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Essential ECG - Mark Mills, Akshay Gaur, David Warriner

Essential ECG

A practical guide to recording, interpreting, and reporting ECGs with confidence
Buch | Softcover
250 Seiten
2026
Scion Publishing Ltd (Verlag)
978-1-914961-65-6 (ISBN)
CHF 41,85 inkl. MwSt
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Essential ECG is a hands-on, accessible guide to recording, interpreting, and reporting ECGs with confidence.

The book begins with a clear explanation of the heart’s normal conduction system, then walks readers through lead placement and anatomical perspectives. It breaks down every component of a normal ECG before introducing a straightforward, practical algorithm for interpreting ECGs in any clinical scenario.


Covers all major ECG abnormalities – from prolonged intervals and electrolyte imbalances to pericardial disease and pulmonary embolism.
Seamlessly blends ECG findings with relevant clinical context for better real-world application.
Features an extensive library of real-life ECGs, all clearly annotated and consistently presented to highlight key abnormalities.
Ends with a ‘test yourself’ section: 50 ECGs that are common, critical or potentially life-threatening, each paired with a concise interpretation and diagnostic insight.


Essential ECG is the go-to resource for medical students, residents, and allied health professionals looking to sharpen their ECG interpretation skills and apply them effectively in everyday clinical practice.

PART I: The essentials


Chapter 1The ECG: the what, who, when, where and why

1.1Overview

1.2The what

1.3The who

1.4The when

1.5The where

1.6The why


Chapter 2The normal conduction system of the heart

2.1Overview

2.2Thinking about the conduction system


Chapter 3Recording an ECG

3.1Overview

3.2How to record an ECG

3.2.1Equipment

3.2.2Preparation

3.2.3Recording the ECG

3.3 ECG leads and their anatomical views

3.3.1 Limb leads

3.3.2 Chest leads

3.4ECG speed and voltage calibration


3.4.1Speed calibration

3.4.2Voltage calibration

3.4.3Understanding box sizes

3.5Additional considerations

3.5.1Posterior leads


Chapter 4The normal ECG

4.1Overview

4.2The P wave

4.3The Q wave

4.4The R wave

4.5The S wave

4.6The QRS complex

4.7The T wave

4.8The PR interval

4.9The QT interval

4.10The J point

4.11The ST segment


Chapter 5How to read and report an ECG

5.1Having a framework

5.2The basics

5.3Heart rate

5.4Heart rhythm

5.5Heart axis

5.6Waves, complexes, intervals and segments

5.7Bringing it all together


Chapter 6Chamber dilatation and hypertrophy

6.1Overview

6.2Atrial dilatation

6.2.1Left atrial dilatation

6.2.2Right atrial dilatation

6.3Ventricular hypertrophy

6.3.1Left ventricular hypertrophy

6.3.2Right ventricular hypertrophy


Chapter 7Abnormal intervals (PR and QT intervals)

7.1Overview

7.2Prolonged QT interval

7.3Short QT interval

7.4Prolonged PR interval

7.5Short PR interval


Chapter 8Bradycardia and bradyarrhythmias

8.1Overview

8.1.1Causes

8.1.2Clinical manifestation

8.1.3Diagnostic approach

8.1.4Management

8.2Sinus node disease

8.2.1Sinus bradycardia

8.2.2Sinus arrhythmia

8.2.3Sinoatrial exit block

8.2.4Tachycardia–bradycardia syndrome

8.3Atrioventricular node disease

8.3.1First-degree AV block

8.3.2Second-degree AV block: Mobitz I (Wenckebach)

