Fundamentals of Electrocardiograph Interpretation takes a unique approach to describing electrocardiography. This book offers comprehensive coverage of arrhythmias with focused descriptions and hundred of clearly presented illustrations. Covering a wide variety of arrhythmia examples, the book further explores and focuses on the often-overlooked topics like cardiac pacing, lead malposition, and ambulatory monitoring to ensure a wide overview into the science of ECG interpretation.

In 1970, I commenced work as a “novice” cardiologist at The Royal Melbourne Hospital. Training at that time was learning how to recognise the diastolic murmur of mitral stenosis and making sure the ECG and chest x-rays were the correct way up. As this was prior to coronary artery surgery, stenting and echocardiography, the ECG was a highly respected tool for the diagnosis of many conditions. I was fortunate to befriend a number of the gurus of ECG interpretation who taught me to look into the soul of an ECG. Today, even though the ECG is the first investigation performed by a cardiologist, the art of ECG interpretation has been lost because we depend on the new tools for cardiac diagnosis. 

In 1970, I commenced work as a “novice” cardiologist at The Royal Melbourne Hospital. Training at that time was learning how to recognise the diastolic murmur of mitral stenosis and making sure the ECG and chest x-rays were the correct way up. As this was prior to coronary artery surgery, stenting and echocardiography, the ECG was a highly respected tool for the diagnosis of many conditions. I was fortunate to befriend a number of the gurus of ECG interpretation who taught me to look into the soul of an ECG. Today, even though the ECG is the first investigation performed by a cardiologist, the art of ECG interpretation has been lost because we depend on the new tools for cardiac diagnosis. 

Dr Thura Thant asked for an opinion on this confusing ECG. By using arrows and highlight, the ECG bared its soul and gave me an answer. ‍See if you can work it out? What do you think?

Is this the impossible pacemaker ECG? It took me a while to work out what was going on. Is it pacemaker malfunction?‍ What do you think?

I came across these two tracings from the same patient during Holter reporting. Do you agree with the reported diagnoses?

I reported this ECG recently. What is the rhythm? Put in the arrows. Who is married to who? What are the mechanisms? What do you think?

I came across this rhythm strip whilst reporting Holter monitor recordings. What do you think?