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The dust jacket of this latest edition to the growing list of text books on interpretation of the childhood electrocardiogram specifically states that this text "emphasizes simplicity, a pictorial approach and an outline format" and that it was written for the noncardiologist caring for children. Within these clearly defined limits, it is largely successful in providing guidelines for the interpretation of normal and abnormal ECGs. The approach is intentionally "cookbook" in nature with only a moderate amount of underlying explanation regarding the causes of the observed variation. The chapter on "Registration" (an unusual term) of the ECG is clear with the exception of Fig 1 to 3, which would suggest that leads V1 and V2 are to be placed in the third intercostal spaces in contrast to the correct description in the accompanying caption and text. Examples of technical artifacts are particularly good. The use of selected percentiles in