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March 2, 1984

Cardiac Rhythm Disturbances: A Step-by-Step Approach

Author Affiliations

Vanderbilt University School of Medicine Nashville, Tenn

JAMA. 1984;251(9):1219. doi:10.1001/jama.1984.03340330071034

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This book meets the criteria for a successful textbook—it is accurate, lucid, and complete. Each topic is presented in a straightforward manner with an economy of words that has enabled the authors to cover this broad subject in 287 pages.

The text and illustrations are grouped into four sections: "Supraventricular Rhythms and A-V Dissociation," "Heart Block and Other Bradyarrhythmias," "Ventricular Arrhythmias and Tachycardias With Wide QRS Complexes," and "Parasystole, Concealed Conduction, Pacemakers, and Miscellaneous Arrhythmias." Diagrams are clear and relevant to the material discussed. Each section is followed by a collection of ECGs that serve as additional examples of the rhythms discussed in the text. The ECGs are of good technical quality and many are annotated, which is also helpful in understanding the mechanisms and salient features of the rhythm.

Some knowledge of electrocardiography and basic cardiac electrophysiology is required to make the most effective use of this book. I