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Keeping up with the use of new technologies in cardiology is becoming increasingly challenging. Case Studies in Clinical Cardiac Electrophysiology helps to bridge the gap between knowledge and application with 28 cases spanning both common and uncommon arrhythmias and ablation scenarios, each of which includes the clinical presentation, baseline ECG, ECG during arrhythmia, stepwise electrophysiologic diagnostic maneuvers and some of their pitfalls, and optimal therapy. - Includes 28 cases spanning the spectrum of what an electrophysiologist is likely to see in practice. - Shows the correct way of conducting procedures, as well as "detours" that an unwary practitioner may take: misdiagnoses and why they are wrong; incorrect therapeutic choices and why these may be not only unsuccessful but even harmful. - Encourages you to read and interpret the ECGs, mapping diagrams, and other diagnostic information before revealing the expert opinion or actual results of each case. - Summarizes the key learning points in each case. - Discusses potential procedural complications, including anticipation, avoidance, recognition, and response and resolution. - Covers complex ablations (atrial fibrillation, ventricular tachycardia) as well as prior failed ablations.
​This is the first of a three-volume project aimed at providing unique case reports (20 cases per volume) of a large number of supraventricular and ventricular arrhythmias encountered in clinical practice. The book is focused on the treatment of supraventricular arrhythmias, namely focal atrial tachycardias, typical and atypical AVNRT and accessory pathways (both manifest and concealed). All presented-cases were performed using the CARTO electro-anatomical mapping system, which allows the reader to better understand the arrhythmia features due to the high number of images provided. A large number of high-quality figures, which represent the core of the authors’ work, enrich the contents: all cases are built around suggestive figures acquired during the patients’ hospitalization, which clearly illustrate important concepts used in catheter ablation of cardiac arrhythmias. The figures are not only related to the catheter ablation procedure, but also to the patient history, thus helping the reader to place the invasive treatment of the arrhythmias into clinical context: electrocardiograms, Holter ECGs, signal-averaged ECGs, chest X-Rays, transthoracic and transesophageal echocardiography images, MRI, CT scans, coronary angiography images are provided when considered relevant, in order to better present the patient’s condition. Short videoclips with activation maps of the atria or the ventricles during the studied arrhythmia complete the information provided. Teaching-oriented, all chapters include questions and answers and key messages at the end of each case. For this reason, it will be an invaluable tool for cardiologists, clinical cardiac electrophysiologists, and interventional cardiac electrophysiologists in training, but also for all those interested in learning more about the subject.
The EHRA Book of Interventional Electrophysiology is the second official textbook of European Heart Rhythm Association (EHRA). Using clinical cases to encourage practical learning, this book assists electrophysiologists and device specialists in tackling both common and unusual situations that they may encounter during daily practice. Richly illustrated, and covering electrophysiological procedures for supra-ventricular and ventricular arrhythmias, the book enables specialists to deepen their understanding of complex concepts and techniques. Tracings, covering supra-ventricular and ventricular arrhythmias, are presented with multiple-choice questions to allow readers to hone their skills for interpreting challenging cases and to prepare for the EHRA certification exam in electrophysiology. Cases include Orthodromic AVRT, PV Isolation, VT ablation, and Atypical left atrial flutter to name a few. The EHRA Book of Interventional Electrophysiology is a wide-ranging, practical case-book, written by leading experts in the field and edited by members of the EHRA education committee: an essential companion for electrophysiologists and trainees alike.
An essential companion for both the aspiring and practising electrophysiologist, The EHRA Book of Pacemaker, ICD and CRT Troubleshooting assists device specialists in tackling both common and unusual situations that that they may encounter during daily practice. Taking a case-based approach, it examines pacemakers, implantable cardioverter defibrillators and cardiac resynchronisation therapy. Much more than just a technical manual of device algorithms, the cases help readers to consolidate their technical knowledge, and improve their reasoning and observation skills so they are able to tackle device troubleshooting with confidence. The 70 cases are arranged in three sections by increasing levels of difficulty to walk readers through all the skills and knowledge they need in an easy to use and structured format. Each case contains a short clinical description and a device tracing followed by a multiple choice question. Answers are supplied with detailed annotations of the tracing and an in-depth discussion of the case, highlighting practical hints and tips as well as providing an overview of the technical function of devices. A useful summary of principal device features and functions is also included. The EHRA Book of Pacemaker, ICD and CRT Troubleshooting is the perfect companion for electrophysiologists, cardiology trainees and technical consultants working with device patients as well as for those studying for the EHRA accreditation exam in cardiac pacing.
