Important

Complete Clinical Guide to Adult Electrocardiography and Electrophysiology Structured into 25 comprehensive clinical chapters covering cellular electrophysiology, acute coronary syndromes, complex arrhythmias, conduction system pacing, channelopathies, and advanced mapping.

Master Chapter Directory

Module NumberTopic TitleCore Clinical Focus
0101. Cellular Cardiac Electrophysiology and VectorcardiographyAction potentials ($0-4$), ionic currents ($I_{Na}, I_{Kr}, I_{Ca}$), spatial QRS-T angle, $fQRS$.
0202. Chamber Enlargement and Vectorial Hypertrophy CriteriaP-mitrale, Bayés syndrome, LVH criteria (Cornell, Sokolow-Lyon, Romhilt-Estes), RVH.
0303. Intraventricular Conduction Disturbances and Fascicular BlocksLAFB, LPFB, Bifascicular/Trifascicular blocks, Ashman phenomenon, H-V interval.
0404. Acute Coronary Syndromes and Regional Myocardial InfarctionSTEMI regional localization (LAD vs RCA vs LCx), RV infarction ($V_3R/V_4R$), Posterior MI ($V_7-V_9$).
0505. High-Risk STEMI Equivalents and Occlusion Myocardial InfarctionWellens, de Winter, LMCA/aVR elevation, Modified Sgarbossa in LBBB, Aslanger, Shark Fin.
0606. Non-Atherosclerotic Acute Coronary Syndromes (SCAD, MINOCA, Prinzmetal, Kounis)SCAD conservative management, Prinzmetal spasm, MINOCA workup, Kounis allergic ACS.
0707. Complex Supraventricular Arrhythmias and Differential DiagnosisShort vs Long RP tachycardias, AVNRT (slow-fast/fast-slow), AVRT, PJRT, Modified Valsalva.
0808. Atrial Fibrillation, Atrial Flutter, and Anticoagulation StrategiesIrregularly irregular rhythm, typical/atypical flutter, FBI rhythm, $\text{CHA}_2\text{DS}_2\text{-VASc}$, PVI/PFA.
0909. Wide Complex Tachycardia Differentiation AlgorithmsBrugada, Vereckei aVR, Pava RWPT $\ge 50\text{ ms}$, AV dissociation, capture/fusion beats.
1010. Idiopathic and Structural Ventricular TachycardiasBelhassen fascicular VT (verapamil-sensitive), RVOT/LVOT VT, Post-infarction scar VT.
1111. Conventional Pacemaker and ICD ElectrocardiographyNBG codes, failure to pace/capture/sense, PMT endless loop, pseudomalfunctions.
1212. Conduction System Pacing (His Bundle and Left Bundle Branch Area Pacing)HBP vs LBBAP, criteria for left bundle capture (LVAT $<80\text{ ms}$, $qR$ in $V_1$), CRT.
1313. Hypertrophic Cardiomyopathy and Apical Yamaguchi SyndromeDagger septal Q waves, Yamaguchi giant negative T waves ($>10\text{ mm}$), Mavacamten, ICD.
1414. Infiltrative and Inflammatory Cardiomyopathies (Amyloidosis, Sarcoidosis, Myocarditis)Voltage-mass discordance, pseudoinfarct, Tafamidis in ATTR amyloid, Sarcoid AV block.
1515. Arrhythmogenic Cardiomyopathies (ARVC and Non-Desmosomal Variants)Epsilon waves in $V_1-V_3$, precordial T-wave inversions, exercise restriction, ICD.
1616. Valvular Heart Diseases, Arrhythmic Mitral Valve Prolapse, and MAD SyndromeArrhythmic MVP, Mitral Annular Disjunction, Pickelhaube sign, TAVR-induced LBBB.
1717. Inherited Channelopathies and Primary Electrical DiseasesBrugada Type 1 (Ajmaline test), Short QT, Malignant Early Repolarization, CPVT, Quinidine.
1818. Pulmonary Hypertension, Acute Cor Pulmonale, and Massive Pulmonary Embolism$S_1Q_3T_3$, precordial+inferior T inversions, McConnell sign, systemic thrombolysis.
1919. Acute Neurological, Environmental, and Critical Care EmergenciesSAH Cerebral T waves, Hypothermia Osborn J waves ($<32^\circ\text{C}$), active core rewarming.
2020. Electrolyte Derangements, Acid-Base Disorders, and ToxicitiesTCA toxicity (terminal R in aVR $>3\text{ mm}$), Digoxin toxicity, IV Sodium Bicarbonate.
2121. Cardio-Oncology and Drug-Induced CardiotoxicitiesImmune Checkpoint Inhibitor myocarditis (high-dose steroids), Anthracyclines, TKI $QTc$.
2222. Sports Cardiology and International Criteria for Athlete ECGAthlete's heart vs cardiomyopathy, International Consensus criteria (normal vs abnormal).
2323. Advanced 3D Electroanatomical Mapping and Catheter Ablation PrinciplesCARTO/EnSite voltage substrate mapping, entrainment mapping (PPI-TCL $<30\text{ ms}$), PFA.
2424. Intracardiac Electrophysiology Study Tracings and Lewis Ladder DiagramsIntracardiac EGMs (HRA, HBE, CS, RVA), A-H/H-V intervals, Lewis ladder diagram drafting.
2525. Clinical Case Vignettes and Electrophysiology SpottersMulti-lead 12-lead mystery cases, ladder diagram solutions, curative electrophysiology.