BOOK
Arrhythmia Essentials E-Book
Brian Olshansky | Mina K Chung | Steven M Pogwizd | Nora Goldschlager
(2016)
Additional Information
Book Details
Abstract
Concise, compact, fully-illustrated and easy to read, Arrhythmia Essentials, 2nd Edition provides detailed, practical information on recognizing and treating heart rhythm disturbances for clinicians with any level of expertise. The author team, led by renowned authority in cardiac electrophysiology, Dr. Brian Olshansky, guides you skillfully through the different types of arrhythmias and how they present on ECGs. You’ll find specific examples of each arrhythmia, numerous algorithms to facilitate an approach to arrhythmia diagnosis and management, updates on medical therapy, and indications for implantable rhythm management devices and ablation – all in a convenient, softcover volume that’s perfect for on-the-go reference.
- Features a clear, consistent organization that helps you find information quickly: description, associated conditions, clinical symptoms/presentations, and management.
- Includes numerous therapy/guideline tables and treatment algorithms.
- Offers new coverage of managing arrhythmias during pregnancy and expanded information on athletes and arrhythmias.
- Incorporates recommendations based on recent published guidelines.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Inside Front Cover | ES2 | ||
| Arrhythmia Essentials | i | ||
| Copyright | ii | ||
| Foreword | iii | ||
| Preface | iv | ||
| Contents | v | ||
| Chapter 1: Sinus Node: Normal and Abnormal Rhythms | 1 | ||
| Normal sinus node | 1 | ||
| Description | 1 | ||
| Clinical Symptoms and Presentations | 1 | ||
| Approach to Management | 4 | ||
| Sinus node dysfunction, including sinus bradycardia and tachycardia-bradycardia syndrome | 4 | ||
| Description | 4 | ||
| Associated Conditions | 4 | ||
| Clinical Symptoms and Presentation | 9 | ||
| Approach to Management | 9 | ||
| Sinoatrial exit block | 14 | ||
| Description | 14 | ||
| Associated Conditions | 14 | ||
| Clinical Symptoms and Presentation | 14 | ||
| Approach to Management | 16 | ||
| Sinus pause/arrest | 16 | ||
| Description | 16 | ||
| Associated Conditions | 16 | ||
| Clinical Symptoms and Presentation | 19 | ||
| Approach to Management | 19 | ||
| Sinus tachycardia | 19 | ||
| Description | 19 | ||
| Associated Conditions | 19 | ||
| Clinical Symptoms and Presentation | 23 | ||
| Approach to Management | 24 | ||
| Postural orthostatic tachycardia syndrome | 25 | ||
| Description | 25 | ||
| Clinical Symptoms and Presentation | 26 | ||
| Approach to Management | 27 | ||
| Chapter 2: Bradyarrhythmias—Conduction System Abnormalities | 28 | ||
| Atrioventricular conduction abnormalities | 28 | ||
| First-Degree Block | 28 | ||
| Description | 28 | ||
| Associated Conditions | 30 | ||
| Clinical Symptoms and Presentation | 30 | ||
| Approach to Management | 30 | ||
| Second-Degree Atrioventricular Block—Mobitz Type I | 32 | ||
| Description | 32 | ||
| Associated Conditions | 36 | ||
| Clinical Symptoms and Presentation | 36 | ||
| Approach to Management | 36 | ||
| Second-Degree Atrioventricular Block—Mobitz Type II | 36 | ||
| Description | 36 | ||
| Associated Conditions | 40 | ||
| Clinical Symptoms and Presentation | 40 | ||
| Approach to Management | 40 | ||
| Second-Degree Atrioventricular Block—2:1 Atrioventricular Block | 42 | ||
| Description | 42 | ||
| Chapter 3: Ectopic Complexes and Rhythms | 87 | ||
| Premature atrial complexes | 87 | ||
| Description | 87 | ||
| Associated Conditions | 91 | ||
| Clinical Symptoms and Presentation | 91 | ||
| Approach to Management | 91 | ||
| Premature junctional complexes | 93 | ||
| Description | 93 | ||
| Associated Conditions | 93 | ||
| Clinical Symptoms and Presentation | 93 | ||
