Electrophysiology

A concise and practical tool for learning the basic concepts of cardiac electrophysiology, including the diagnosis and management of cardiac arrhythmias, and the indications for patient referral. Clinically oriented, practical and a useful resource for: -Allied health professionals in the lab and in the clinic -Fellows -The general physician who needs to know the technical aspects of electrophysiology -Anyone on the front line dealing with patients that present with cardiac problems

This concise collection of electrophysiological facts prepares you to face the clinical questions surrounding arrhythmia and conduction disorders with confidence. Clear and direct, the book offers: succinct factual information supported by illustrations, tables, and references self-assessment questions for each chapter, to test your knowledge of the area Essential Cardiac Electrophysiology summarizes the fundamental information that forms the basis of the modern approach to cardiac arrhythmias, from an explanation of the electrophysiologic effects of cardiac ion channel activity to the latest information on available implantable defibrillators. All members of the cardiac care team will benefit from keeping this valuable guide close at hand.

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

The Essential Visual Guide to Basic Cardiac Electrophysiology Cardiac Electrophysiology: A Visual Guide for Nurses, Techs, and Fellows, Second Edition 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 85 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 Authored by a team of experts, Cardiac Electrophysiology: A Visual Guide for Nurses, Techs, and Fellows, Second Edition 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. New to the Second Edition: • A new unit—Cardiac Electrical Axis • 16 video clips with a focus on electrogram sequences • An illustrated glossary and abbreviations list • A free eBook included

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.

Interventional Cardiac Electrophysiology is the first and only comprehensive, state-of-the-art textbook written for practitioners in multiple specialties involved in the care of the arrhythmia patient. Encompassing the entire field of interventional therapy for cardiac rhythm management, from basic science to evidence-based medicine to future directions, topics include: Technology and Therapeutic Techniques – EP techniques; imaging and radiologic technology; device and ablation technology; drug therapy.Interventional Electrophysiologic Procedures – Diagnostic and physiologic EP techniques; mapping in percutaneous catheter and surgical EP procedures; catheter and surgical ablation; device implantation and management.Clinical Indications and Evidence-based Outcomes Standards – For medical and surgical EP interventions for arrhythmias.New Directions in Interventional Electrophysiology – Hybrid therapy for atrial and ventricular arrhythmias and staged therapy. This book will be essential reading for clinicians and researchers that form the health care team for arrhythmia patients: cardiologists, adult and pediatric clinical electrophysiologists, interventional electrophysiologists, cardiac surgeons practicing arrhythmia surgery, allied health care professionals, pharmacologists, radiologists and anesthesiologists evaluating arrhythmia patients, and basic scientists from the biomedical engineering and experimental physiology disciplines. Professor Sanjeev Saksena has been involved in this arena for over three decades and has brought his experience to this textbook, assembling editorial leadership from medical and surgical cardiology to provide a global perspective on fundamentals of medical practice, evidence-based therapeutic practices, and emerging research in this field. This book includes 95 videos.

This text is a comprehensive introductory-level guide to invasive cardiac EP studies. Its focus is to enable the reader to understand and interpret the recording and stimulation techniques used during an EP study.

This book provides undergraduate and postgraduate students with an accessible and comprehensive overview of the fascinating area of cardiac electrophysiology. Using plain language and well-designed illustrations, it attempts to overcome the preconceptions of the subject as difficult to approach, given the complexity of intricate electrical cellular processes within the human heart. Based on lectures presented to intercalating BSc medical students, this book has been designed with the undergraduate in mind, but offers enough scope to be worthwhile at the postgraduate level.Readers of this book will feel more confident and at ease with electrical concepts and the important physiological mechanisms that govern the initiation and regulation of the heartbeat. This volume intends to bridge that difficult region between basic undergraduate lecture notes and original papers in an approachable way. It will be useful to students studying medicine, physiology, pharmacology, pharmacy and biology, particularly where their curricula includes not only cardiac physiology, but also neurobiology and muscle physiology.

This extensively revised second edition provides a practically applicable guide for the management of cardiac arrhythmia. This subject has continued to expand rapidly, and it is therefore critical to understand the basic principles of arrhythmia mechanisms in order to assist with diagnosis and the selection of an appropriate treatment strategy. Comprehensively revised chapters cover a variety of aspects of cardiac electrophysiology in an easy-to-digest case-based format. For each case of arrhythmia, relevant illustrations, fluoroscopy images, ECGs and endocavity electrograms are used to describe the etiology, classification, clinical presentation, mechanisms, electrophysiology set up and relevant trouble-shooting procedures. New topics covered include the application of new antiarrhythmic drugs in tandem with ablation, techniques for the ablation of atrial fibrillation and electrophysiological assessments available for identifying instances of atrial tachycardia. Clinical Handbook of Cardiac Electrophysiology presents a comprehensive overview of cardiac electrophysiology, making it a valuable reference for practicing and trainee cardiac electrophysiologists, cardiologists, family practitioners, allied professionals and nurses.