Table of Contents
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Contributors |
ix |
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Preface |
v |
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SECTION
I |
BASIC
CONCEPTS |
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Chapter 1 |
Cardiac
Electrical Activity Galen
S. Wagner and Tobin H. Lim |
1 |
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The Book: Marriott’s
Practical Electrocardiography, 11th Edition |
2 |
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The Electrocardiogram |
3 |
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Anatomic Orientation
of the Heart |
4 |
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The Cardiac Cycle |
6 |
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Cardiac Impulse
Formation and Conduction |
10 |
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Recording Long Axis
(Base-Apex) Cardiac Electrical Activity |
12 |
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Recording Short-Axis
(Left versus Right) Cardiac Electrical Activity |
17 |
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Chapter 2 |
Recording the Electrocardiogram Galen S. Wagner and Tobin H.
Lim |
21 |
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The Standard 12-Lead
Electrocardiogram |
22 |
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Alternative Displays
of the 12 Standard Electrocardiogram Leads |
31 |
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Alternative
Electrode Placement |
34 |
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Other Practical
Points for Recording the EGG |
39 |
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Chapter 3 |
Interpretation of the |
43 |
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Electrocardiographs
Features |
44 |
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Rate and Regularity |
46 |
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P-Wave Morphology |
49 |
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The PR Interval |
50 |
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Morphology of the
QRS Complex |
51 |
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Morphology of the ST
Segment |
58 |
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T-Wave Morphology |
60 |
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U-Wave Morphology |
62 |
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QTc Interval |
63 |
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Cardiac Rhythm |
65 |
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SECTION II |
ABNORMAL WAVE MORPHOLOGY |
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Chamber
Enlargement Galen S.
Wagner and Tobin H. Lim |
71 |
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Chamber Enlargement |
72 |
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Atrial Enlargement |
73 |
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Systematic Approach
to the Evaluation of Atrial
Enlargement |
76 |
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Ventricular
Enlargement |
78 |
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Right-Ventricular
Dilation |
80 |
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Right-Ventricular
Hypertrophy |
81 |
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Left-Ventricular
Dilation |
84 |
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Left-Ventricular
Hypertrophy |
86 |
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Combined Right- and
Left-Ventricular Hypertrophy |
88 |
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Systematic Approach
to the Evaluation of Ventricular Enlargement |
91 |
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Typical
Electrocardiographs Changes in Selected Congenital Heart
Diseases |
94 |
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Chapter 5 |
Intraventricular Conduction Abnormalities Galen S. Wagner |
97 |
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Normal Conduction |
98 |
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Bundle-Branch and
Fascicular Blocks |
99 |
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Unifascicular Blocks |
103 |
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Bifascicular Blocks |
110 |
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Systematic Approach
to the Analysis of Bundle-Branch and Fascicular Blocks |
115 |
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Clinical Perspective
on Intraventricular-Conduction
Disturbances |
119 |
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Chapter 6 |
Ventricular
Pre-Excitation Galen
S. Wagner |
125 |
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Historical
Perspective |
126 |
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Clinical Perspective |
127 |
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Pathophysiology |
129 |
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Electrocardiographic Diagnosis of
Ventricular Pre-Excitation |
132 |
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Electrocardiographic Localization of the
Pathway of Ventricular Pre-Excitation |
135 |
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Ablation of
Accessory Pathways |
138 |
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Chapter 7 |
Myocardial
Ischemia, Injury, and Infarction Galen S. Wagner and Tobin H. Lim |
141 |
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Introduction to
Ischemia and Infarction |
142 |
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Electrocardiographs
Changes |
145 |
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Chapter 8 |
Increased Myocardial Demand Galen S. Wagner and Tobin H. Lim |
153 |
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Changes in the ST
Segment |
154 |
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Insufficient
Blood Supply Galen S.
Wagner and Tobin H. Lim |
163 |
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Changes in the ST
Segment |
164 |
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Changes in the T Wave |
174 |
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Changes in the QRS
Complex |
176 |
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Chapter 10 |
Myocardial
Infarction Galen S.