| Approach to Management | 95 | ||
| Premature ventricular complexes | 95 | ||
| Description | 95 | ||
| Associated Conditions | 98 | ||
| Clinical Symptoms and Presentation | 102 | ||
| Approach to Management | 102 | ||
| No Structural Heart Disease | 102 | ||
| Post Myocardial Infarction | 104 | ||
| Nonischemic Cardiomyopathy | 104 | ||
| Summary | 104 | ||
| Escape beats, escape rhythms, and accelerated rhythms | 107 | ||
| Description | 107 | ||
| Associated Conditions | 107 | ||
| Clinical Symptoms and Presentation | 107 | ||
| Approach to Management | 107 | ||
| Ectopic atrial rhythm | 110 | ||
| Chapter 4: Tachycardia | 121 | ||
| Tachycardia mechanisms | 121 | ||
| Automaticity | 121 | ||
| Triggered Activity | 121 | ||
| Early Afterdepolarizations | 121 | ||
| Delayed Afterdepolarizations | 121 | ||
| Reentry | 121 | ||
| Narrow QRS complex tachycardia | 122 | ||
| Wide QRS complex tachycardia | 124 | ||
| Chapter 5: Supraventricular Tachyarrhythmias | 133 | ||
| Atrial arrhythmias | 135 | ||
| Atrial Tachycardia | 135 | ||
| Description (Algorithm 5.2A and B) | 135 | ||
| Associated Conditions | 139 | ||
| Clinical Symptoms and Presentation | 140 | ||
| Approach to Management | 140 | ||
| Automatic Atrial Tachycardia | 140 | ||
| Description | 140 | ||
| Associated Conditions | 140 | ||
| Clinical Symptoms and Presentation | 142 | ||
| Approach to Management | 142 | ||
| Atrial Reentrant Tachycardia | 144 | ||
| Description | 144 | ||
| Associated Conditions | 146 | ||
| Clinical Symptoms and Presentation | 146 | ||
| Approach to Management | 146 | ||
| Multifocal Atrial Tachycardia | 147 | ||
| Description | 147 | ||
| Associated Conditions | 148 | ||
| Clinical Symptoms and Presentation | 148 | ||
| Approach to Management | 148 | ||
| Atrial fibrillation | 150 | ||
| Description | 150 | ||
| Associated Conditions | 150 | ||
| Clinical Symptoms and Presentation | 158 | ||
| Approach to Management | 158 | ||
| Rate-Control Strategies | 160 | ||
| Rhythm-Control Strategies | 161 | ||
| Anticoagulation | 163 | ||
| Anticoagulation Around the Time of Electrical or Pharmacologic Cardioversion | 167 | ||
| Atrial flutter | 167 | ||
| Description | 167 | ||
| Associated Conditions | 187 | ||
| Clinical Symptoms and Presentation | 187 | ||
| Approach to Management (Algorithm 5.10) | 188 | ||
| Atrioventricular nodal reentry tachycardia | 188 | ||
| Description | 188 | ||
| Associated Conditions | 194 | ||
| Clinical Symptoms and Presentation | 194 | ||
| Approach to Management (Algorithm 5.11) | 196 | ||
| Junctional tachycardia | 196 | ||
| Description | 196 | ||
| Associated Conditions | 196 | ||
| Clinical Symptoms and Presentation | 197 | ||
| Approach to Management | 202 | ||
| Preexcitation syndromes | 203 | ||
| Description | 203 | ||
| Associated Conditions | 214 | ||
| Clinical Symptoms and Presentation | 214 | ||
| Approach to Management (Algorithm 5.12) | 214 | ||
| Chapter 6: Ventricular Tachyarrhythmias | 219 | ||
| Nonsustained ventricular tachycardia | 219 | ||
| Description | 219 | ||
| Associated Conditions | 219 | ||
| Clinical Presentation and Symptoms | 221 | ||
| Approach to Management (Algorithm 6.1) | 221 | ||
| Sustained ventricular tachycardia | 223 | ||
| Description | 223 | ||
| Associated Conditions | 223 | ||
| Clinical Presentation and Symptoms | 234 | ||
| Approach to Management | 236 | ||
| Acute Management (Algorithm 6.2) | 236 | ||
| Chronic Management | 238 | ||
| Ventricular fibrillation | 239 | ||
| Description | 239 | ||
| Associated Conditions | 244 | ||
| Approach to Management | 246 | ||
| Specific ventricular arrhythmia syndromes | 247 | ||
| Ventricular tachyarrhythmias in the setting of structural heart disease | 247 | ||
| Ventricular Arrhythmias Associated with Ischemic Cardiomyopathy | 247 | ||
