Wolff Parkinson White And Other Preexcitation Syndromes

This book presents the features of Wolff-Parkinson-White and other preexcitation syndromes with detailed discussion of the management and treatment of these patients. Catheter ablation has become a curative first-line treatment for circus movement tachycardias involving accessory pathway conduction. However, diagnostic and interventional challenges may be associated with anatomically and electrophysiologically complex single accessory pathway conduction, multiple accessory pathways, accessory pathways with other coexistent tachycardias, including atrioventricular nodal reentrant tachycardia and atrial tachycardias, and accessory pathways with coexistent congenital heart disease. The complexity involved requires a thorough theoretical and practical knowledge for performing unequivocally conclusive/meaningful electrophysiological testing and successful catheter ablation. This book is based on the author’s personal long-term experience and contains over 700 illustrations of intracardiac recordings and fluoroscopic images, as well as clear and user-friendly descriptions of the electrophysiologic data, its analysis and interpretation. It therefore offers a comprehensive practical guide for mapping and catheter ablation. The systematic approach is also invaluable for accessory pathways coexistent with other arrhythmias or congenital heart diseases. Wolff-Parkinson-White and Other Preexcitation Syndromes presents the topic as a fascinating part of clinical cardiac electrophysiology and all types of corresponding accessory pathways, which are often associated with diagnostic and interventional challenges. It therefore provides an invaluable educational resource to further scientific and medical knowledge in the topic and will be essential reading for all electrocardiologists and any medical professional that manages these patients.

correction of such a reentry when he observed The W olff-Parkinson-White (WPW) syndrome, . . . in a favourable experiment, the vigorous the most common variety of preexcitation, has for some time held a fascination for those circulating wave and its instantaneous arrest by interested in clinical electrophysiology because section of the ring is a sight not easily forgotten. it seems to represent a naturally occurring event which, if adequately understood, would un Courageous is the only way to describe the mask answers to many fundamental questions first attempt to surgically interrupt an accessory concerning mechanisms and treatment of car pathway. The immensity of the feat speaks for diac arrhythmias. Thus, it has been described by itself: Open heart surgery was performed to Scherf and Neufeld [1] as the "Rosetta Stone" divide an invisible stream of electrons! This of electrocardiography. historic event was not anticipated. A fisherman The historic overview of the pre excitation from the coast of North Carolina presented to syndromes will be deferred to Dr. Burchell's Duke University Medical Center in 1968 with authoritative chapter, but a few highlights de refractory supraventricular tachycardia related serve emphasis here because they graphically to the WPW syndrome [2]. Attempts to control portray how elements of serendipity, courage, the tachycardia medically failed. Dr. Andrew and luck played important roles in the unfold Wallace (then Director of the Coronary Care Unit) had recently returned from the NIH ing of the mysteries of preexcitation.

Ventricular arrhythmias cause most cases of sudden cardiac death, which is the leading cause of death in the US. This issue reviews the causes of arrhythmias and the promising new drugs and devices to treat arrhythmias.

Offers a guide for a complete understanding of the disease and conditions most frequently revealed in ECGs recorded in the acute, critical, and emergency care settings Electrocardiogram in Clinical Medicine offers an authoritative guide to ECG interpretation that contains a focus and perspective from each of the three primary areas of medical care: acute care, critical care and emergency care. It can be used as a companion with the book ECGs for the Emergency Physician I & II (by Mattu and Brady) or as a stand-alone text. These three books can be described as a cumulative EGG reference for the medical provider who uses the electrocardiogram on a regular basis. Electrocardiogram in Clinical Medicine includes sections on all primary areas of ECG interpretation and application as well as sections that highlight use, devices and strategies. The medical content covers acute coronary syndromes and all related issues, other diseases of the myocardium, morphologic syndromes, toxicology and paediatrics; dysrhythmias will also be covered in detail. This important resource: • Goes beyond pattern recognition in ECGs to offer a real understanding of the clinical syndromes evidenced in ECGs and implications for treatment • Covers the indications, advantages and pitfalls of the use of ECGs for diagnosis in all acute care settings, from EMS to ED to Critical Care • Examines the ECG in toxic, metabolic and environmental presentations; critical information for acute care clinicians who need to be able to differentiate ODs, poisoning and other environmental causes from MI or other cardiac events • Facilitates clinical decision-making Written for practicing ER, general medicine, family practice, hospitalist and ICU physicians and medical students, Electrocardiogram in Clinical Medicine is an important book for the accurate interpretation of EGG results.

