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Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald's Heart Disease E-Book

Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald's Heart Disease E-Book

Ziad Issa | John M. Miller | Douglas P. Zipes

(2012)

Additional Information

Book Details

Abstract

With its unique, singular focus on the clinical aspect of cardiac arrhythmias, Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald's Heart Disease makes it easy to apply today's most up-to-date guidelines for diagnosis and treatment. An expert author team provides clear, clinically focused guidance on all types of cardiac arrhythmias, including practical techniques for managing complex patients.

  • Find the information you need quickly with a consistent organization in all chapters, written to a template that shows every arrhythmia type in a similar manner.
  • Access the fully searchable contents online at www.expertconsult.com, in addition to downloadable images and dynamic video clips.
  • Fully understand the rationale for treatment of specific arrhythmias with practical techniques that are grounded in the most recent basic science.
  • Stay up to date with new chapters on molecular mechanisms of cardiac electrical activity, cardiac ion channels, ventricular tachycardia in nonischemic dilated cardiomyopathy, epicardial ventricular tachycardia, ventricular arrhythmias in hypertrophic cardiomyopathy, ventricular arrhythmias in inherited channelopathies, ventricular arrhythmias in congenital heart disease, atrial arrhythmias in congenital heart disease, and complications of catheter ablation of cardiac arrhythmias.
  • View videos of 27 key techniques online, including optical mapping of reentrant ventricular arrhythmias, 3-dimensional mapping of arrhythmias using different mapping and navigation modalities, and fluoroscopy images illustrating techniques for electrophysiologic catheter positioning, atrial septal puncture, and pericardial access.
  • Gain a new understanding of hot topics such as mechanisms of arrhythmias, electrophysiologic testing, mapping and navigation modalities, ablation energy sources, sinus node dysfunction, conduction disturbances, atrial tachyarrhythmias, preexcitation syndromes and all types of ventricular and supraventricular tachycardias.

