The Physiological Basis of the Electrocardiogram - Chapter 1

A. T. Reisner, G.D. Clifford & R.G. MarkBigeminy

 in Advanced Methods for ECG Analysis, (Eds. G. D. Clifford, F. Azuaje and P. E. McSharry),  Artech House, Boston, 2006.

Chapter 1 provides an overview of the cellular and electromagnetic origins of the surface ECG, together with a description of the autonomic regulation of the myocardium. Discussions of both normal and abnormal morphologies and rhythms are given together with a clinical perspective on how physiological abnormalities lead to such problems. 



1.1 Cellular Processes that Underlie the ECG


1.2 The Physical Basis of Electrocardiography

1.2.1 The Normal Electrocardiogram

1.3 Introduction to Clinical Electrocardiography: Abnormal Patterns

1.3.1 The Normal Determinants of Heart Rate: The Autonomic Nervous System

1.3.2 Ectopy, Tachycardia, and Fibrillation

1.3.3 Conduction Blocks, Bradycardia, and Escape Rhythms


1.3.4 Cardiac Ischemia, Other Metabolic Disturbances, and Structural Abnormalities


1.3.5 A Basic Approach to ECG Analysis