Wagner and Tobin H. Lim |
179 |
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Phases of the
Infarction Process |
180 |
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Infarcting Phase |
181 |
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Reperfusing Phase |
186 |
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Healing Phase |
190 |
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Chronic Phase |
191 |
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Myocardial Salvage |
205 |
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Chapter 11 |
Miscellaneous Conditions Galen S. Wagner and Tracy Y. Wang |
209 |
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Cardiomyopathies |
211 |
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Pericardial Abnormalities |
213 |
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Pulmonary Abnormalities |
218 |
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Intracranial Hemorrhage |
223 |
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Endocrine and
Metabolic Abnormalities |
224 |
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Electrolyte
Abnormalities |
226 |
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Drug Effects |
232 |
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SECTION
III |
ABNORMAL
RHYTHMS |
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Chapter 12 |
Introduction
to Arrhythmias Galen
S. Wagner |
239 |
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Approach to
Arrhythmia Diagnosis |
240 |
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Problems of Automalicity |
242 |
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Problems of Impulse
Conduction: Block |
244 |
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Problems of Impulse
Conduction: Re-Entry |
245 |
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Clinical Methods for
Detecting Arrhythmias |
248 |
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Dynamic (Hotter)
Monitoring |
249 |
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Transtelephonic Monitoring |
250 |
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Memory-Loop
Monitoring |
251 |
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Invasive Methods of
Recording the Electrocardiogram |
252 |
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Incidences of Arrythmias in |
255 |
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Ladder Diagrams |
256 |
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Chapter 13 |
Premature Beats Galen S. Wagner and Tracy Y. Wang |
261 |
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Premature Beat
Terminology |
262 |
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Differential
Diagnosis of Wide Premature Beats |
264 |
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Mechanisms of
Production of Premature Beats |
265 |
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Atrial Premature Beats |
266 |
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Junctional Premature Beats |
270 |
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Ventricular
Premature Beats |
272 |
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The Rule of Bigeminy |
277 |
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Right - versus
Left-Ventricular Premature Beats |
278 |
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Multiform
Ventricular Premature Beats |
281 |
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Groups of
Ventricular Premature Beats |
282 |
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Ventricular
Premature Beats Inducing Ventricular Fibrillation |
283 |
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Prognostic
Implications of Ventricular Premature Beats |
284 |
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Chapter 14 |
Accelerated
Automaticity Galen S. Wagner and Tracy Y. Wang |
287 |
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Introduction to
Accelerated Automaticity |
288 |
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Sinus Tachycardia |
290 |
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Atrial Tachyarrhythmias |
293 |
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Accelerated Junctional Rhythm |
295 |
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Accelerated
Ventricular Rhythm |
298 |
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Chapter 15 |
Re-Entrant
Atrial Tachyarrhythmias—The Atrial
Flutter/Fibrillation Spectrum Galen S. Wagner |
301 |
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Paroxysmal Atrial Tachycardia |
303 |
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Atrial Rate and Regularity
in Atrial
Flutter/Fibrillation |
304 |
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Ventricular Rate and
Regularity in Atrial
Flutter/Fibrillation |
306 |
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Onset of Atrial Flutter/Fibrillation |
309 |
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Termination of Atrial Flutter/Fibrillation |
310 |
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Atrial Flutter |
312 |
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Patterns of Atrioventricular Conduction |
314 |
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Atrial Fibrillation |
318 |
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Characteristics of
the f Waves of Atrial
Fibrillation |
319 |
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Patterns of Atrioventricular Conduction |
321 |
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Atrial
Flutter/Fibrillation with Ventricular Pre-Excitation |
323 |
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Chapter 16 |
Re-Entrant
Junctional Tachyarrhythmias Marcel
Gilbert and Galen S. Wagner |
327 |
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Introduction to
Re-Entrant Junctional Tachyarrhythmias |
328 |
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Varieties of
Re-Entrant Junctional Tachyarrhythmias |
331 |
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Conduction Through the
Atria and Ventricles |
332 |
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Differentiation from
Other Tachyarrhythmias |
333 |
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Differentiation Between
AV-Nodal and AV-Bypass Tachycardias |
336 |
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The Two Varieties of
AV-Nodal Tachycardia |
340 |
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The Three Varieties
of AV-Bypass Tachycardia |
342 |
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Chapter 17 |
Re-Entrant
Ventricular Tachyarrhythmias Marcel
Gilbert and Galen S. Wagner |
347 |
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Varieties of
Ventricular Tachyarrhythmias |
348 |
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Description |
349 |
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Etiologies |
350 |
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Diagnosis |
351 |
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Variation of
Duration in Ventricular Tachycardia |
362 |
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Variations in the Electrocardiographic Appearance
of Ventricular Tachycardia: Torsades
de Points |
363 |
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Ventricular
Flutter/Fibrillation |
364 |
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Chapter 18 |
Ventricular
versus Supraventricular
with Aberrant Conduction Galen
S. Wagner and Tracy Y. Wang |
371 |
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Circumstances
Producing Aberrancy |
373 |
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Characteristics |
375 |
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Ventricular Aberration
Complicating Atrial
Flutter/Fibrillation |
379 |
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Critical Rate |
385 |
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Paradoxical Critical
Rate |
388 |
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Chapter 19 |
Decreased Automaticity Galen S. Wagner and Tracy Y. Wang |
391 |
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Mechanisms of Bradyarrhythmias of Decreased Automaticity |
393 |
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Sinoatrial Block |
398 |
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Perspective on Sinus Pauses |
399 |
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Chapter 20 |
Atrioventricular Block Galen
S. Wagner |
401 |
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Severity of Atrioventricular Block |
403 |
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Location of Atrioventricular Block |
413 |
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Atrioventricular-Nodal Block |
414 |
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Infranodal (Purkinje) Block |
417 |
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Chapter 21 |
Artificial
Cardiac Pacemakers Wesley
K. Haisty, Jr., Tobin H.
Lim, and Galen S. Wagner |
423 |
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Basic Concepts of
the Artificial Pacemaker |
424 |
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Pacemaker Modes and
Dual-Chamber Pacing |
428 |
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Pacemaker Evaluation |
434 |
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Myocardial Location
of the Pacing Electrodes |
438 |
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Pacing: 2007 and
Beyond |
441 |
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Chapter 22 |
Dr.
Marriott’s systematic Approach to the Diagnosis of
Arrhythmias Henry J.L.
Marriott |
445 |
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Dr. Marriott’s
Systematic Approach to the Diagnosis of Arrhythmias |
446 |
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Index |
456 |
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