| Preface to the fifth edition |
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| Acknowledgements |
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| Author |
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xi | |
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1 | (6) |
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2 | (1) |
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The cardiac conduction system |
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3 | (1) |
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4 | (1) |
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5 | (2) |
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2 PQRST: Where the waves come from |
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7 | (12) |
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What does the ECG actually record? |
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7 | (1) |
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How does the ECG `look' at the heart? |
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8 | (3) |
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Where do each of the waves come from? |
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11 | (7) |
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18 | (1) |
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3 Performing an ECG recording |
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19 | (10) |
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19 | (1) |
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Placement of the limb electrodes |
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20 | (1) |
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Placement of the chest (precordial) electrodes |
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21 | (1) |
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22 | (3) |
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Recording the 12-lead ECG |
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25 | (2) |
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27 | (2) |
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4 Reporting an ECG recording |
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29 | (4) |
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29 | (1) |
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29 | (1) |
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30 | (1) |
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30 | (1) |
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30 | (1) |
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31 | (2) |
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33 | (8) |
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Is the heart rate below 60/min? |
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35 | (1) |
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Is the heart rate above 100/min? |
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36 | (3) |
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39 | (2) |
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6 An approach to heart rhythms |
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41 | (8) |
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Identifying the cardiac rhythm |
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42 | (1) |
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43 | (1) |
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Is ventricular activity present? |
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44 | (1) |
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What is the ventricular rate? |
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44 | (1) |
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Is the ventricular rhythm regular or irregular? |
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44 | (1) |
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Is the QRS complex width normal or broad? |
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45 | (2) |
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Is atrial activity present? |
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47 | (1) |
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How are atrial activity and ventricular activity related? |
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47 | (1) |
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Determining the cardiac rhythm |
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47 | (1) |
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48 | (1) |
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7 Supraventricular rhythms |
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49 | (22) |
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49 | (1) |
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50 | (1) |
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50 | (1) |
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51 | (1) |
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52 | (1) |
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53 | (1) |
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54 | (5) |
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59 | (2) |
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61 | (1) |
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62 | (5) |
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AV nodal re-entry tachycardia |
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67 | (3) |
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70 | (1) |
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71 | (14) |
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Ventricular ectopic beats |
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71 | (3) |
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Accelerated idioventricular rhythm |
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74 | (1) |
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Monomorphic ventricular tachycardia |
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75 | (3) |
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How do I distinguish between VT and SVT? |
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78 | (2) |
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Polymorphic ventricular tachycardia |
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80 | (1) |
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Fascicular ventricular tachycardia |
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81 | (1) |
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81 | (2) |
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83 | (2) |
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85 | (12) |
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Conduction block at the SA node |
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85 | (1) |
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Conduction block at the AV node or bundle of His |
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85 | (3) |
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Conduction block at the bundle branches |
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88 | (5) |
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Conduction block at the fascicles |
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93 | (1) |
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93 | (1) |
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Accelerated conduction and accessory pathways |
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94 | (1) |
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95 | (2) |
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97 | (14) |
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Understanding and measuring the QRS axis |
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97 | (9) |
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Is there left axis deviation? |
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106 | (2) |
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Is there right axis deviation? |
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108 | (2) |
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Is there extreme right axis deviation? |
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110 | (1) |
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110 | (1) |
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111 | (8) |
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111 | (3) |
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Are any P waves inverted? |
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114 | (1) |
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Are any P waves too tall? |
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115 | (1) |
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Are any P waves too wide? |
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116 | (1) |
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117 | (2) |
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119 | (12) |
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Is the PR interval less than 0.12 s long? |
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120 | (2) |
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Is i he PR interval more than 0.2 s long? |
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122 | (1) |
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Decs the PR interval vary or can it not be measured? |
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123 | (4) |
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Is the PR segment elevated or depressed? |
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127 | (2) |
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129 | (2) |
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131 | (6) |
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Are there any `pathological' Q waves? |
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131 | (5) |
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136 | (1) |
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137 | (16) |
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Are any R or S waves too big? |
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137 | (5) |
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Are the QRS complexes too small? |
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142 | (3) |
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Are any QRS complexes too wide? |
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145 | (3) |
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Are any QRS complexes an abnormal shape? |
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148 | (2) |
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Are epsilon waves present? |
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150 | (2) |
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152 | (1) |
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153 | (20) |
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Are the ST segments elevated? |
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153 | (13) |
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Are the ST segments depressed? |
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166 | (4) |
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170 | (2) |
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172 | (1) |
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173 | (10) |
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Are the T waves too tall? |
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174 | (2) |
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Are the T waves too small? |
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176 | (1) |
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Are any of the T waves inverted? |
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177 | (5) |
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182 | (1) |
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183 | (10) |
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Correcting the QT interval |
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184 | (1) |
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Is the QTc interval long? |
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185 | (3) |
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Is the QTc interval short? |
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188 | (3) |
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191 | (2) |
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193 | (4) |
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Do the U waves appear too prominent? |
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194 | (1) |
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Are any of the U waves inverted? |
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195 | (1) |
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196 | (1) |
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197 | (6) |
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197 | (1) |
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External electrical interference |
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197 | (1) |
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198 | (1) |
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199 | (1) |
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199 | (2) |
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201 | (2) |
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20 ECG interpretation in athletes |
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203 | (6) |
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203 | (3) |
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206 | (1) |
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`Borderline' ECG findings |
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206 | (1) |
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207 | (2) |
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21 Pacemakers and implantable cardioverter-defibrillators |
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209 | (8) |
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209 | (1) |
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Indications for temporary pacing |
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210 | (1) |
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Temporary pacemaker insertion and care |
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210 | (1) |
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Indications for permanent pacing |
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210 | (1) |
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Selection of a permanent pacemaker |
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211 | (1) |
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212 | (2) |
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214 | (1) |
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Implantable cardioverter-defibrillators |
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214 | (1) |
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Cardiac resynchronization therapy (biventricular pacing) |
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215 | (1) |
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215 | (2) |
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22 Ambulatory ECG recording |
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217 | (6) |
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24-h ambulatory ECG recording |
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218 | (1) |
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218 | (1) |
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219 | (1) |
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Bedside monitoring/telemetry (inpatient) |
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219 | (1) |
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Insertable cardiac monitor (ICM) |
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220 | (1) |
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External loop recorder (ELR) |
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220 | (1) |
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Smartphone/smartwatch applications |
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220 | (1) |
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221 | (2) |
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223 | (6) |
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What are the indications for an exercise ECG? |
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223 | (1) |
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What are the risks of an exercise ECG? |
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224 | (1) |
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How do I perform an exercise ECG? |
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225 | (1) |
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When do I stop an exercise ECG? |
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226 | (1) |
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How do I interpret an exercise ECG? |
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226 | (2) |
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228 | (1) |
| Appendix 1 Glossary |
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229 | (4) |
| Appendix 2 ECG resources |
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233 | (2) |
| Appendix 3 Help with the next edition |
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235 | (2) |
| Index |
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237 | |