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC IFC
Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald’s Heart Disease iii
Copyright iv
Dedication v
Foreword vii
Preface ix
Contents xi
Video Contents xiii
Look for These Other Titles in the Braunwald’s Heart DiseaseFamily xv
Chapter 1 - Molecular Mechanisms of Cardiac Electrical Activity 1
Ionic Equilibrium 1
Transmembrane Potentials 1
The Cardiac Action Potential 2
Excitability 7
Refractoriness 7
Conduction 7
Excitation-Contraction Coupling 8
References 9
Chapter 2 - Cardiac Ion Channels 10
Sodium Channels 10
Potassium Channels 15
L-Type Calcium Current (ICaL) 27
T-Type Calcium Current (ICaT) 29
Cardiac Pacemaker Current (If) 30
Cardiac Gap Junctions 33
References 34
Chapter 3 - Electrophysiological Mechanisms of Cardiac Arrhythmias 36
Automaticity 36
Triggered Activity 42
Reentry 46
References 60
Chapter 4 - Electrophysiological Testing 62
Indications 62
Periprocedural Management 62
Catheterization Techniques 63
Baseline Measurements 71
Programmed Electrical Stimulation 76
Atrial Stimulation 79
Ventricular Stimulation 83
Miscellaneous Electrophysiological Phenomena 88
Complications 90
References 90
Chapter 5 - Conventional Intracardiac Mapping Techniques 92
Activation Mapping 92
Entrainment Mapping 99
Pace Mapping 106
References 109
Chapter 6 - Advanced Mapping and Navigation Modalities 111
Basket Catheter Mapping 111
EnSite Noncontact Mapping System 113
CARTO Electroanatomical Mapping System 117
EnSite NavX Navigation System 125
Stereotaxis Magnetic Navigation System 127
Sensei Robotic Navigation System 129
Body Surface Potential Mapping 131
Electrocardiographic Imaging 131
Intracardiac Echocardiography 133
Computed Tomography and Magnetic Resonance Imaging 136
Three-Dimensional Rotational Angiography 140
Conclusions 141
References 142
Chapter 7 - Ablation Energy Sources 144
Radiofrequency Ablation 144
Cooled Radiofrequency Ablation 152
Cryoablation 155
Microwave Ablation 159
Ultrasound Energy 160
Laser Energy 162
References 163
Chapter 8 - Sinus Node Dysfunction 164
General Considerations 164
Electrocardiographic Features 167
Electrophysiological Testing 169
Principles of Management 173
References 174
Chapter 9 - Atrioventricular Conduction Abnormalities 175
General Considerations 175
Electrocardiographic Features 178
Electrophysiological Testing 186
Principles of Management 191
References 193
Chapter 10 - Intraventricular Conduction Abnormalities 194
General Considerations 194
Electrocardiographic Features 201
Electrophysiological Testing 205
References 211
Chapter 11 - Focal Atrial Tachycardia 212
Classification of Atrial Tachycardias 212
Pathophysiology 212
Clinical Considerations 213
Electrocardiographic Features 215
Electrophysiological Testing 221
Mapping 226
Ablation 234
References 237
Chapter 12 - Typical Atrial Flutter 239
Pathophysiology 239
Clinical Considerations 241
Electrocardiographic Features 241
Electrophysiological Testing 242
Mapping 248
Ablation 252
References 259
Chapter 13 - Macroreentrant Atrial Tachycardia (“Atypical Atrial Flutter”) 260
Pathophysiology 260
Clinical Considerations 262
Electrocardiographic Features 263
Electrophysiological Testing 264
Mapping 266
Ablation 274
References 280
Chapter 14 - Atrial Tachyarrhythmias in Congenital Heart Disease 281
Pathophysiology 281
Clinical Considerations 282
Electrocardiographic Features 286
Mapping 286
Ablation 287
References 289
Chapter 15 - Atrial Fibrillation 290
Pathophysiology 290
Clinical Considerations 297
Electrocardiographic Features 307
Catheter Ablation of Atrial Fibrillation 311
Focal Ablation of Pulmonary Vein Triggers 315
Segmental Ostial Pulmonary Vein Isolation 319
Circumferential Antral Pulmonary Vein Isolation 332
Circumferential Left Atrial Ablation 339
Linear Atrial Ablation 343
Ablation of Complex Fractionated Atrial Electrograms 345
Pulmonary Vein Denervation 349
Ablation of Non–Pulmonary Vein Triggers 350
Outcome of Catheter Ablation of Atrial Fibrillation 357
Recommendations and Controversies 366
Atrioventricular Junction Ablation 367
Atrioventricular Nodal Modification 370
References 371
Chapter 16 - Inappropriate Sinus Tachycardia 375
Pathophysiology 375
Clinical Considerations 375
Electrophysiological Testing 376
Ablation 377
References 380
Chapter 17 - Atrioventricular Nodal Reentrant Tachycardia 381
Pathophysiology 381
Clinical Considerations 385
Electrocardiographic Features 385
Electrophysiological Testing 386
Ablation 402
References 410
Chapter 18 - Atrioventricular Reentrant Tachycardia 411
Types of Bypass Tracts 411
Types of Preexcitation Syndromes 411
Pathophysiology 411
Clinical Considerations 414
Electrocardiographic Features 418
Electrophysiological Testing 425
Localization of the Bypass Tract 447
Ablation 454
References 467
Chapter 19 - Variants of Preexcitation 468
Variants of Preexcitation (Atypical Bypass Tracts) 468
Fasciculoventricular Bypass Tracts 476
Atrio-Hisian Bypass Tracts 477
References 479
Chapter 20 - Approach to Paroxysmal Supraventricular Tachycardias 480
Clinical Considerations 480
Electrocardiographic Features 482
Electrophysiological Testing 483
Practical Approach to Electrophysiological Diagnosis of Supraventricular Tachycardia 495
References 498
Chapter 21 - Approach to Wide QRS Complex Tachycardias 499
Clinical Considerations 499
Electrocardiographic Features 501
Electrophysiological Testing 508
References 511
Chapter 22 - Post-Infarction Sustained Monomorphic Ventricular Tachycardia 512
Pathophysiology 512
Clinical Considerations 514
Electrocardiographic Features 520
Electrophysiological Testing 524
Mapping 536
Ablation 556
References 561
Chapter 23 - Adenosine-Sensitive (Outflow Tract) Ventricular Tachycardia 562
Classification 562
Pathophysiology 562
Clinical Considerations 566
Electrocardiographic Features 567
Electrophysiological Testing 570
Mapping 573
Ablation 578
References 585
Chapter 24 - Verapamil-Sensitive (Fascicular) Ventricular Tachycardia 587
Pathophysiology 587
Clinical Considerations 587
Electrocardiographic Features 588
Electrophysiological Testing 588
Ablation 590
References 593
Chapter 25 - Ventricular Tachycardia in Nonischemic Dilated Cardiomyopathy 594
Pathophysiology 594
Clinical Considerations 595
Mapping 597
Ablation 598
Sarcoid Cardiomyopathy 599
Chagas Cardiomyopathy 599
References 600
Chapter 26 - Bundle Branch Reentrant Ventricular Tachycardia 601
Pathophysiology 601
Clinical Considerations 601
Electrocardiographic Features 602
Electrophysiological Testing 602
Ablation 605
Interfascicular Reentrant Ventricular Tachycardia 606
References 607
Chapter 27 - Epicardial Ventricular Tachycardia 608
Electrophysiological Substrate 608
Electrocardiographic Features 608
Percutaneous Epicardial Approach 609
Transvenous Epicardial Mapping and Ablation 615
References 617
Chapter 28 - Ventricular Arrhythmias in Hypertrophic Cardiomyopathy 618
Pathophysiology 618
Clinical Considerations 619
Electrocardiographic Features 621
Principles of Management 621
References 624
Chapter 29 - Ventricular Tachycardia in Arrhythmogenic Right Ventricular Cardiomyopathy-Dysplasia 625
Pathophysiology 625
Clinical Considerations 627
Electrocardiographic Features 631
Electrophysiological Features 632
Mapping 633
Ablation 637
References 638
Chapter 30 - Ventricular Arrhythmias in Congenital Heart Disease 640
Pathophysiology 640
Clinical Considerations 640
Electrocardiographic Features 642
Mapping 643
Ablation 643
References 643
Chapter 31 - Ventricular Arrhythmias in Inherited Channelopathies 645
Long QT Syndrome 645
Brugada Syndrome 661
Short QT Syndrome 669
Catecholaminergic Polymorphic Ventricular Tachycardia 671
Early Repolarization Syndromes 675
Idiopathic Ventricular Fibrillation 678
References 682
Chapter 32 - Complications of Catheter Ablation of Cardiac Arrhythmias 685
Local Vascular Complications 685
Cardiac Perforation 686
Thromboembolism 687
Air Embolism 688
Coronary Artery Injuries 689
Iatrogenic Cardiac Arrhythmias 690
Valvular Damage 692
Phrenic Nerve Injury 692
Pulmonary Vein Stenosis 693
Atrioesophageal Fistula 696
Radiation Exposure 697
References 698
Index\r 701