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Goldberger’s Clinical Electrocardiography, 10th Edition. A Simplified Approach

ISBN: 9780323824750
Διαστάσεις 24 × 19 cm



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Ideal for trainees and practicing clinicians, Goldberger’s Clinical Electrocardiography: A Simplified Approach, 10th Edition, covers the basics of ECG analysis and interpretation, as well as the differential diagnoses, underlying causes, and therapeutic implications of ECG findings. The authors’ award-winning, systematic approach takes readers though the nuts and bolts of ECG interpretation. Beyond these essential details, the text serves as an invaluable and unique asset in hospital wards, outpatient clinics, emergency departments, and especially intensive and cardiac care units, where the recognition of normal and abnormal patterns is only the starting point in patient care.
Key Features
  • Offers practical, comprehensive coverage of real-world ECGs across a range of point-of-care settings, explaining not only how to interpret the data, but the implications of ECG findings for clinical management.
  • Covers recent advances in pacemaker and implantable cardioverter-defibrillator technology; myocardial ischemia and infarction; arrhythmias, including atrial fibrillation, ventricular tachycardias and sudden cardiac arrest syndromes; drug toxicities; cardiac monitoring, including wearable devices; cardiomyopathies and COVID-19.
  • Features nearly 300 high-quality illustrations, with an abundance of quick reference information highlights, including key pathophysiologic concepts, reminders, clinical pearls, and key points, as well as more than 250 review questions online.
  • Discusses basic principles of electrophysiology in an easily understandable format for students and non-cardiologists.
  • Enhanced eBook version included with purchase. Your eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Author Information
By Ary L. Goldberger, MD, FACC, Professor of Medicine, Harvard Medical School, Director, Margret and HA Rey Institute for Nonlinear Dynamics in Physiology and Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts ; Zachary D. Goldberger, MD, FACC, FHRS, Associate Professor of Medicine, School of Medicine and Public Health, Division of Cardiovascular Medicine/Electrophysiology, University of Wisconsin Madison, Madison, Wisconsin and Alexei Shvilkin, MD, PhD, Assistant Clinical Professor of Medicine, Harvard Medical School, Clinical Cardiac Electrophysiologist, Director, Beth Israel Deaconess Medical Center, Boston, Massachusetts