​Cardiac Electrophysiology (EP) is a highly specialized, complex and growing field of cardiology. As understanding of the evaluation of treatment of arrhythmias continues to advance, learning and understanding the principles of EP in order to provide the best possible treatments for patients can be a daunting task. The Manual of Clinical Cardiac Electrophysiology is a guide to the clinical diagnosis and treatment of cardiac arrhythmias that meets this need. With a scientific, practical, and multi-disciplinary approach, the book establishes the foundation of the cardiac electrophysiology and provides multimedia illustrations to facilitate and enhance understanding. These illustrations will come directly from real case studies, to provide an authentic look at each principle of EP. Since the world of EP moves so fast, and arrhythmias are diagnosed and treated in real time, it is often difficult to learn EP from static texts, images and diagrams. This book is designed to be accessible enough to serve as an introduction to EP, but advanced enough to serve as a guide for experienced practitioners. EP students of all levels, including medical students, residents, fellows, mid-level providers, nurses, technologist, primary care providers, cardiologists and electrophysiologists will find value in the Manual of Clinical Cardiac Electrophysiology.​

This text addresses the need for a book specifically aimed at obstetric anesthesia and covers topics such as pulmonary, cardiac renal, hepatic, hematologic, neurologic, endocrine and other diseases. The real anesthetic challenge arises when patients present to Labor and Delivery with unusual or complicated medical problems and, in recent years, a few of the larger institutions have developed an Obstetric Anesthesiology Consultation Service to prepare for the management of these patients. While most pregnant women who present to Labor and Delivery require anesthetic intervention, they typically meet the anesthesiologist for the first time in labor. Since the majority of laboring women are healthy without significant comorbidities, this does not present much of a challenge to the anesthesiologist and the anesthetic management tends to be straight-forward with favorable outcomes. However, using this new model, the anesthesiologist has the opportunity to discuss the various treatment modalities and potentially suggest diagnostic testing to be performed prior to delivery, similar to the pre-operative testing that is done in other surgical environments.

Providing a complete but succinct overview of the information cardiologists and cardiology trainees need to have at their fingertips, Practical Cardiovascular Medicine, Second Edition is an everyday primary guide to the specialty. Provides cardiologists with a thorough and up-to-date review of cardiology, from pathophysiology to practical, evidence-based management Ably synthesizes pathophysiology fundamentals and evidence-based approaches to prepare a physician for a subspecialty career in cardiology Clinical chapters cover coronary artery disease, heart failure, arrhythmias, valvular disorders, pericardial disorders, congenital heart disease, and peripheral arterial disease Practical chapters address ECG, coronary angiography, catheterization techniques, echocardiography, hemodynamics, and electrophysiological testing Includes over 730 figures, key notes boxes, references for further study, and coverage of clinical trials Review questions help clarify topics and can be used for Board preparation - over 650 questions in all The Second Edition has been comprehensively updated with the newest data and with both the American and European guidelines. More specifically, 20 clinical chapters have been rewritten and extensively revised. Procedural chapters have been enhanced with additional concepts and illustrations, particularly the hemodynamic and catheterization chapters. Clinical questions have been revamped, new questions have been added, including a new, 259-question section at the end of the book. Practical Cardiovascular Medicine, Second Edition is an ideal reference for the resident, fellow, cardiologist, and any professional treating patients with cardiovascular disease.

The molecular basis for atrial fibrillation continues to be largely unknown, and therapy remains unchanged, aimed at controlling the heart rate and preventing systemic emboli with anticoagulation. Familial atrial fibrillation is more common than previously suspected. While atrial fibrillation is commonly associated with acquired heart disease, a significant proportion of individuals have early onset without other forms of heart disease, referred to as "lone" atrial fibrillators. It is also well recognized that atrial fibrillation occurs on a reversible or functional basis, without associated structural heart disease, such as with hyperthyroidism or of atrial fibrillation following surgery. It remains to be determined what percentage in these individuals is familial or due to a genetic predisposition. Mapping the locus for familial atrial fibrillation is the first step towards the identification of the gene. Isolation of the gene and subsequent identification of the responsible molecular genetic defect should provide a point of entry into the mechanism responsible for the familial form and the common acquired forms of the disease and eventually provide more effective therapy. We know that the ionic currents responsible for the action potential of the atrium is due to multiple channel proteins as is electrical conduction throughout the atria. Analogous to the ongoing genetic studies in patients with familial long QT syndrome, it is highly likely that defects in each of these channel proteins will be manifested in familial atrial fibrillation.