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Advances in Arrhythmia Analyses: A Case-Based Approach, An Issue of Cardiac Electrophysiology Clinics - E-Book

Advances in Arrhythmia Analyses: A Case-Based Approach, An Issue of Cardiac Electrophysiology Clinics - E-Book

Melvin M. Scheinman | Masood Akhtar

(2010)

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Book Details

Abstract

This issue is a valuable tool to help electrophysiologists interpret complex ECGs so they can better understand arrhythmia mechanisms. Organized by cases, this issue illustrates many of the classic electrocardiographic findings and phenomena that every electrophysiologist should know. Study of this issue demonstrates a systematic way to analyze arrhythmia mechanisms.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors iii
Contents vii
Cardiac Electrophysiology Clinics xiv
Foreword xv
Preface xvii
Chapter 1. Syncope in Patient with Long-Standing Hypertension, Diabetes, and Mild Aortic Stenosis 151
REFERENCES 153
Chapter 2. Exercise-Induced Near Syncope 155
REFERENCES 157
Chapter 3. Abnormalities of Impulse Formation and Conduction 159
CASE 1 160
CASE 2 160
CASE 3 161
CASE 4 161
CASE 5 163
CASE 6 164
CASE 7 168
CASE 8 168
CASE 9 169
CASE 10 169
CASE 11 169
CASE 12 171
CASE 13 171
CASE 14 172
CASE 15 173
CASE 16 173
CASE 17 174
CASE 18 175
CASE 19 175
Chapter 4. Introduction to Supraventricular Tachycardia 179
REFERENCES 180
Chapter 5. Bypass Tract in Patient with Palpitations 183
REFERENCES 185
Chapter 6. Patient with Long RP Tachycardia 187
REFERENCES 190
Chapter 7. Tachycardia-Mediated Cardiomyopathy 191
REFERENCES 196
Chapter 8. Paroxysmal Long R-P Tachycardia 197
ELECTROPHYSIOLOGY STUDY 197
QUESTION: WHERE IS THE SITE OF ORIGIN OF THE FOCAL ATRIAL TACHYCARDIA? 197
DISCUSSION 198
SUMMARY 201
REFERENCES 201
Chapter 9. Narrow Complex Tachycardia: What is the Mechanism? 203
EPS 203
WHAT DIAGNOSTIC MANEUVER WOULD BE USEFUL IN DIFFERENTIATING AVNRT FROM JT? 205
DISCUSSION 205
REFERENCES 207
Chapter 10. Tachycardia-Induced Cardiomyopathy 209
ELECTROPHYSIOLOGY STUDY 209
WHAT IS THE MECHANISM OF THE VARIABLE VENTRICULAR RESPONSE? 209
DISCUSSION 210
SUMMARY 212
REFERENCES 212
Chapter 11. Recurrent Accessory Pathway Conduction in a Patient with Wolff-Parkinson- White Syndrome: How to Ablate? 213
QUESTION: WHAT SHOULD BE THE NEXT ABLATION STRATEGY? 213
DISCUSSION 215
REFERENCES 215
Chapter 12. Supraventricular Tachycardia: Where to Ablate? 217
ELECTROPHYSIOLOGY STUDY AND CATHETER ABLATION 217
QUESTION: WHERE SHOULD ONE ATTEMPT TO ABLATE NOW? 218
DISCUSSION 219
REFERENCES 219
Chapter 13. Rare Diagnosis of a Common Supraventricular Tachycardia 221
ELECTROPHYSIOLOGY STUDY 221
QUESTION: WHAT IS THE DIAGNOSIS? 221
DISCUSSION 223
SUMMARY 223
REFERENCES 223
Chapter 14. Persistent Long R–P Tachycardia 225
ELECTROPHYSIOLOGY STUDY 225
QUESTION: WHAT SHOULD BE THE ABLATION STRATEGY GIVEN THE PREVIOUS HISTORY OF RECURRENT SVT AFTER SUCCESSFUL ABLATION? 226