  • Cover
  • IFC
  • Title page
  • Contents
  • Copyright
  • Introductory Remarks
  • Part I: Basic Principles and Patterns
  • 1: Essential Concepts: What Is an ECG?
  • ABCs of Cardiac Electrophysiology
  • Cardiac Automaticity and Conductivity: “Clocks and Cables”
  • Concluding Notes: Why Is the ECG so Useful?
  • Preview: Looking Ahead
  • 2: Electrocardiogram Basics: Waves, Intervals, and Segments
  • Depolarization and Repolarization
  • Five Basic ECG Waveforms: P, QRS, ST, T, AND U
  • ECG Segments vs. ECG Intervals
  • ECG Graph Paper
  • 3: How to Make Basic ECG Measurements
  • Standardization (Calibration) of the ECG
  • Physiologic Components of the ECG: Waveforms, Intervals, and Segments
  • How are Heart Rate and RR Intervals Related?
  • PP and RR Intervals: are They Equivalent?
  • ECG Terms are Confusing!
  • The ECG: Important Clinical Perspectives
  • 4: Electrocardiogram Leads
  • Limb (Extremity) Leads
  • Chest (Precordial) Leads
  • Cardiac Monitors and Monitor Leads
  • 5: The Normal Electrocardiogram
  • Three Basic “Laws” of Electrocardiography
  • Physiologic (Normal) Sinus P Wave
  • Normal QRS Complex: General Principles
  • Normal ST Segment
  • Normal T Wave
  • 6: Electrical Axis and Axis Deviation
  • Mean QRS Axis: A Working Definition
  • Mean QRS Axis: Calculation
  • Axis Deviation
  • Mean Electrical Axis of the P Wave and T Wave
  • 7: Atrial and Ventricular Overload/Enlargement
  • Right Atrial Abnormality/Overload
  • Left Atrial Abnormality/Overload
  • Right Ventricular Hypertrophy
  • Left Ventricular Hypertrophy
  • The ECG in LVH: A Clinical Perspective
  • 8: Ventricular Conduction Disturbances: Bundle Branch Blocks and Related Abnormalities
  • ECG in Ventricular Conduction Disturbances: General Principles
  • Right Bundle Branch Block
  • Left Bundle Branch Block
  • Differential Diagnosis of Bundle Branch Blocks
  • Fascicular Blocks (Hemiblocks)
  • Diagnosis of Hypertrophy in the Presence of Bundle Branch Blocks
  • Diagnosis of Myocardial Infarction in the Presence Of Bundle Branch Blocks
  • 9: Myocardial Ischemia and Infarction, Part I: ST Segment Elevation and Q Wave Syndromes
  • Myocardial Ischemia and Infarction: General Considerations
  • Transmural and Subendocardial Ischemia
  • Myocardial Blood Supply and Location of Infarction
  • St Segment Elevation Ischemia and Acute Myocardial Infarction
  • More Specific ECG Localization of Infarctions
  • Summary: Classic Sequence of ST-T Changes and Q Waves with Stemi
  • Multi-Site Q Wave Infarctions
  • “Silent” Myocardial Infarction
  • Diagnosis of Myocardial Infarction in the Presence of Bundle Branch Block
  • ST Segment Elevation MI: Nonatherosclerotic Causes
  • 10: Myocardial Ischemia and Infarction, Part II: Non-ST Segment Elevation and Non-Q Wave Syndromes
  • Subendocardial Ischemia
  • Non-ST Segment Elevation and Non-Q Wave Infarction
  • Acute Stress/Takotsubo Cardiomyopathy
  • ECG Differential Diagnosis Ischemia and Infarction: ST-T Changes Simulating MI
  • ECG in the Context of MI Complications
  • ECG After Coronary Reperfusion
  • The ECG in MI: Clinical Overview
  • 11: Drug Effects, Electrolyte Abnormalities, and Metabolic Disturbances
  • Electrolyte Disturbances
  • Other Metabolic Factors
  • ST-T Changes: Specific and Nonspecific
  • 12: Pericardial, Myocardial, and Pulmonary Syndromes
  • Acute Pericarditis, Pericardial Effusion, and Constrictive Pericarditis
  • Myocarditis
  • Chronic Heart Failure
  • Cardiac Amyloidosis
  • Pulmonary Embolism (Acute and Chronic)
  • Chronic Obstructive Lung Disease (Emphysema)
  • Cardiac Syndromes Associated with Hereditable Neuromuscular Diseases
  • Part II: Cardiac Rhythm Disturbances
  • 13: Sinus and Escape Rhythms
  • Sinus Rhythms
  • Regulation of the Heart Rate
  • Sinus Tachycardia
  • Sinus Bradycardia
  • Sinus Pauses, Sinus Arrest, and Sinoatrial Block
  • Sinus Arrhythmias
  • 14: Supraventricular Arrhythmias, Part I: Premature Beats and Paroxysmal Supraventricular Tachycardias
  • General Principles
  • Atrial and Other Supraventricular Premature Beats
  • Paroxysmal Supraventricular Tachycardias (PSVTS)
  • Differential Diagnosis and Treatment of PSVT
  • 15: Supraventricular Arrhythmias, Part II: Atrial Flutter and Atrial Fibrillation
  • Atrial Flutter: ECG Considerations
  • Atrial Fibrillation (AF): ECG Considerations
  • ECG Findings Preceding Atrial Fibrillation or Flutter
  • Atrial fibrillation vs. Atrial flutter
  • Atrial Fibrillation and Flutter: Major Clinical Considerations
  • Treatment of Atrial Fibrillation/Flutter: Acute and Longer-Term Considerations
  • 16: Ventricular Arrhythmias
  • Premature Ventricular Complexes (PVCS): Overview
  • Ventricular Tachycardias: Classification Schemes
  • Accelerated Idioventricular Rhythm
  • Ventricular Fibrillation
  • 17: Atrioventricular (AV) Conduction Abnormalities, Part I: Delays, Blocks, and Dissociation Syndromes
  • What is the Degree of AV Block?
  • What is the Location of Block? Nodal vs. Infranodal
  • 2:1 AV Block: A Special Subtype of Second-Degree Heart Block
  • Diagnosis of Heart Block with Atrial Fibrillation and Flutter
  • General Clinical Considerations
  • AV Heart Block in Acute Myocardial Infarction
  • AV Dissociation Syndromes
  • 18: Atrioventricular (AV) Conduction Disorders, Part II: Preexcitation (Wolff–Parkinson–White) Patterns and Syndromes
  • Preexcitation via AV Bypass Tracts
  • The Classic WPW Triad
  • Highlight: Some Points of Confusion
  • Basis of Narrow Complex Tachycardias (NCT) with WPW
  • Atrial Fibrillation (OR Flutter) with WPW Preexcitation
  • Summary: Clinical Significance of WPW
  • Treatment Principles
  • Brief Overview: Differential Diagnosis of Wide QRS Complex Patterns
  • Part III: Special Topics and Reviews
  • 19: Bradycardias and Tachycardias: Review and Differential Diagnosis
  • Bradycardias (Bradyarrhythmias)
  • Tachycardias (Tachyarrhythmias)
  • Slow and Fast: Sick Sinus Syndrome and Tachy-Brady Variants
  • 20: Digitalis Toxicity
  • Mechanism of Action and Indications
  • Digitalis Toxicity vs. Digitalis effect
  • Digitalis Toxicity: Symptoms and Signs
  • Digoxin Toxicity: Predisposing Factors
  • Digitalis Toxicity: Prevention
  • Digitalis Toxicity: Treatment Principles
  • Serum Digoxin Concentrations (Levels)
  • 21: Sudden Cardiac Arrest and Sudden Cardiac Death Syndromes
  • Clinical Aspects of Cardiac Arrest
  • Basic ECG Patterns in Cardiac Arrest
  • Sudden Cardiac Death/Arrest
  • Clinical Causes of Cardiac Arrest
  • 22: Pacemakers and Implantable Cardioverter–Defibrillators: Essentials for Clinicians
  • Pacemakers: Definitions and Types
  • Implantable Cardioverter–Defibrillators
  • Recognizing Pacemaker and ICD Malfunction
  • Magnet Response of Pacemakers and ICDs
  • Pacemaker and ICD Implantation: Specific Uses
  • 23: Interpreting ECGs: An Integrative Approach
  • ECG Reading: General Principles
  • Caution: Computerized ECG Interpretations
  • ECG Artifacts
  • 24: Limitations and Uses of the ECG
  • Important Limitations of the ECG
  • Utility of the ECG in Special Settings
  • Some Other Medical Applications of the ECG
  • Reducing Medical Errors: Common Pitfalls in ECG Interpretation
  • ECGs: Past, Present, and Future
  • 25: ECG Differential Diagnoses: Instant Replays
  • Selected Brief Bibliography
  • Index
  • Online Sections
  • 1: Mini-Review Demon: Brief Chapter Reviews with Questions and Answers
  • 2: Supplemental Extras: Deeper Dive Into Selected Topics
  • 3: Quiz Master: Self-Assessment of Clinical ECG Skills
  • IBC