Dr. Alan Lindsay: A Teacher of Substance and Style
This booklet is dedicated to the memory of Alan E. Lindsay, MD (1923—1987) master teacher of electrocardiography, friend, mentor, and colleague. Many of the excellent ECG tracings illustrated in this learning program are from Dr. Lindsay’s personal collection of ECG treasures. For many years these ECG’s have been used in the training of medical students, nurses, house staff physicians, cardiology fellows, and practicing physicians in Salt Lake City, Utah as well as at many regional and national medical meetings.
It is an honor to be able to provide this booklet as well as an interactive ECG website on the Internet in recognition of Dr. Lindsay’s great love for teaching and for electrocardiography: http: //library. med. utah. edu/kw/ecg. This document and the ECG website offer an introduction to clinical electrocardiography.
ECG terminology and diagnostic criteria often vary from book to book and from one teacher to another. In this document an attempt has been made to conform to standardized terminology and criteria, although new diagnostic concepts derived from the recent ECG literature have been included in some of the sections. Finally, it is important to recognize that the mastery of ECG interpretation, one of the most useful clinical tools in medicine, can only occur if one acquires considerable experience in reading ECG’s and correlating the specific ECG findings with the pathophysiology and clinical status of the patient.
The sections in this booklet are organized in the same order as the recommended stepwise approach to ECG interpretation outlined in Section 2. Beginning students should first go through the sections in the order in which they are presented. Others may choose to explore topics of interest in any order they wish. It is hoped that all students will be left with some of the love of electrocardiography shared by Dr. Lindsay.
The materials presented in the “Introduction to ECG Interpretation” booklet are for your information only. All of the materials are provided “AS IS” and without any warranty, express, implied or otherwise, regarding the materials’ accuracy or performance. You accept all risk of use of, and reliance on, the materials contained in the booklet.
Alan E. Lindsay博士：一位颇具风度、 有影响力的老师
这本书是献给Alan E. Lindsay博士(1923—1987), 一位心电图专家、 老师、 朋友、 导师和同事。本书中许多精彩的心电图分析、 诊断策略和精华均来自于Alan E. Lindsay博士个人毕生收藏的心电图宝库。多年来, 这些心电图一直用于训练医学生、 护士、 住院医师、 心脏病研究员和在狄他州盐湖城工作的医生们。当然， 这些心电图也被经常用于许多国家和地区的各类医学会议， 非常实用和简洁易懂, 深受欢迎。
很荣幸这本书能够翻译成中文并出版以纪念和缅怀Alan E. Lindsay博士的教学和他那伟大的爱。
读过或学过心电图的医生会经常发现, 有些心电图的诊断标准和心电图术语,许多书本上的描述并不一致, 老师教得也不完全一样。比如心室肥大的诊断标准, 宽、 窄QRS心动过速的鉴别等, 各家说法不一。本书的目的就是希望统一心电图的诊断标准, 规范心电图的术语。尽管最近的心电图学已经包含了一部分新的诊断概念, 但还是需要在世界范围内对其进行广泛地交流和比较。重要的是， 我们需要认识和真正掌握心电图诊断技能。要充分利用这个临床医学最有用的工具之一, 只能靠获得大量的阅读心电图的经验后, 将具有相关的病理特征的心电图与临床病人的实际情况相结合, 才能作出准确的判断。这就是Alan E. Lindsay教授的精髓所在。
这本书列出了步进式心电图的判读方法(见第二节)。初学者应该按顺序学习。其他人可以选择任何他们感兴趣的章节。希望所有的读者最后都能留下一些热爱和喜欢心电图的体会， 与我和Alan E. Lindsay教授共同分享。
本书仅供您参考。所有的材料都是如上所述所提供, 关于资料的精度和操作性不能作任何保证。您阅读本书请接受所有使用本文的风险, 并信赖本文包含的内容。