1.

Record Nr.

UNINA9910583053103321

Autore

Miller John M

Titolo

Case Studies in Clinical Cardiac Electrophysiology E-Book

Pubbl/distr/stampa

Saintt Louis : , : Elsevier, , 2017

©2018

ISBN

0-323-18772-2

Descrizione fisica

1 online resource (435 pages)

Altri autori (Persone)

DasMithilesh K

ZipesDouglas P

Disciplina

616.1/2075

Soggetti

Heart Diseases - diagnosis

Electrophysiologic Techniques, Cardiac - methods

Case Reports.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di contenuto

Front cover -- Inside front cover -- Front matter -- Case studies in clinical cardiac electrophysiology -- Copyright -- Dedication -- Foreword -- Preface -- Acknowledgments -- Table of Contents -- 1 Sinus Node, AV Node, and His-Purkinje System -- 1 Sinus node and atrioventricular conduction disease -- Case presentation -- Evaluation -- Summary -- 2 Supraventricular Arrhythmias -- 1 AV Junctional Arrhythmias -- 2 Typical (slow-fast) atrioventricular nodal reentry -- Case presentation -- Baseline ECGs and intracardiac recordings -- Ventricular pacing -- ECGs compared -- Ventricular pacing in SVT -- Para-Hisian pacing -- Ventricular extrastimuli in sinus rhythm -- Ventricular extrastimuli in SVT -- Atrial and ventricular pacing and extrastimuli during SVT -- Cartoons and ladder diagrams of pacing -- Ventricular and atrial pacing in sinus rhythm -- Atrial extrastimulus testing -- Ablation sites and assessments -- Summary -- 3 Atypical (fast-slow) atrioventricular nodal reentry -- Case presentation -- Baseline ECG and intracardiac recordings -- Baseline ventricular pacing -- Baseline coronary sinus pacing -- SVT initiation with ventricular pacing -- SVT ECG and intracardiac recordings -- Ventricular extrastimuli and overdrive pacing during SVT -- Initiation of atrial fibrillation with ventricular pacing -- Ventricular and atrial pacing at



TCL during sinus rhythm -- Parahisian pacing -- Atrial extrastimuli in SVT -- Ablation site -- Status -- Atrial entrainment during SVT -- Ablation begins -- Final recordings -- Summary -- 4 Accelerated junctional rhythm -- Case presentation -- Baseline ECG and intracardiac recordings -- Atrial extrastimuli in rhythm -- Ventricular extrastimuli in rhythm -- Ablation site -- RF ablation begins -- Final recordings -- Fluoroscopy of catheter positions -- Summary -- 2 AV Accessory Pathways.

5 Left lateral concealed pathway supraventricular tachycardia -- Case presentation -- Baseline ECG in sinus rhythm: SVT ECG -- Baseline intracardiac recordings in sinus rhythm -- Ventricular pacing at progressively rapid rates during sinus rhythm -- Ventricular pacing initiates SVT -- Ventricular extrastimuli in SVT -- Ventricular overdrive pacing in SVT -- Ventricular pacing with different coronary sinus catheter positions -- Nature of "funny spikes" explored -- Atrial extrastimuli during fixed-rate ventricular pacing -- Are the funny spikes A, V, or BT? [fig. 5-12] -- Onset of ventricular pacing at time of sinus complex -- Mapping and ablation sites and results -- First ablation site -- Is this mapping site a good site to deliver RF energy? [fig. 5-14] -- Effect of first ablation, second mapping site -- Is this mapping site a good site to deliver RF energy? [fig. 5-15] -- Mapping site no. 4 and ablation -- Is this mapping site a good site to deliver RF energy? [fig. 5-16] -- Ventricular pacing postablation (AV nodal conduction only) -- Summary -- 6 Antidromic supraventricular tachycardia -- Case presentation -- ECG in sinus rhythm -- Wide-QRS tachycardia ECG -- Intracardiac recordings and atrial pacing -- WCT initiation (atrial and ventricular pacing) -- WCT vs right ventricular pacing at tachycardia cycle length -- Para-Hisian pacing -- Atrial extrastimuli (premature atrial complex [PAC]) in WCT -- Investigating possible accessory pathway potential -- Preexcited SVT initiation -- Ablation site and ablation delivery -- Pre- and postablation ECGs compared -- Summary -- 7 Atriofascicular pathway supraventricular tachycardia -- Case presentation -- ECG during tachycardia -- Differential diagnosis of LBBB-appearing tachycardia -- Baseline ECG and intracardiac recordings -- Atrial pacing with change in QRS and tachycardia induction.

