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Marriott's sixth edition is published on the 30th anniversary of this durable textbook of ECG and six years after the previous edition. The author states that "the text is designed to be digestible to beginners" and it is. However, it is not good for the beginner who wishes to learn the principles of ECG nor will those teaching these principles be likely to use this book in that setting. This is because Marriott dismisses vectorcardiography (perhaps correctly) as "an interesting and valuable research tool, necessarily a rather limited value"; however, he fails to recognize the value of vector concepts in fostering a better understanding of more skilled ECG. Cardiologists and others interested in detailed concepts of cadiac electrophysiology will have to look elsewhere. However, for the clinician, especially the internist, this is a superb textbook dealing with all aspects of practical ECG diagnosis. It has been extensively revised, contains new