1．Introduction

History

Electrical Activity of the Heart

The Electrocardiogram

Unipolar Technique

Unipolar Terminology

2．Physiologic Principles

Experimental Data

Depolarization

Repolarization

The Five Basic Unipolar Ventricular Patterns

3．Electrical Position of the Heart

The Common Clinical Electrocardiographic Positions

Relationship of Unipolar to Standard Limb Leads

4．Ventricular Enlargement

Left Ventricular Hypertrophy

Diagnostic Electrocardiographic Signs

Right Ventricular Hypertrophy

Diagnostic Electrocardiographic Signs

5．Bundle Branch Block

General Considerations

Right Bundle Branch Block

Characteristic Unipolar Lead Changes

Incomplete Right Bundle Branch Block

Significance of Right Bundle Branch Block

Left Bundle Branch Block

Characteristic Unipolar Lead Changes

Incomplete Left Bundle Branch Block

Significance of Left Bundle Branch Block

Ventricular Hypertrophy and Bundle Branch Block

Arborization Block

Aberrant Atrioventricular Conduction(Wolff-Parkinson-White Syndrome)

6．Myocardial Infarction

Ischemia,Injury and Infarction Patterns

Interpretation of Infarction Pattern

Interpretation of Injury Pattern

Current of Injury Theory

Blocking of Depolarization Theory

Evolution of Myocardial Infarction

Localization of Infarction

Infarction Pattern in Extremity Leads

Acute Infarct Superimposed on Old Infarct

Myocardial Infarction Complicated by Bundle Branch Block

With Right Bundle Branch Block

With Left Bundle Branch Block

7．Abnormal Electrocardiographic Pattern

Ventricular Aneurysm

Myocarditis

Pericarditis

Pulmonary Embolism—Acute Cor Pulmonale

Digitalis Effect

Quinidine Effect

Potassium and Calcium Effect

Juvenile Precordial Lead Pattern

The Two Step(Master)Exercise Test

Hyperventilation Syndrome

8．Congenital Heart Disease

9．General Comments on Interpretation

The P Wave

The QRS Complex

The S-T Segment and the T Wave

Unipolar Esophageal Leads

Summary

10．Cardiac Arrhythmias

Normal Sinus Rhythm

Sinus Tachycardia

Sinus Bradycardia

Sinus Arrhythmia

Sinus Arrest and Sinoauricular Block

Auricular Premature Contraction

Nodal Premature Contraction

Ventricular Premature Contraction

Paroxysmal Auricular Tachycardia

Auricular Flutter

Auricular Fibrillation

Nodal Tachycardia

Ventricular Tachycardia

Ventricular Flutter and Fibrillation

Auriculoventricular Block

Auriculoventricular Dissociation

Illustrative Unipolar Electrocardiograms

Illustrative Electrocardiograms of the Arrhythmias

Bibliography

Index