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TABLE OF CONTENTS
1. Cardiac Anatomy and Physiology 1
2. Electrical Activity of the Heart 5
3. How the ECG Machine Measures Current Direction 7
4. Electrocardiographic Configuration and Nomenclature 9
5. Electrocardiographic Language of Direction 13
6. Bipolar Limb Leads 15
7. QRS Direction Recognition with the Triaxial System 21
8. Unipolar Limb Leads 25
9. Frontal Plane Hexaxial System 29
10. How to Recognize a Normal ECG in the Frontal Plane 35
11. Horizontal Plane Electrocardiogram 41
12. How to Produce a Good ECG Tracing 49
13. Initial Activation and the Septal Vector 57
14. Right Bundle Branch Block (RBBB) 61
15. Left Bundle Branch Block (LBBB) 67
16. Myocardial Infarction 75
17. Initial Vector Abnormalities in Preexcitation Syndromes 89
18. Terminal QRS Changes in Myocardial Infarction 97
19. S-T Vector of Myocardial Infarction and Injury 103
20. Wave of Myocardial Infarction and Ischemia 117
21. Nonischemic T Abnormalities 125
22. Benign T Abnormalities and Syndromes 137
23. Left Ventricular Hypertrophy 143
24. Right Ventricular Hypertrophy 159
25. Arrhythmia Diagnosis. Part 1 171
26. Arrhythmia Diagnosis. Part 2 189
27. Systematic Approach to Reading an Electrocardiogram 219
Index 221


