Case Studies in Clinical Cardiac Electrophysiology E-Book

• Autore: Miller John M
• Pubblicazione: Saintt Louis : , : Elsevier, , 2017; ©2018
• Descrizione fisica: 1 online resource (435 pages)
• Disciplina: 616.1/2075
• Soggetto topico: Heart Diseases - diagnosis; Electrophysiologic Techniques, Cardiac - methods
• Soggetto genere / forma: Case Reports.
• Altri autori: DasMithilesh K ZipesDouglas P
• 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.
• Sommario/riassunto: Keeping up with the use of new technologies in cardiology is becoming increasingly challenging. Case Studies in Clinical Cardiac Electrophysiology helps to bridge the gap between knowledge and application with 28 cases spanning both common and uncommon arrhythmias and ablation scenarios, each of which includes the clinical presentation, baseline ECG, ECG during arrhythmia, stepwise electrophysiologic diagnostic maneuvers and some of their pitfalls, and optimal therapy. Online access to the complete contents ensures the information you need is right at your fingertips.
• Titolo autorizzato: Case Studies in Clinical Cardiac Electrophysiology E-Book
• ISBN: 0-323-18772-2
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910583053103321
• Lo trovi qui: Univ. Federico II