| Ventricular Arrhythmias Associated with Nonischemic Cardiomyopathy | 248 | ||
| Hypertrophic Cardiomyopathy | 249 | ||
| Arrhythmogenic Right Ventricular Cardiomyopathy | 249 | ||
| Ventricular arrhythmias in structurally normal hearts | 254 | ||
| Outflow Tract Ventricular Tachycardias | 254 | ||
| Idiopathic Left Ventricular or Fascicular Tachycardia | 256 | ||
| Long QT Syndrome | 256 | ||
| Brugada Syndrome | 260 | ||
| Catecholaminergic Polymorphic Ventricular Tachycardia | 262 | ||
| Drug- and Metabolic-Induced Torsades de Pointes | 266 | ||
| Primary and secondary prevention of sudden cardiac death | 268 | ||
| Special circumstances | 276 | ||
| Chapter 7: Cardiac Pacing and Pacemaker Rhythms | 278 | ||
| Pacemaker rhythms | 278 | ||
| Indications for pacing | 291 | ||
| Indications for Temporary Transvenous Cardiac Pacing | 291 | ||
| Indications for Permanent Cardiac Pacing | 296 | ||
| Atrioventricular Block | 296 | ||
| Sinus Node Dysfunction | 296 | ||
| Carotid Sinus Syndrome | 296 | ||
| Neurocardiogenic Syncope | 297 | ||
| Bifascicle Block | 297 | ||
| Post-Myocardial Infarction | 297 | ||
| To Prevent Tachyarrhythmias (Usually with an Implantable Cardioverter Defibrillator) | 297 | ||
| Systolic Heart Failure (Biventricular Pacing, “Cardiac Resynchronization” Therapy; Usually Implanted with ICD) | 297 | ||
| Conditions for Which Permanent Cardiac Pacing Is Not Indicated | 297 | ||
| Atrioventricular Block | 297 | ||
| Sinus Node Dysfunction | 298 | ||
| Carotid Sinus Hypersensitivity | 298 | ||
| Neurocardiogenic Syncope | 298 | ||
| Fascicle Block | 298 | ||
| Post-Myocardial Infarction | 298 | ||
| Chapter 8: Implantable Cardioverter Defibrillators | 299 | ||
| Implantable cardioverter defibrillators | 299 | ||
| Implantable Cardioverter Defibrillator Indications | 309 | ||
| Cardiac resynchronization therapy | 311 | ||
| Chapter 9: Drug Effects and Electrolyte Disorders | 326 | ||
| Antiarrhythmic drugs | 326 | ||
| Digitalis toxicity | 327 | ||
| Treatment of Digitalis Toxicity | 332 | ||
| Electrolyte disorders | 332 | ||
| Hypokalemia | 332 | ||
| Hyperkalemia | 332 | ||
| Treatment of Hyperkalemia | 336 | ||
| Calcium disorders | 336 | ||
| Hypocalcemia | 336 | ||
| Hypercalcemia | 336 | ||
| Chapter 10: Athletes and Arrhythmias | 341 | ||
| Chapter 11: Evaluation of the Patient with Suspected Arrhythmias | 347 | ||
| Outpatient approach to arrhythmia monitoring | 347 | ||
| Carotid sinus massage | 349 | ||
| Electrophysiology studies | 349 | ||
| Palpitations | 351 | ||
| Associated Causes and Conditions | 351 | ||
| Approach to Evaluation | 352 | ||
| Approach to Management | 353 | ||
| Summary | 354 | ||
| Syncope | 354 | ||
| Etiologies | 354 | ||
| Approach to Evaluation and Management | 355 | ||
| Chapter 12: Treatment of Arrhythmias | 357 | ||
| Pharmacologic therapy for clinical arrhythmias | 357 | ||
| Antiarrhythmic Agents | 357 | ||
| Adenosine | 357 | ||
| Indications | 357 | ||
| Dosage | 357 | ||
| Contraindications | 357 | ||
| Comments | 357 | ||
| Amiodarone | 358 | ||
| Indications | 358 | ||
| Dosage | 358 | ||
| Intravenous Use | 358 | ||
| Oral Use | 359 | ||
| Contraindications | 359 | ||
| Comments | 360 | ||
| Atropine | 360 | ||
| Indications and Dosage | 360 | ||
| Contraindications | 361 | ||
| Comments | 361 | ||
| β-Adrenergic Blockers | 361 | ||
| Arrhythmic Indications | 361 | ||
| Acute Use | 362 | ||
| Indications and Dose | 362 | ||
| Contraindications (Relative) | 362 | ||
| Comments | 362 | ||
| Chronic Use | 363 | ||
| Chapter 13 Management of Arrhythmias in Pregnancy | 397 | ||
| Antiarrhythmic and anticoagulant medications during pregnancy | 397 | ||
| Cardiac arrest, defibrillation, and cardioversion | 404 | ||
| Ablation, pacemakers, and defibrillators | 404 | ||
| Fetal arrhythmias | 405 | ||
| Index | 407 |