8.3.3Second-degree AV block: Mobitz II

8.3.4Third-degree heart block

8.3.5Third-degree heart block: with atrial fibrillation


Chapter 9Narrow complex tachycardia

9.1Overview

9.2Sinus tachycardia

9.3Atrial fibrillation

9.4Atrial flutter

9.5Atrial tachycardia

9.5.1Focal atrial tachycardia

9.5.2Multifocal atrial tachycardia

9.6Supraventricular tachycardia

9.6.1Atrioventricular nodal re-entrant tachycardia

9.6.2Atrioventricular re-entry tachycardia


Chapter 10Broad complex tachycardia

10.1Overview

10.2Ventricular tachycardia

10.2.1Monomorphic VT

10.2.2Polymorphic VT

10.3Ventricular fibrillation

10.4Supraventricular tachycardia with aberrancy

10.4.1Sinus tachycardia with bundle branch block

10.4.2Antidromic atrioventricular re-entry tachycardia

10.5Ventricular paced rhythm

10.6Artefact

10.7Pre-excited atrial fibrillation


Chapter 11Premature complexes

11.1Overview

11.2Premature atrial complexes

11.3Premature ventricular complexes


Chapter 12Intraventricular conduction delays

12.1Overview

12.2Right bundle branch block

12.3Left bundle branch block

12.3.1Left fascicular block

12.4Bifascicular block

12.5Non-specific interventricular conduction delay

12.6Trifascicular block


Chapter 13Acute coronary syndromes

13.1Overview

13.1.1Types of acute coronary syndrome

13.2ST elevation myocardial infarction (STEMI)

13.2.1What is STEMI?

13.2.2How to localise STEMI?

13.2.3ECG changes post STEMI

13.2.4Anterolateral STEMI

13.2.5Inferior STEMI

13.2.6Posterior STEMI

13.3Non-ST elevation myocardial infarction (NSTEMI)

13.3.1What is NSTEMI?

13.3.2ST depression

13.3.3T wave inversion

13.4Unstable angina

13.5STEMI equivalents

13.5.1What are STEMI equivalents?

13.5.2Wellens’ syndrome

13.5.3De Winter syndrome

13.5.4Hyperacute T waves

13.6Left bundle branch block and ACS

13.6.1Modified Sgarbossa criteria

13.7Prior myocardial infarction

13.8Other important things to look out for on ECG in ACS


Chapter 14Pericardial disease

14.1Pericarditis

14.1.1Differentiating pericarditis from acute coronary syndrome

14.2Pericardial effusion


Chapter 15Electrolyte disturbance and medication-induced abnormalities

15.1Electrolyte disturbance

15.2Potassium disturbance

15.2.1Hyperkalaemia

15.2.2Hypokalaemia

15.3Calcium disturbance

15.3.1Hypercalcaemia

15.3.2Hypocalcaemia

15.4Medication-induced ECG changes

15.4.1Digoxin


Chapter 16Non-cardiac disease and the ECG

16.1Pulmonary embolism

16.1.1Overview

16.1.2Possible ECG findings

16.2Major intracranial event

16.2.1Overview

16.2.2Possible ECG findings

16.2.3Cushing's reflex

16.3Motion artefact

16.3.1Overview

16.3.2Possible ECG findings


Chapter 17Implantable pacemakers and defibrillators

17.1Overview

17.2Pacemakers

17.2.1Right atrial pacing

17.2.2Right ventricular pacing

17.3Pacemaker malfunction

17.4Defibrillators


Chapter 18Lead reversal

18.1Overview

18.2Left arm and right arm lead reversal

18.3Left arm and left leg lead reversal

18.4Precordial lead misplacement

18.4.1Interchanging two or more electrodes

18.4.2Mispositioning of electrodes in relation to anatomical landmarks

18.5Steps to easily identify lead reversal/misplacement

18.6Dextrocardia vs. lead reversal


Chapter 19Rare but important ECGs

19.1Overview

19.2Brugada syndrome

19.3Hypertrophic cardiomyopathy

19.4Arrhythmogenic cardiomyopathy

19.5Athletic ECG

19.6Dextrocardia


PART II: Test yourself

50 ECGs that are common,critical or potentially life-threatening, each paired with a concise interpretation and diagnostic insight

Erscheint lt. Verlag 20.2.2026
Verlagsort Bloxham
Sprache englisch
Maße 244 x 172 mm
Themenwelt Medizinische Fachgebiete Innere Medizin Kardiologie / Angiologie
Studium 1. Studienabschnitt (Vorklinik) Physiologie
ISBN-10 1-914961-65-X / 191496165X
ISBN-13 978-1-914961-65-6 / 9781914961656
Zustand Neuware
Informationen gemäß Produktsicherheitsverordnung (GPSR)
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