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This is a reference book aimed at cardiologists, electrophysiologists and fellows in training. It presents an expansive review of cardiac electrogram interpretation in a collation of manuscripts that represent clinical studies, relevant anecdotal cases and basic science chapters evaluating cardiac signal processing pertaining to persistent atrial fibrillation. A diagnostic approach to arrhythmias using a standard ECG, the signal average ECG and fetal ECG is highlighted. Intracardiac ICD electrograms are also explored in terms of trouble shooting and device programming.
Created by experts from the Mayo Clinic, Interpretation of Intracardiac Electrograms: The Fundamentals is a unique, interactive online tool to help trainees, technicians, and clinicians gain a working understanding of basic intracardiac electrophysiologic concepts and tracings. Online examples of tracings combined with dynamic animations illustrate concepts in sinus rhythm, third-degree atrioventricular block, atrioventricular re-entrant tachycardia, ablation procedures, AV nodal re-entrant tachycardia, atrial flutter, atrial fibrillation, and ventricular tachycardia. A self-assessment examination is included so that you may test yourself on the rhythms you have learned, and review those that pose extra difficulty. This unique online teaching tool... • Provides examples of intracardiac electrophysiologic tracings and animation of the electrical wavefronts on a heart diagram • Offers a brief description of each arrhythmia, followed by an interactive version of an intracardiac electrophysiologic tracing • Shows the wavefront as it moves through the heart diagram • Uses color-coded catheters to match the electrophysiologic tracings to which they correspond • Tests your knowledge before and then after using the module with a brief self-assessment exam
Although the electrocardiogram (ECG) is accepted as a standard clinical tool, electrograms (EGMs) recorded during electrophysiology studies are considered complex and confusing. In this brief paperback, an award-winning teacher provides the newcomer with an introductory guide to electrophysiology studies and the interpretation of electrograms. Dr. Kusumoto divides the 15 chapters into two main sections, Electrophysiology Concepts and Specific Arrhythmias. First, he reviews the basics of electrophysiology testing and the diagnostic evaluation of general types of arrhythmias. From that foundation, he proceeds to discuss specific arrhythmia types and techniques for evaluation and ablation: • Accessory pathways • AV node reentry • Focal atrial tachycardia • Atrial flutter • Atrial fibrillation • Ventricular tachycardia The final chapter considers implantable cardiac devices as they relate to ECGs and electrograms. Each short chapter includes a bullet-point summary and helpful review questions. Plentiful ECG and EGM tracings illustrate the text. Cardiology and electrophysiology fellows, allied professionals working in the electrophysiology laboratory, and all professionals interested in beginning a study of heart rhythms and electrophysiology will want to keep Understanding Intracardiac EGMs and ECGs close at hand for frequent reference. Titles of Related Interest Taylor, 150 Practice ECGs: Interpretation and Review, 3rd Edition ISBN: 978-1-4051-0483-8 Fogoros, Antiarrhythmic Drugs: A Practical Guide, 2nd Edition ISBN: 978-1-4051-6351-4 Stouffer, Practical ECG Interpretation: Clues to Heart Disease in Young Adults ISBN: 978-1-4051-7928-7 Abedin, ECG Interpretation: The Self-Assessment Approach, 2nd Edition ISBN: 978-1-4051-6749-9
From master teacher George J. Klein, MD, this stepwise book is for those with a working knowledge of electrophysiology who have looked at a complicated ECG or intracardiac tracing and drawn a blank, not recognizing a pattern from their personal experience, and without a good idea of how to proceed or venturing a guess with variable confidence. Dr. Klein presents strategies that he has found useful, not just by providing an “answer,” but also exploring how he solved the problem with a systematic approach using “tools” of analysis that applies to both ECGs and EGM tracings.
This book provides a concise overview of cardiac electrophysiology for cardiologists who are not electrophysiologists and for allied cardiovascular professionals, cardiology registrars and fellows who are new to the field. It familiarises them with the main procedures performed in the electrophysiology laboratory. Emphasis is placed on helping the reader develop a core understanding of how data is collected and interpreted in the electrophysiology laboratory, and how this is used to guide ablation for the commonest arrhythmias including AV nodal re-entry tachycardia, accessory pathways, atrial fibrillation and ventricular arrhythmias. Decoding Cardiac Electrophysiology: Understanding the Techniques and Defining the Jargon will translate some of the technical terminology and data frequently used by electrophysiologists into terms and concepts familiar to the wider cardiovascular community. This includes the interpretation of electrograms and 3D electro-anatomical maps of common arrhythmias. Accordingly, it offers a valuable resource for all non-electrophysiologists seeking a guide to the topic and for electrophysiology trainees establishing their core knowledge and skills in the field. The aim is that this should be the first book anyone new to the field should choose to read.
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
Organized to present a comprehensive overview of the field of cardiology in an accessible, reader-friendly format that can be covered in about 12 months, this new edition contains roughly 50% new material, the cardiac pharmacology section has been completely reworked, cardiovascular trials have been included, and the entire book has been updated to reflect current practice guidelines and recent developments. The book is peppered throughout with numerous tables and clinical pearls that aid the student, as well as the teacher, to remain focused.
Nothing is more perplexing to the clinician new to device therapy than having to deal with cardiac electrocardiograms from a device patient. Pacemakers and other implantable cardiac rhythm management devices leave their “imprint” on ECGs and can significantly change what clinicians see - or expect to see. Evaluating paced ECGs can be challenging, yet nowhere is it taught in any sort of comprehensive manner. Designed specifically for clinicians new to device therapy, The Nuts and Bolts of Interpreting Paced ECGs and EGMs offers practical, reliable and objective information on paced cardiac electrograms. Written in a lively, intelligent and easy to navigate style, emphasizing real-life clinical practice and practical tips, this book includes illustrated paced ECGs by skilled artists to help minimize “fuzzy” lines and emphasize key points. Each chapter concludes with a checklist of key points from each subject (“Nuts and Bolts”).
This book combines clear explanatory text with a wealth of images of ECG recordings in order to provide an accessible, up-to-date source of information and guide to interpretation for all professionals seeking to increase their expertise in electrocardiography. ECG results are presented and discussed for a wide range of conditions, including all forms of arrhythmia, Wolff-Parkinson-White syndrome, bundle branch blocks, ischemic cardiomyopathy, atrial and ventricular enlargement, pericardial and myocardial diseases, diseases of the pulmonary circulation, and post pacemaker implantation. Normal ECG findings are fully described, and helpful introductory information is included on the principles of electrophysiology. The practically oriented text accompanying the ECG recordings covers both electrophysiological and clinical aspects. More than 100 years after its first use by Willem Einthoven, electrocardiography continues to be the first diagnostic tool applied in most cardiac patients. This text atlas provides a sound basis for the correct ECG interpretation essential for appropriate patient management.