M Sajjan MBBS
President, Dynamic Education Trust®
Mangalore, Karnataka, India
Foreword EVS Maben
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Learn ECG in a Day: A Systematic Approach
First Edition: 2013
9789350900864
Printed at:
5Dedicated to
My parents, Smt Prasadini Madappady and Sri Radhakrishna Madappady who have unconditionally been constant source of love, support and encouragement
7Foreword
Interpretation of electrocardiograph is an essential part of cardiovascular diagnosis.
ECG is an important diagnostic tool in the diagnosis of cardiac as well as some metabolic problems. To read an ECG correctly, one has to be thorough with the basic knowledge of electromechanical system of the heart. It also requires a lot of imaginations and logic conclusions.
Teaching ECG to an undergraduate student is a challenging task for the teacher. The teacher has to use a lot of innovative ideas to kindle an interest in the student to the interpretation of ECG.
I am extremely proud of my student, Dr Sajjan, who took keen interest in my ECG classes and with his strong foundation of cardiology and multimedia skills, brought out this practical book Learn ECG in a Day: A Systematic Approch. He made it very simple, interesting and practical by using his own innovative ideas and methods.
Probably, this is the first book on ECG written by an internist for the benefit of not only undergraduates but also for postgraduates in General Medicine. This is also an example of how a young mind can blossom with new ideas and skills if given proper guidance and opportunity.
I wish many young brains be stimulated by this commendable work of Dr Sajjan and hope he will become a good medical teacher in the days to come.
I wish him all the best.
EVS Maben
Professor and Head
Department of Medicine
AJ Institute of Medical Sciences
Mangalore, Karnataka, India
9Preface
Present-day cardiology is undergoing immense advancements. ECG still remains the key stone in the clinical management of various cardiovascular and metabolic disorders.
Currently, interpreting ECG for medicos is a difficult task. So my efforts into this book endeavor to equip them to interpret ECG confidently and independently.
My experience with trying to understand ECG as an undergraduate made me realize that all the current books on ECG are merely a source of information. So unlike other books, the purpose of this book is to help medicos to develop a systematic approach to ECG and come to a diagnosis in a clinical set-up. However, reading the book alone will not suffice until interpreting is not put into practice.
Your opinion is valuable. I request you to give me a feedback and help in improvement of this book to my E-mail: dynamicsajjan@gmail.com.
In the end,
“Observe, record, tabulate, and communicate. Use your five senses. Learn to see, learn to hear, learn to feel, learn to smell and know that by practice alone you can become expert.”
—William Osler
WISHING YOU ALL THE BEST!
Sajjan M
11Acknowledgments
When emotions are poured, words, sometimes, are not sufficient to express our thanks and gratitude.
My sincere gratitude to Dr EVS Maben, Professor and Head, Department of Medicine, AJ Institute of Medical Sciences, who is my teacher, guide and inspiration behind this book and I would like to thank him for writing the Foreword for this book.
I extend my sincere gratitude to Shri AJ Shetty, President, Laxmi Memorial Education Trust, and Shri Prashanth Shetty, Vice-President, Laxmi Memorial Education Trust, for their support. I extend my sincere gratitude to Dr Ramesh Pai, Dean, AJIMS, Mangalore and Dr E Keshava Bhat, Professor of Medicine (Retd), Mangalore, for reviewing this book.
I extend my heartfelt gratitude to Dr Purushotham, Interventional Cardiologist, AJHRC, Mangalore, for taking his valuable time in evaluating this book and giving his expert opinion. I extend my sincere gratitude to Dr Krishna Kumar PN, MCH (CVTS), Apollo Hospitals, Chennai; Dr Naveen NS (GS), District Hospital, Madikeri, Kodagu; Dr BK Rajeshwari, MS (O & G), Bangalore Medical College, Bengaluru; Dr Praveen NS, Senior Clinical Fellow in Fetal Medicine, Royal London Hospital, London, UK; Dr Ashwini A, Clinical Fellow in Anesthesiology, Luton and Dunstable NHS Trust, UK, for taking their precious time in reviewing this book and giving their valuable views.
