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January 14, 1974

Practical Pediatric Electrocardiography

Author Affiliations

University Hospitals of Cleveland Cleveland

JAMA. 1974;227(2):208. doi:10.1001/jama.1974.03230150056036

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I must ask the reader in interpreting this review to accept my own personal long-standing bias against electrocardiographic primers. Such brief texts on standard electrocardiography have always been with us and, I'm sure—despite this review—will always be with us. Such books, as this one, are designed for the nonelectrocardiographer to "make diagnoses for him." It also presupposes that an understanding of the nature of the electrocardiogram is not necessary in order to make simple diagnoses. My own tenet, of course, is that no primer can make an electrocardiographic diagnosis for someone who does not understand something about the underlying biology (except in the case of recognition of certain simple arrhythmias). Another unfortunate aspect in most primers, which goes along with "teaching" of patterns, is the inclusion of the same old-fashioned inaccuracies. A few examples include the use of the term "intrinsicoid deflection" (ventricular activation) where the authors relate the transmembrane