REFERENCES 228
Chapter 15. Supraventricular Tachycardia in a Patient with Repaired Congenital Heart Disease 231
QUESTION: WHAT IS THE DIAGNOSIS OF THE SUPRAVENTRICULAR ARRHYTHMIA? 231
DISCUSSION 233
REFERENCES 234
Chapter 16. Supraventricular Tachycardia and Atrioventricular Block 235
ELECTROPHYSIOLOGY STUDY 235
WHAT MANEUVERS SHOULD UTILIZED TO DISTINGUISH AT FROM AVNRT? 235
DISCUSSION 236
SUMMARY 238
REFERENCES 238
Chapter 17. Changing QRS Morphology in a Patient with Wolff- Parkinson-White Syndrome 239
CLINICAL PRESENTATION 239
ELECTROPHYSIOLOGIC STUDY 239
WHAT IS THE REASON FOR THE CHANGE IN THE QRS PATTERN? 239
CATHETER ABLATION 242
REFERENCES 243
Chapter 18. Ventricular Tachycardia 245
CASE 1 245
CASE 2 253
CASE 3 257
CASE 4 259
ACKNOWLEDGMENTS 264
REFERENCES 264
Chapter 19. Approach to Cardiac Device Malfunction 267
Chapter 20. Right Atrial Isolation After Maze Procedure Discovered at the Time of Pacemaker Implantation 269
CASE REPORT 269
CLINICAL QUESTION 269
DISCUSSION 270
REFERENCES 271
Chapter 21. The Path Less Taken 273
CASE REPORT 273
CLINICAL QUESTION 273
DISCUSSION 273
PACEMAKER LEAD IN THE LEFT VENTRICLE 273
SUMMARY 275
REFERENCES 275
Chapter 22. Ventricular Tachycardia After Implantable Cardioverter- Defibrillator Placement 277
CLINICAL QUESTION 277
EP STUDY AND CLINICAL COURSE 277
DISCUSSION 279
REFERENCES 280
Chapter 23. Late Recognition of Malignant Vasovagal Syncope 281
CLINICAL PRESENTATION 281
CLINICAL QUESTION 281
DISCUSSION 281
APPENDIX: VIDEO 282
REFERENCES 282
Chapter 24. An Unusual Case of Pacemaker Malfunction 285
BRIEF PRESENTATION OF CLINICAL PROBLEM 285
CLINICAL QUESTION 285
DISCUSSION OF CORRECT INTERPRETATION 285
REFERENCES 288
Chapter 25. Ablation of Complex Atrial Flutters 289
REFERENCES 290
Chapter 26. Multiple Interrelated Right Atrial Flutters 291
CASE PRESENTATION 291
DISCUSSION 291
REFERENCES 294
Chapter 27. A Case of Atrial Arrhythmia After Lung Transplant 295
CLINICAL PRESENTATION 295
ELECTROPHYSIOLOGIC STUDY AND TREATMENT 295
DISCUSSION 297
REFERENCES 298
Chapter 28. An Atrial Flutter Circuit Within the Cavotricuspid Isthmus 299
CLINICAL PRESENTATION 299
ELECTROPHYSIOLOGIC STUDY AND ABLATION 299
DISCUSSION 300
REFERENCES 302
Chapter 29. Ablation of Atrial Flutter in Congenital Heart Disease 305
ELECTROPHYSIOLOGY STUDY 305
STRATEGY FOR RADIOFREQUENCY ABLATION 305
DISCUSSION 306
REFERENCES 307
Chapter 30. Atrial Flutter Late After Remote Tetralogy of Fallot Repair 309
CLINICAL PRESENTATION 309
ELECTROPHYSIOLOGY STUDY 309
DISCUSSION 310
REFERENCES 311
Chapter 31. Supraventricular Tachycardia After Atrial Fibrillation Ablation 313
CLINICAL PRESENTATION 313
EP STUDY AND TREATMENT 313
DISCUSSION 314
SUMMARY 316
REFERENCES 316
Chapter 32. Supraventricular Tachycardia in Pulmonary Hypertension 317
CLINICAL PRESENTATION 317
EP STUDY AND TREATMENT 317
DISCUSSION 318
REFERENCES 319
Index 321