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The second edition of this bestseller provides a practical,
user-friendly manual guiding the theory and practice of cardiac
electrophysiology. The handbook provides the specialist in training
with a thorough grounding procedures, and clinical findings for
clinicians. It provides a review of the main kinds of arrhythmia
with illustrations of typical ECG findings supported where
appropriate by correlative imaging. It also details the principal
diagnostic and therapeutic procedures include implantation of
pacemakers, resynchronization therapy, and ablation techniques. Key
Features Provides concise, user friendly guide to the equipment,
procedures and clinical findings with which EPs need to be familiar
Delivers alternatives resource to the flagship titles available in
this field - idea for those beginning training or seeking an update
Presents extensively updated material to enhance comprehension
Includes new treatments and devices for electrophysiologists
trained to perform interventional cardiac electrophysiology studies
(EPS) as well as surgical device implantations
The second edition of this bestseller provides a practical,
user-friendly manual guiding the theory and practice of cardiac
electrophysiology. The handbook provides the specialist in training
with a thorough grounding procedures, and clinical findings for
clinicians. It provides a review of the main kinds of arrhythmia
with illustrations of typical ECG findings supported where
appropriate by correlative imaging. It also details the principal
diagnostic and therapeutic procedures include implantation of
pacemakers, resynchronization therapy, and ablation techniques. Key
Features Provides concise, user friendly guide to the equipment,
procedures and clinical findings with which EPs need to be familiar
Delivers alternatives resource to the flagship titles available in
this field - idea for those beginning training or seeking an update
Presents extensively updated material to enhance comprehension
Includes new treatments and devices for electrophysiologists
trained to perform interventional cardiac electrophysiology studies
(EPS) as well as surgical device implantations
Implantable defibrillators as originally conceived by Michel
Mirowski were limited to the detection and automatic termination of
ventricular fibrillation. In the original "AID" device, the
detection algoritlun sought to distinguish sinus rhytlun from
ventricular fibrillation by identifying the "more sinusoidal
waveform of ventricular fibrillation. " The therapeutic
intervention was elicited only once deadly polymorphic rhythms had
developed. It was rapidly learned, however, that ventricular
fibrillation is usually preceded by ventricular tachycardia.
Mirowski recognized the pivotal importance of developing
algoritllms based on heart rate. Ventricular tachycardia detection
allowed the successful development of interventions for the
termination of ventricular tachyarrhythmias before they degenerated
into ventricular fibrillation. Current device therapy no longer
confines itself to tlle termination of chaotic rhythms but seeks to
prevent them. Diagnostic algorithms moved upward along the chain of
events leading to catastrophic rhytlulls. Rate smoothing algorithms
were developed to prevent postextrasystolic pauses from triggering
ventricular and atrial tachyarrhytlmlias. Beyond the renaissance of
ectopy-centered strategies, long-term prevention received
increasing attention. Multisite pacing therapies provided by
"Arrhythmia Management Devices" were designed to reduce the
"arrhytlunia burden" and optimize the synergy of cardiac
contraction and relaxation. Clinical evidence now suggests that
atrial fibrillation prevention by pacing is feasible and tllat
biventricular pacing may be of benefit in selected patients with
heart failure. However, these applications of device therapy that
generally require ventricular defibrillation backup remain
investigational and were not considered in this book.
Implantable defibrillators as originally conceived by Michel
Mirowski were limited to the detection and automatic termination of
ventricular fibrillation. In the original "AID" device, the
detection algoritlun sought to distinguish sinus rhytlun from
ventricular fibrillation by identifying the "more sinusoidal
waveform of ventricular fibrillation. " The therapeutic
intervention was elicited only once deadly polymorphic rhythms had
developed. It was rapidly learned, however, that ventricular
fibrillation is usually preceded by ventricular tachycardia.
Mirowski recognized the pivotal importance of developing
algoritllms based on heart rate. Ventricular tachycardia detection
allowed the successful development of interventions for the
termination of ventricular tachyarrhythmias before they degenerated
into ventricular fibrillation. Current device therapy no longer
confines itself to tlle termination of chaotic rhythms but seeks to
prevent them. Diagnostic algorithms moved upward along the chain of
events leading to catastrophic rhytlulls. Rate smoothing algorithms
were developed to prevent postextrasystolic pauses from triggering
ventricular and atrial tachyarrhytlmlias. Beyond the renaissance of
ectopy-centered strategies, long-term prevention received
increasing attention. Multisite pacing therapies provided by
"Arrhythmia Management Devices" were designed to reduce the
"arrhytlunia burden" and optimize the synergy of cardiac
contraction and relaxation. Clinical evidence now suggests that
atrial fibrillation prevention by pacing is feasible and tllat
biventricular pacing may be of benefit in selected patients with
heart failure. However, these applications of device therapy that
generally require ventricular defibrillation backup remain
investigational and were not considered in this book.
This issue of the Cardiac Electrophysiology Clinics, edited by Drs.
Amin Al- Ahmad and Francis Marchlinski, will cover Ventricular
Tachycardia in Structural Heart Disease. Topics discussed in the
issue include, but are not limited to, ECG localization of VT in
patients with structural heart disease; Anatomy for VT ablation in
structural heart disease; Ablation of VT in ischemic and
non-ischemic heart disease; Pace mapping; Ablation of VT in ARVD;
Epicardial VT ablation; and VT clinical trials, among others.
In collaboration with the Consulting Editors, Ranjan K. Thakur and
Andrea Natale, Drs. Luigi Di Biase, Frank Marchlinski, and Andrea
Natale have assembled an issue of Cardiac Electrophysiology Clinics
on Advances in Atrial Fibrillation Ablation. Topics include, but
are not limited to, Recurrent atrial fibrillation with isolated
PVs, Beyond PVI in non paroxysmal atrial fibrillation, Recurrent
atrial fibrillation after cryo, Recurrent atrial fibrillation after
RF, high-density mapping, Expectation and Results of surrogate
target beyond PVI, Lessons from epicardial mapping and ablation in
refractory atrial fibrillation, Evolution of radiofrequency
ablation parameters, Balloon based technologies, Energy sources,
Current status of esophageal protection, Fluoroless atrial
fibrillation ablation, Role of MRI imaging before and after
ablation, When to stop OAC after atrial fibrillation ablation,
Atrial fibrillation ablation trials, Risk Factor modification
before and after atrial fibrillation ablation.
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