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Clinical Vectorcardiography

Edward Spoto, MD
Arch Intern Med. 1976;136(3):372. doi:10.1001/archinte.1976.03630030096023.
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Students constantly maintain that vectorcardiograms are difficult to interpret because of confusion in orientation. As I scanned the revised second edition of Clinical Vector-cardiography, I suddenly realized that their observations were entirely accurate. More intense review of the book provided the solution—the cover had been mounted upside down and backwards!

The first edition has served as our recommended text for house officers and practicing physicians. This revision improves an already excellent book by adding newly acquired information on hemiblocks and expanding the sections on myocardial infarction and right ventricular hypertrophy. The result is a concise but comprehensive, clearly written, and excellently illustrated text on adult vectorcardiography.

However, the most important change from the previous edition is a 60-page section on pediatric aspects that was written by Dr Samuel Kaplan. The new author has matched the clarity of text and well-presented diagrams known previously. Some of the examples are less than


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