BOOK
Cardiac Electrophysiology: A Visual Guide for Nurses, Techs, and Fellows
Paul D. Purves | George J. Klein | Peter Leong-Sit
(2011)
Additional Information
Book Details
Abstract
Cardiac Electrophysiology: A Visual Guide for Nurses, Techs, and Fellows fulfills the need of allied health personnel and new fellows for a practical, hands-on pictorial guide that clearly illustrates the essential concepts of clinical cardiac electrophysiology. More than 70 high-quality tracings, diagrams, fluoroscopic images, and electroanatomic maps accompanied by detailed discussions of each image offer a fundamental understanding of cardiac electrophysiology equipment, principles, and procedures:
• Catheter placement, hardware connections, and intracardiac signals
• Normal electrogram sequences associated with sinus rhythm
• Methodologies used to uncover the mechanisms of common clinical tachycardias
In addition, commentaries provided throughout the book introduce more advanced principles for readers who want to delve further into the EP study.
Authored by a team of experts, Cardiac Electrophysiology: A Visual Guide for Nurses, Techs, and Fellows is an invaluable resource for a complex technology, providing superb guidance in acclimating new trainees and personnel to the EP laboratory and empowering them with the knowledge and skills needed to practice clinical electrophysiology.
This would be very useful as a training manual or reference for beginning practitioners. I anticipate that it would be kept in an electrophysiology lab so that staff could refer to the illustrations and descriptions. - Doody Review (Elaine Hannigan, RN, MSN) - (Paul Purves is a unique EP technologist who has coupled his technical expertise and knowledge of EP with a passion for understanding the underpinnings of the study, and teaches what he knows to other technologists, nurses, and indeed physicians. He is a gifted teacher who has coordinated and assembled the “collective wisdom” of our team into this reader-friendly and unique visual guide to performing and understanding the arrhythmia study. It surpasses the needs of a simple introduction and will be useful to all levels of trainee who want to understand what is really “going on” and move to the next level.
-George J. Klein, MD, FRCP(C)
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Cover\r | Cover | ||
Cardiac Electrophysiology | iii | ||
Copyright | iv | ||
Contents | v | ||
About the Authors | ix | ||
Foreword | xi | ||
Preface | xiii | ||
Acknowledgments | xv | ||
Abbreviations | xvii | ||
Glossary | xix | ||
Before We Begin an SVT Study | 1 | ||
Unit 1:\rThe Basics | 4 | ||
1. Catheter Placement | 6 | ||
2. The Computer System | 8 | ||
3. Signal Processing | 10 | ||
4. Signal Sequence in Sinus Rhythm | 12 | ||
5. Basic Conduction Intervals | 14 | ||
6. Tissue Conduction | 16 | ||
7. Supraventricular Tachycardia Diagnostic Study | 18 | ||
Incremental Ventricular Pacing | 18 | ||
Retrograde Wenckebach | 20 | ||
Ventricular Extra-stimulus Pacing | 22 | ||
Retrograde V-A Block | 24 | ||
Ventricular Effective Refractory Period | 26 | ||
Atrial Extra-stimulus Pacing | 28 | ||
Atrioventricular Block | 30 | ||
Atrial Effective Refractory Period | 32 | ||
Incremental Atrial Pacing | 34 | ||
Unit 2: Common Clinical Tachycardias | 36 | ||
8. AV Nodal Reentrant Tachycardia | 38 | ||
Typical AVNRT Pathways | 38 | ||
Jump | 40 | ||
AV Nodal Echo | 42 | ||
Onset of Tachycardia | 44 | ||
9. Atrioventricular Reentrant Tachycardia | 46 | ||
Wolff-Parkinson-White | 46 | ||
Accessory Pathway Locations | 48 | ||
Accessory Pathway Echo | 50 | ||
AVRT Initiation | 52 | ||
Effective Refractory Period of an Accessory Pathway | 58 | ||
Ablation of Accessory Pathways | 60 | ||
10. Focal Atrial Tachycardia | 62 | ||
11. Atrial Flutter | 64 | ||
Typical Catheter Placement | 64 | ||
Cavo-tricuspid Isthmus Ablation | 66 | ||
Split A’s | 68 | ||
12. Atrial Fibrillation | 70 | ||
Basic Diagnosis | 70 | ||
Near-Field Versus\rFar-Field Electrograms | 72 | ||
Entrance Block | 74 | ||
Exit Block | 76 | ||
Pulmonary Vein Fibrillation | 78 | ||
Independent Pulmonary Vein Activity | 80 | ||
13. Ventricular Tachycardia | 82 | ||
Basic Diagnosis | 82 | ||
Activation Mapping | 84 | ||
Pace Mapping | 86 | ||
Entrainment Mapping | 88 | ||
Scar-dependent Ventricular Tachycardia | 90 | ||
Voltage Mapping | 92 | ||
Substrate Modification | 94 | ||
Unit 3:\rAdvanced Concepts | 96 | ||
14. Mechanisms of Tachycardia | 98 | ||
15. Bipolar Versus Unipolar Electrograms | 100 | ||
16. Latency | 102 | ||
17. Gap Phenomenon | 104 | ||
18. PVCs into AVNRT | 106 | ||
19. PVCs into AVRT | 108 | ||
20. Entrainment Pacing | 110 | ||
21. Para-Hisian Pacing | 112 | ||
Unit 4: Advanced Tracings | 118 | ||
22. An Irregular Rhythm | 120 | ||
23. Why Does\rthe A-H Interval Vary? | 122 | ||
24. Distinguishing A from V | 126 | ||
25. An Unexpected QRS | 128 | ||
26. Unusual Onset of Tachycardia | 130 | ||
27. Diagnostic Dilemma | 132 | ||
28. A Dangling Potential | 136 | ||
29. After Pulmonary Vein Ablation | 138 |