The slides we use for local and international talks are provided here for academic use. It would be nice of you to mention the source (or plug our books) but there is no obligation to do so and feel free to remove any identifiers and to make changes. If you find any errors or have suggestions please let us know. We are not sensitive to constructive criticism and our main goal is to educate so we are appreciative of pointers to enhance our materials.

Pattern Recognition Approach to the ECG
This lecture with examples has been developed to teach medical students and other groups an easy approach to learning electrocardiography. It has evolved over the past 20 years using input from students. The premise is that students now have so much to learn that a practical approach is the best way of teaching them important concepts. It is aimed at answering their consistent question: what do we really need to know?
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"The Exercise Test, updated 2010"
This lecture has been developed for teaching residents and fellows the applications, performance and interpretation of the standard ECG treadmill test. Questions like "who should be tested?" and "when do we stop the test?" are answered. All of the concepts presented are evidence and guideline based.
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Exercise and Health
This lecture provides a comprehensive review of the risk and benefits of exercise. Both physiology and epidemiology are covered.
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Preventing Cardiovascular Athletic deaths
This lecture focuses on the causes of athletic deaths and strategies to prevent them.
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"Early Repolarization - Culprit or Innocent Bystander"
Recent studies have suggested that the benign pattern of early repolarization may be associated with athletic deaths. The studies for and against this new concern are presented. Our feeling is that the semantics of this debate are at the heart of the problem and that traditional early repolarization is a benign finding in many young, healthy athletes.
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How to Use Heart Rate Changes to Improve Exercise Test Results

This slide series focuses on the data demonstrating the prognostic value of the drop in heart rate after an exercise test. We point out that it does not diagnose coronary artery disease nor is it as prognostic as METs but that it can be valuable information.
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Better Decisions thru Science

This slide series is based on a Scientific American article arguing for the use of evidence based scores for decision making and then applies these concepts to interpretation of exercise test results.
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Standard Exercise Test vs Nuclear Perfusion (AHA 02)

This is a presentation comparing the standard ECG exercise test to nuclear perfusion testing and the relative value and indications for them.
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What is a MET?

This slide set provides the physiology behind the use of METs for exercise assessment and prognostication. The "forgotten" variable is given its due emphasis.
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Prevalence and Prognosis of ECG

All of the classic rest ECG diagnoses such as LVH, Q waves, bundle branch block and PVCs are reviewed and the available epidemiological studies of their prevalence and prognosis are summarized. It helps the clinicain decide what to do when such abnormalities are seen.
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How to Perform and Interpret an Exercise Test

This is the original presentation of the exercise test lecture with more slides and comments than the updated, streamlined version presented above.
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