I would like to thank my mother, Smt Prasadini M; my father, Sri Radhakrishna M; my sister, Ms Madhura M, and all my family members for their encouragement and support.
It is my immense pleasure to pay gratitude to my teacher Mrs Olivia Periera.
Words are hard to find when it comes to highlighting the role of my friends in making this book.
I express my special thanks to Dr Nandish VS, Dr Ajey M Hegde, Dr Ravichandran K, Dr Chinthan S, Dr Anup Yogi and all my friends for their constant support.
I express my gratitude to my dearest friend and colleague Dr Rex Pais Prabhu for his constant support and aptly titling my book Learn ECG in a Day: A Systematic Approach.
My gratitude to Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for accepting my book and bringing out the contents and pictures in an elegant manner.
Last but not least, I gracefully acknowledge and thank in anticipation all readers, whom I am confident will act as a guiding force in improving and upgrading the contents of this book.
13Readers' Views
I am extremely happy that the ‘primer’ of ECG is brought over by our own product, Dr Sajjan. He has taken lots of trouble to compile this volume and I am sure it will help the house surgeons and postgraduates. I congratulate him and I wish him all the best for future.
— Dr Ramesh Pai md (general medicine)
Dean, AJIMS, Mangalore, Karnataka
I have reviewed this book written by Dr Sajjan and I find it as an interesting ECG manual for beginners. I am thoroughly impressed with the efforts put in and the insight of the author, who is in his formative years as a doctor. This speaks of his vast ability and commitment. I wish him luck in his future endeavors.
— Dr Purushotham md dnb (cardio) dm (cardio)
Interventional Cardiologist, AJHRC, Mangalore, Karnataka
Dr Sajjan has written a book about basics of ECG. It is well-illustrated, useful for MBBS students, house surgeons and initial years of postgraduate students.
— Dr E Keshava Bhat md (internal medicine)
Mangalore, Karnataka
Dr Sajjan has done an excellent job in covering the entire subject of Electrocardiology in a simple and precise manner. The basic format and good illustrations make it an ideal choice for budding doctors.
— Dr Krishna Kumar PN mch (cvts)
Apollo Hospitals, Chennai
I am very happy to see Dr Sajjan who has completed his MBBS recently and he has written a book on ECG which is one of the important subjects in General Medicine. I appreciate his knowledge and interest in the subject. I hope this book will be helpful for all MBBS and beginners in postgraduation. I wish him a bright future.
— Dr Naveen NS mbbs ms (gs)
District Hospital Madikeri, Kodagu, Karnataka
Dr Sajjan has done a fantastic work by bringing out such a nice book on ECG. I am very happy to see him doing this great job in the beginning of his career. I hope that this book will guide all MBBS and postgraduate students. I wish him all success in future.
— Dr BK Rajeshwari mbbs ms (o & g)
Bangalore Medical College, Bengaluru, Karnataka
14Learn ECG in a Day: A Systematic Approach as title suggests is simple, clear and concise. This book takes relatively little time to read through, and guides you through basic understanding and makes interpretation a lot simpler. To touch this complicated subject (at least for me!) during internship is not easy and Dr Sajjan has done an excellent job! The book is highly recommended for the beginners to understand and interpret ECG as well as to use in a clinical setting in day-to-day practice.
— Dr Praveen NS md (o & g) dnb mrcog(london) pg cert. in clinical ultrasound
Senior Clinical Fellow in Fetal Medicine
Royal London Hospital, London, UK
This book is simple, very easy to read and helps us to understand and interpret ECG clearly in a quick time. It is ideal for anybody who is a beginner and afraid of ECG! Dr Sajjan has worked hard to make this difficult subject much easier using a series of illustrative diagrams throughout the book. The book has an easy feel to it and I would recommend this book for anybody who wants a basic introduction to ECG.
— Dr Ashwini A da
Clinical Fellow in Anaesthesiology
Luton and Dunstable NHS Trust, UK