhythmia figures since Pick and Langendorf.
I can recommend Electrocardiography of Arrhythmias: A Comprehensive Review enthusiastically to any cardiologist/cardiac electrophysiologist interested in learning more about arrhythmias. The contents of Electrocardiography of Arrhythmias will be a major instructional aid to physicians who teach electrocardiography at their institutions.
Gerald V. Naccarelli, MD
Division of Cardiology
Penn State University Heart and Vascular Institute
Penn State University College of Medicine
Dr Naccarelli has research support from Boston-Scientific and Sanofi, and is a consultant for Glaxo-Smith-Kline, Pfizer, Xention, Sanofi, Gilead, Bristol Myers Squibb, Merck, Biosense-Webster, Janssen, Otsuka, Daiichi-Sankyo, and Boehringer-Ingelheim.
- © 2012 American Heart Association, Inc.
- Zipes DP,
- Jalife J