Wide QRS tachycardia -- Atrial extrastimuli during tachycardia -- Atriofascicular pathways -- More baseline recordings (with halo catheter) -- Ventricular pacing -- Atrial fibrillation ECG and intracardiac recordings -- Atrial pacing and premature stimulation -- Mapping atriofascicular potential -- Pacing ablation site -- Ablation site and radiofrequency delivery -- Atrial pacing postablation -- Final fluoroscopy -- Principles of mapping atriofascicular pathways -- Summary -- 8 Slowly conducting bypass tract supraventricular tachycardia -- Case presentation -- Prior SVT ECG -- Baseline intracardiac recordings during sinus rhythm and SVT -- Ventricular extrastimuli and overdrive pacing in SVT -- Atrial pacing at SVT cycle length compared with SVT -- Spontaneous SVT termination -- Comparison of features and behavior of different SVTs -- Site of ablation -- During ablation SVT ceases -- Ventricular pacing postablation -- Final ECG -- Electroanatomic map -- Summary -- 9 Fasciculoventricular pathway -- Case presentation -- Baseline ECG and intracardiac recordings -- Ventricular pacing -- Atrial pacing -- Atrial extrastimuli -- Atrial pacing at various rates -- Junctional escape complex -- Final ECG -- Summary -- 3 Focal Atrial Tachycardias -- 10 Focal right atrial tachycardia -- Case presentation -- ECG of tachycardia -- Subsequent ECG -- Baseline ECGs and intracardiac recordings in SVT -- Overdrive coronary sinus pacing in SVT --



Activation mapping -- Various sites -- Activation mapping [fig. 10-8] -- Activation mapping [fig. 10-9] -- Activation mapping [fig. 10-10] -- Activation mapping [fig. 10-11] -- Electroanatomic map -- Additional sites sampled and pace mapping -- Activation mapping [fig. 10-13] -- Pace mapping [fig. 10-14] -- Activation mapping [fig. 10-15] -- Activation mapping [fig. 10-16] -- Pace mapping [fig. 10-17] -- Ablation.

ECG postablation -- Atrial activation sequence with various sites of coronary sinus pacing vs SVT -- Ventricular pacing during sinus rhythm -- Tachycardia 1 h after ablation -- Atrial pacing induces SVT -- Ventricular extrastimuli and overdrive pacing in SVT (figs. 10.26 and 10.27) -- Catheter manipulation at tricuspid annulus -- Summary -- 11 Focal left atrial tachycardia -- Case presentation -- Baseline ECG and intracardiac recordings -- Ventricular pacing -- Atrial pacing on low-dose isoproterenol -- Higher dose isoproterenol -- Spontaneous SVT onset -- What is the differential diagnosis [fig. 11-5]? -- What do you need to do to figure it out? -- ECG and intracardiac recordings in SVT -- What is the differential diagnosis [fig. 11-6]? -- SVT termination -- What is the differential diagnosis? [fig. 11-8] -- Ventricular pacing during sinus rhythm -- What all does this tell? [fig. 11-9] -- Wide-QRS complex tachycardia ECG and intracardiac recordings -- Wide-to-narrow QRS tachycardia transition -- Ventricular pacing in SVT to delineate P-wave onset -- Right atrial and then coronary sinus pacing during tachycardia -- Activation and pace mapping in right atrium -- Electroanatomic mapping of right atrium -- Activation and pace mapping left atrial site -- Radiofrequency application at left atrial site -- Comparison of best right and left atrial sites -- Electroanatomic map of left atrium -- Fluoroscopic views of best right and left atrial sites -- Cutaway view of atrioventricular groove -- Summary -- 4 Atrial Flutter (AFL) and Reentrant Atrial Tachycardia -- 12 Typical atrial flutter -- Case presentation -- Baseline ECG and intracardiac recordings -- Diagnostic maneuvers -- CS distal pacing -- We can eliminate AT from left atrium from the differential diagnosis: [fig. 12-4].

We can eliminate focal AT near CS os from our differential diagnosis: [fig. 12-5e and 12-10b] -- CS proximal pacing -- Recording from CTI -- Why is there no recording at the Abldist and Ablprox leads? -- Pacing from CTI -- Pacing from lateral TA -- Differential diagnosis: [fig. 12-11] -- Electroanatomic mapping -- Ablation -- Assessment of bidirectional block -- Final ECG -- Summary -- 13 Atrial reentry after valve surgery -- Case presentation -- Approaches to mitral surgery -- Prior SVT ECG -- Baseline ECG and intracardiac recordings -- Catheter induction of SVT and ECG and intracardiac recordings -- Clarifying P-wave onset during SVT with ventricular pacing -- Overdrive pacing during SVT -- From distal and proximal coronary sinus -- Focal or macroreentry? -- Focal or macroreentry? -- From different halo catheter sites -- From coronary sinus again -- Spontaneous change in atrial activation pattern in SVT -- SVT termination during catheter mapping -- Entrainment mapping: Is it a good site? -- Ablation at site -- Electroanatomic maps -- Pacing from various sites postablation -- Final ECG -- Summary -- 14 Atrial microreentry after lung transplantation -- Case presentation -- Differential diagnosis and time course of ATs after lung transplantation -- Types of lung transplantation procedures -- Baseline ECG and intracardiac recordings -- Status -- Electroanatomic mapping -- Mapping -- Overdrive pacing during tachycardia from various sites -- Pacing donor left superior pulmonary vein during sinus rhythm -- Pacing from ablation catheter near ablation site -- Approximates appearance of SVT -- Initiates SVT -- Replicates SVT appearance -- Terminates SVT without propagation



-- Reinitiates SVT -- Recording at ablation site -- Ablation -- Sinus rhythm at end -- Summary -- 15 Atrial reentry after pulmonary vein isolation for atrial fibrillation.

Case presentation.