6th Edition

Making Sense of the ECG A Hands-On Guide

By Andrew Houghton Copyright 2025
    248 Pages 168 Color & 43 B/W Illustrations
    by CRC Press

    248 Pages 168 Color & 43 B/W Illustrations
    by CRC Press

    Interpreting an ECG correctly and working out what to do next can seem like a daunting task to the non-specialist, yet it is a skill that will be invaluable to any doctor, nurse or paramedic when evaluating the condition of a patient.

    Making Sense of the ECG has been written specifically with this in mind and, across multiple editions, has helped students and more experienced healthcare practitioners to identify and answer crucial questions, including:

    Are these abnormalities significant?
    How do I distinguish between VT and SVT?
    Does this patient have an acute coronary syndrome?
    How do I measure the QT interval?
    Should I refer this patient to a cardiologist?

    This popular, easy-to-read and easy-to-remember guide to the ECG as a tool for diagnosis and management has been fully updated in its sixth edition to reflect the latest guidelines, with new chapters added covering ‘Reading an ECG recording’ and 'Ten ECGs not to miss’.

    Key features:   

    • Real ECGs - with annotation throughout to highlight key features and new examples included
    • Strong clinical emphasis – for rapid reference in the emergency department, ward or outpatient setting with increased focus on urgency of action required
    • Enhanced summaries and improved tip boxes - speedy access to key info and advice when to act quickly or seek help
    • New to this edition – reading an ECG recording from first principles added, ten ECG abnormalities with the most serious clinical consequences if missed or misdiagnosed flagged, more detail on ‘normal’ heart rates, cardiac activation and conduction, optimal electrode placement, updated guidance on acute coronary syndromes and cardiopulmonary resuscitation, and improved relevance for pre-hospital care

    Pair with Making Sense of the ECG: Cases for Self-Assessment, Third edition for the complete ECG learning and revision package!

    Preface to the sixth edition.
    About the author.
    Acknowledgements.

    1. Anatomy and physiology. 2. PQRST: Where the waves come from. 3. Performing an ECG recording. 4. Reading an ECG recording. 5. Heart rate. 6. An approach to heart rhythms. 7. The axis. 8. The P wave. 9. The PR interval. 10. The Q wave. 11. The QRS complex. 12. The ST segment. 13. The T wave. 14. The QT interval. 15. The U wave. 16. Artefacts on the ECG. 17. Supraventricular rhythms. 18. Ventricular rhythms. 19. Conduction problems. 20. Reporting an ECG recording. 21. ECG interpretation in athletes. 22. Cardiac implantable electronic devices. 23. Ambulatory ECG recording. 24. Exercise ECG testing. 25. Ten ECGs not to miss.
    Appendix 1: Glossary
    Appendix 2: ECG resources
    Index.

    Biography

    Andrew Houghton MA(Oxon), DM, BM BCh, FRCP (Lond) Consultant Cardiologist and Clinical Head of Echocardiography, Grantham and District Hospital, Grantham, Lincolnshire, UK Dr Andrew R. Houghton studied medicine at the University of Oxford and undertook postgraduate training in Nottingham and Leicester. He was appointed as consultant cardiologist at Grantham & District Hospital in Lincolnshire, UK, in 2002. His subspecialty interest is in non-invasive cardiac imaging, in particular echocardiography and cardiovascular MRI. He has been a member of the British Society of Echocardiography’s departmental accreditation committee, and a lecturer at BSE annual congresses. Dr Houghton has co-authored a number of textbooks, including Making Sense of the ECG (now in its sixth edition) and its companion volume Making Sense of the ECG: Cases for Self-Assessment (now in its third edition), and is also a faculty member at the Medmastery online medical education website. Making Sense of the ECG has won several awards, including the Royal Society of Medicine’s Richard Asher prize and the British Medical Association’s Student Textbook Award, while Making Sense of Echocardiography was highly commended at the BMA Medical Book Awards.