​This is the second of a three-volume project aimed at providing unique case reports (20 cases per volume) of supraventricular and ventricular arrhythmias encountered in clinical practice. The book focuses on catheter ablation procedures of paroxysmal and persistent atrial fibrillation of atypical atrial flutters. The cases presented were performed using the CARTO electro-anatomical mapping system, providing a high number of images to better understand arrhythmia features. The cases are built around high-quality figures acquired during the patients’ hospitalization and relevant medical images, such as electrocardiograms, Holter ECGs, and MRI/CT scans. Short videoclips with activation maps of the atria or the ventricles during the studied arrhythmia complete the information provided. The chapters include questions and answers and key messages at the end of each case, making it an invaluable tool for cardiologists, clinical cardiac electrophysiologists, and interventional cardiac electrophysiologists in training, as well as for anyone interested in learning more about the subject.
Part of the highly regarded Braunwald's family of cardiology references, Clinical Arrhythmology and Electrophysiology, 3rd Edition, offers complete coverage of the latest diagnosis and management options for patients with arrhythmias. Expanded clinical content and clear illustrations keep you fully abreast of current technologies, new syndromes and diagnostic procedures, new information on molecular genetics, advances in ablation, and much more. - Key topics such as inherited channelopathies; atrial fibrillation; ventricular tachycardia; hypertrophic cardiomyopathy, arrhythmogenic cardiomyopathy, and congenital heart disease. - Dozens of videos depicting key mapping techniques, and fluoroscopy images illustrating techniques for electrophysiologic catheter positioning, atrial septal puncture, and pericardial access, cryoablation, and left atrial appendage exclusion procedures. - Grounds clinical techniques in basic science for managing complex patients. - Consistent organization, showing every arrhythmia in a similar manner for quick reference. - New management options with increased clinical content. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
Following the huge success of previous editions,Electrophysiological Testing 4th edition is the must haveresource for students, residents, cardiology fellows, primary carephysicians, cardiologists, nurses, and technicians becauseit: clarifies the role of electrophysiology in the evaluation ofcardiac arrhythmias discusses advances in therapeutic electrophysiology keeping youcompletely up to date provides clear summaries of complex topics is written in a user-friendly and understandable writing styleto make the information easy to digest and recall includes an entirely new chapter on the key field of CardiacResynchronisation Reviews of previous edition: “Many times I have found that EP literature is verytied to research results and bogs down the primary topic and makesit difficult to understand. This book explains EP in plain English!I think it is in a class by itself." EP Technician, GalichiaHeart Hospital, Wichita, KS, USA "It gives a good understanding of EP without getting tootechnical and complex in the explanations. It accomplishes a majortask of “demystifying” the field of EP. It not onlyaddresses the needs of non technical EP Personnel, but alsoprovides a precise overview of EP for general review.”Cardiac NP, St. Jude's Medical Center
New edition of the classic complete reference book for cardiologists and trainee cardiologists on the theory and practice of electrocardiography, one of the key modalities used for evaluating cardiology patients and deciding on appropriate management strategies.
From senior electrophysiologist and world-class educator George Klein, a fully illustrated guide with over 100 intracardiac tracings and figures that allow the physician to approach electrophysiologic problems effectively and systematically. The book is especially focused on electrophysiological maneuvers and provides a clear and understandable guide to their proper selection and interpretation using abundant clinical examples. Defines the integral role for "traditional" electrogram (EGM) analysis in order to understand the mechanism of a tachycardia. It goes without saying that a correct arrhythmia diagnosis is a prerequisite to catheter ablation regardless of the presence of sophisticated mapping and imaging technologies. Electrophysiological maneuvers are fundamental to this process, and proper selection and interpretation of maneuvers constitute a core skill of the electrophysiologist. In this volume, we make the case that most maneuvers are fundamentally similar in principle and can be understood by appreciating a few basic physiological and anatomical principles. The art lies not in a comprehensive knowledge by rote of every maneuver or its application, but rather a systematic approach using common principles. We illustrate this by showing abundant examples and emphasizing the "game plan," including checklists that can be applied to virtually any maneuver. —George J. Klein In my opinion, this book should be on the shelf of every electrophysiologist trainee as well as every clinical cardiac electrophysiologist. It is a classic, like its editor. Dr. Klein deserves high praise for organizing his and his colleagues’ clinical experiences and thought processes into a concise, practical text that should be part of all training programs in electrophysiology. —From the foreword by Mark E. Josephson, MD