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In this edition, the sections on posterior myocardial infraction, supraventricular tachycardia, ventricular tachycardia, and anti-arrhythmic drug therapy have all been updated or revised. This book is the culmination of about 30 years of experience in the teaching of electrocardiography to coronary-care-unit nurses, medical undergraduates, interns, residents and cardiology registrars. The approach to the subject is entirely from the viewpoint of a clinician, hence theoretical considerations have been kept to a minimum and clinical-electrocardiographic correlations have been emphasized throughout the text.
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Clinical E lectrocardiography Third Edition Clinical E Zectrocardiography Third Edition B L Chia MBBS, FRACP, FRCP (Edin), FAMS, FACC PROFESSOR OF MEDICINE NATIONAL UNIVERSITY OF SINGAPORE CHIEF; CARDIAC DEPARTMENT NATIONAL UNIVERSITY HOSPITAL SINGAPORE L World Scientific Singapore New Jersey. London Hong Kong Published by World Scientific Publishing Co. Re. Ltd. P 0 Box 128, Farrer Road, Singapore 912805 USA office: Suite IB, 1060 Main Street, River Edge, NJ 07661 UK ofice: 57 Shelton Street, Covent Garden, London WC2H 9HE British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library. First published 1998 Reprinted 2000 CLINICAL ELECTROCARDIOGRAPHY, 3rd Edition Copyright 0 1998 by World Scientific Publishing Co. Re. Ltd. A11 rights reserved. This book, or parts thereoJ may not be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system now known or to be invented, without written permission from the Publisher. For photocopying of material in this volume, please pay a copying fee through the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to photocopy is not required from the publisher. ISBN 981-02-3761-8 ISBN 981-02-3762-6 (pbk) Printed in Singapore. To John and Lin ACKNOWLEDGEMENTS It gives me great pleasure to express my thanks and gratitude to the following: (1) Assoc Professor Lim Yean-Teng (Senior Consultant) and the other members of the Cardiac Department, National University Hospital, Singapore who are listed below for their dedication and unfailing support and also for helping to create a stimulating environment where electrocardiography can enjoy a robust growth together with echocardiography, electrophysiology and interventional cardiology: (a) Drs Lim Tai-Tian, Ling Lieng-Hsi, Ng Kheng-Siang, Ng Wai-Lin, Tan Huay-Cheem and Ye0 Tiong-Cheng (all Consultant Cardiologists) (b) Drs Ho Kheng-Thye (Senior Registrar), Bernard Kwok and James Yip (Registrar) (2) Dr Lau Kean-Wah, Senior Consultant Cardiologist at the National Heart Centre, Singapore for reading through the manuscript and for his friendship, invaluable advice and help through the years. (3) Ms Christina Ng for her excellent typing and secretarial skills, without which this book could not have been completed. (4) Mr Tan Lip-Seng for his excellent photography. I would also like to thank the following: Dr Chan I t - Y e e for Fig. 5.18, Dr Bernard Ee for Figs. 2.6,7.9 and 7.13, Dr A Johan for Fig. 5.6, Dr Koo Chee-Choong for Figs. 6.14,6.15 and 7.12, Dr Quek Swee-Chye for Fig. 3.29 and Dr Arthur Tan for Fig. 2.8. The Managing Editor of Asian Medical News for permission to reproduce several of the ECG and cardiovascular quizes which I have previously published. The Editor of the Singapore Medical Journal for permission to reproduce from my previous publications Figs. 2.2 1, 2.27, 2.28, 2.29, 2.30 and 5.19. The Editor-in-Chief, The Canadian Journal of Cardiology for permission to reproduce from my previous publica