- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- 16.1 Structure and function
- 16.2 Clinical presentation of heart disease
- 16.3 Clinical investigation of cardiac disorders
- 16.3.1 Electrocardiography
- 16.3.2 Echocardiography
- 16.3.3 Cardiac investigations: Nuclear, MRI, and CT
- 16.3.4 Cardiac catheterization and angiography
- 16.4 Cardiac arrhythmias
- 16.5 Cardiac failure
- 16.6 Valvular heart disease
- 16.7 Diseases of heart muscle
- 16.8 Pericardial disease
- 16.9 Cardiac involvement in infectious disease
- 16.10 Tumours of the heart
- 16.11 Cardiac involvement in genetic disease
- 16.12 Congenital heart disease in the adult
- 16.13 Coronary heart disease
- 16.14 Diseases of the arteries
- 16.15 The pulmonary circulation
- 16.16 Venous thromboembolism
- 16.17 Hypertension
- 16.18 Chronic peripheral oedema and lymphoedema
- 16.19 Idiopathic oedema of women
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
(p. 3294) Clinical investigation of cardiac disorders
The electrocardiograph (ECG) has been recognized as a valuable diagnostic tool since the end of the 19th century. The normal ECG waveform consists of P, QRS, and T waves (and sometimes U waves)—P waves result from atrial depolarization, QRS complexes from ventricular depolarization, and T waves from ventricular repolarization. The standard 12-lead ECG utilizes four limb electrodes and six precordial electrodes to generate 12 leads or ‘views’ of the heart’s electrical activity. There are six limb leads (termed I, II, III, aVR, aVL, and aVF) and six precordial leads (termed V1, V2, V3, V4, V5, and V6). Supplementary ‘views’ can be obtained by using additional leads, such as V7, V8, and V9 to assess the posterior aspect of the heart and right-sided chest leads to look for a right ventricular myocardial infarction.
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- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- 16.1 Structure and function
- 16.2 Clinical presentation of heart disease
- 16.3 Clinical investigation of cardiac disorders
- 16.3.1 Electrocardiography
- 16.3.2 Echocardiography
- 16.3.3 Cardiac investigations: Nuclear, MRI, and CT
- 16.3.4 Cardiac catheterization and angiography
- 16.4 Cardiac arrhythmias
- 16.5 Cardiac failure
- 16.6 Valvular heart disease
- 16.7 Diseases of heart muscle
- 16.8 Pericardial disease
- 16.9 Cardiac involvement in infectious disease
- 16.10 Tumours of the heart
- 16.11 Cardiac involvement in genetic disease
- 16.12 Congenital heart disease in the adult
- 16.13 Coronary heart disease
- 16.14 Diseases of the arteries
- 16.15 The pulmonary circulation
- 16.16 Venous thromboembolism
- 16.17 Hypertension
- 16.18 Chronic peripheral oedema and lymphoedema
- 16.19 Idiopathic oedema of women
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine