Learn ECG in a Day: A Systematic Approach
Learn ECG in a Day: A Systematic Approach
Second Edition
Sajjan Madappady MBBS MD MBA PGDDM
International Medical Consultant Managing Director, Dynamic Medicare Pvt Ltd Assistant Professor, Department of Community Medicine, AJIMS and RC President, Dynamic Health and Education Foundation (NGO) Certified Medical Tourism Professional by the American Medical Tourism Association, USA Advisory Scientific Consultant for Guangdong Institute of Targeted Tumour Intervention and Prevention, CHINA www.drsajjan.com
EVS Maben MBBS MD
Professor and HOD, Department of General Medicine AJ Institute of Medical Sciences and Research Centre Mangalore, Karnataka, India
Prem Alva MBBS MD
Consultant Interventional Paediatric Cardiologist AJ Hospital and Research Centre Mangalore, Karnataka, India
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Learn ECG in a Day: A Systematic Approach / Sajjan Madappady, EVS Maben, Prem Alva
First Edition: 2013
Second Edition: 2020
9789389587265
Printed at
My parents, Smt Prasadini Madappady and Sri Radhakrishna Madappady who have unconditionally been constant source of love, support and encouragement
Preface to the Second Edition
Sajjan Madappady MBBS MD MBA PGDDM
International Medical Consultant
Managing Director, Dynamic Medicare Pvt Ltd
Assistant Professor, Department of Community Medicine, AJIMS and RC
President, Dynamic Health and Education Foundation (NGO)
Certified Medical Tourism Professional by the American Medical Tourism Association, USA
Advisory Scientific Consultant for Guangdong Institute of Targeted Tumour
Intervention and Prevention, CHINA
My journey as an author of this book since the last 8 years has been very adventurous. The satisfaction I have seen in the thousands of students, in those, whom I have passed on my knowledge and understanding has inspired me to keep going and improving to add value.
I am very grateful for the student community for receiving this book very positively. I have been privileged to be invited as a guest for numerous international and national universities to create a workshop on ECG interpretation. All along this journey, I have improvised on my techniques of effective knowledge delivery.
I have been addressing the pediatric ECG for many pediatricians. In collaboration with Dr Prem Alva, in this edition, we have added a special chapter on pediatric ECG interpretation.
I always believe “Dare to be Different” and that's what adds value in life. Have a vision and take a stand for its accomplishment. Life always has a way to make things work for you when you work toward it.
Your opinion is valuable. I request you to give me the feedback and help in the improvement of this book to my E-mail: dynamicsajjan@gmail.com or www.drsajjan.com/contact.
Feel free to contact me anytime if you have difficulty in understanding the concepts. Happy reading!
Preface to the First Edition
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 Madappady
Acknowledgments
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.
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.