Clinical Cardiac Electrophysiology in Clinical Practice PDF
Preview Clinical Cardiac Electrophysiology in Clinical Practice
In Clinical Practice David T. Huang Travis Prinzi Editors Clinical Cardiac Electrophysiology in Clinical Practice In Clinical Practice For further volumes http://www.springer.com/series/13483 David T. Huang (cid:129) Travis Prinzi Editors Clinical Cardiac Electrophysiology in Clinical Practice Editors David T. Huang , MD Travis Prinzi , MD Department of Cardiology Department of Cardiology University of Rochester University of Rochester Medical Center Medical Center Rochester , NY Rochester , NY USA USA ISBN 978-1-4471-5432-7 ISBN 978-1-4471-5433-4 (eBook) DOI 10.1007/978-1-4471-5433-4 Springer London Heidelberg New York Dordrecht Library of Congress Control Number: 2014956969 © Springer-Verlag London 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduc- tion on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analy- sis or material supplied specifi cally for the purpose of being entered and exe- cuted on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provi- sions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accu- rate at the date of publication, neither the authors nor the editors nor the pub- lisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) “To my wife Carlene and our children Allison, Claudia, and Samantha. Thank you for all your tolerance, commitment, and love.” – DH Foreword During the past 40 years, there has been a meaningful advancement in our diagnostic understanding of the mecha- nisms of various bradyarrhythmias, supraventricular and ventricular tachyarrhythmias, and pre-excitation syndromes. This new knowledge has developed during a proliferation of more effective techniques for the management of these arrhythmias, with increasing emphasis on radiofrequency ablation techniques at a time when the ineffectiveness and side effects of antiarrhythmic drugs have become more evi- dent. The field of clinical electrophysiology has matured considerably within the twenty-first century with more sophisticated intracardiac mapping techniques that have per- mitted precise and focused ablative termination of previously considered refractory arrhythmias. These improved thera- peutic approaches are now coupled with innovative technolo- gies that reconstruct the dynamics of the arrhythmias within three-dimensional models of the heart—thus providing a unique visualization of the pattern of the disordered electro- physiological conduction pattern in the heart. I have known Dr. David Huang well as a colleague and research investigator during the 16 years he has been at the University of Rochester Medical Center. At a personal level, he is dedicated to excellence in patient care—at the bedside, in the clinic, and in the electrophysiology laboratory. In brief, he is the clinician’s clinician. Together with his skills as a clini- cian, he has created in Rochester an outstanding team of electrophysiologists who have provided effective approaches to the diagnosis and management of the full spectrum of car- diac arrhythmias. During this time, he has evaluated and vii viii Foreword selected for use the latest and most relevant equipment and techniques for optimizing interventional electrophysiology. Dr. Huang realized that there is remarkably little that has been written about the integrative technical details involved in day-to-day electrophysiology procedures, i.e., setting up and delivering approaches for arrhythmia mapping, describ- ing diagnostic catheter maneuvering, highlighting effective ablative techniques, and substantiating the antiarrhythmic efficacy of what has been done and accomplished before the patient leaves the laboratory. This authoritative book empha- sizes the practical aspects of establishing, delivering, and maintaining up-to-date laboratory approaches utilizing vari- ous technologies that have improved the treatment of patients with a spectrum of cardiac arrhythmias. Clinical Cardiac Electrophysiology in Clinical Practice focuses on introductory electrophysiology with a comprehen- sive coverage of practical information that will be useful for new and established electrophysiologists, trainees and fel- lows, and support staff including nurses and physician assis- tants involved in electrophysiological procedures. The information in this book not only emphasizes the proven electrophysiological approaches that are currently useful and effective in arrhythmia management but it also provides insight into how to stay abreast of ongoing new and more effective techniques in the field. I n his A phorisms, Sir William Osler stated that “When you have made and recorded the unusual or original observation, or when you have accomplished a piece of research in labora- tory or ward, do not be satisfied with a verbal communication at a medical society. Publish it.” We are fortunate that for those involved in clinical electrophysiology, this is exactly what Dr. David Huang and his associates have done. Arthur J. Moss , MD Bradford C. Berk , MD, PhD, University of Rochester School of Medicine and Dentistry, Rochester , NY , USA Contents 1 Cardiac Conduction and Bradycardia. . . . . . . . . . . . . 1 Mehmet K. Aktas and Ryan Mandell 2 Syncope, Tilt Testing, and Cardioversion . . . . . . . . . . 17 Sarah G. Taylor 3 A Brief Overview of Supraventricular Tachycardias. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Spencer Rosero 4 Wolff-Parkinson-White (WPW) Syndrome . . . . . . . . 55 Jeffrey M. Vinocur 5 Atrial Flutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 David T. Huang and Travis Prinzi 6 A Practical Guide to Radiofrequency Catheter Ablation of Atrial Fibrillation. . . . . . . . . . . 99 Burr W. Hall and Travis Prinzi 7 Ventricular Tachyarrhythmias . . . . . . . . . . . . . . . . . . . 133 Andrew Brenyo, Travis Prinzi, and David T. Huang 8 Hereditary Arrhythmias . . . . . . . . . . . . . . . . . . . . . . . . 167 Alon Barsheshet and Ilan Goldenberg Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191 ix
Description:The list of books you might like
