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Case Studies in Clinical Cardiac Electrophysiology E-Book
Case Studies in Clinical Cardiac Electrophysiology E-Book
Autore Miller John M
Pubbl/distr/stampa Saintt Louis : , : Elsevier, , 2017
Descrizione fisica 1 online resource (435 pages)
Disciplina 616.1/2075
Altri autori (Persone) DasMithilesh K
ZipesDouglas P
Soggetto topico Heart Diseases - diagnosis
Electrophysiologic Techniques, Cardiac - methods
Soggetto genere / forma Case Reports.
ISBN 0-323-18772-2
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
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.
Record Nr. UNINA-9910583053103321
Miller John M  
Saintt Louis : , : Elsevier, , 2017
Materiale a stampa
Lo trovi qui: Univ. Federico II
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Josephson's clinical cardiac electrophysiology [[electronic resource] ] : techniques and interpretations / / David J. Callans
Josephson's clinical cardiac electrophysiology [[electronic resource] ] : techniques and interpretations / / David J. Callans
Autore Callans David J
Edizione [6th ed.]
Pubbl/distr/stampa Philadelphia, : Wolters Kluwer, 2021
Descrizione fisica 1 online resource (1648 pages)
Disciplina 616.1207547
Altri autori (Persone) JosephsonMark E
Soggetto topico Electrophysiologic Techniques, Cardiac - methods
Arrhythmias, Cardiac - diagnosis
Arrhythmias, Cardiac - therapy
Heart Conduction System - physiopathology
Electrophysiology
Arrhythmia
ISBN 1-9751-1558-9
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Cover -- Title Page -- Copyright -- Dedication -- Foreword: Historical Perspectives -- Preface -- Contents -- Chapter 1 General Principles and Techniques of Electrophysiologic Investigation -- THE ELECTROPHYSIOLOGY LABORATORY -- Personnel -- INTRACARDIAC SIGNAL RECORDING AND INTERPRETATION -- Equipment -- CARDIAC CATHETERIZATION TECHNIQUE -- Right Atrium -- Left Atrium -- Right Ventricle -- Left Ventricle -- His Bundle Electrogram -- RISKS AND COMPLICATIONS -- Significant Hemorrhage -- Thromboembolism -- Phlebitis -- Arrhythmias -- Complications of Left Ventricular Studies -- Pericardial Effusion/Tamponade -- INTERPRETATION OF ELECTROPHYSIOLOGY STUDIES -- General Concepts -- MEASUREMENT OF CONDUCTION INTERVALS -- His Bundle Electrogram -- Assessment of "H"-V Interval -- Establishing Relationship of the His Bundle Deflection to Other Electrograms: Role of Catheter Position -- Simultaneous Left-Sided and Right-Sided Recordings -- His Bundle Pacing -- A-H Interval -- H-V Interval -- Intra-Atrial Conduction -- Intraventricular Conduction -- DESCRIPTION OF ELECTROGRAMS -- Descriptive Characteristics -- Quantitative Characteristics -- Left Ventricular Endocardial Activation -- PROGRAMMED STIMULATION -- Incremental Pacing -- Refractory Periods -- Patterns of Response to Atrial Extrastimuli -- Patterns of Response to Ventricular Extrastimuli -- Safety of Ventricular Stimulation -- Comparison of Antegrade and Retrograde Conduction -- Chapter 2 Sinus Node Function -- ELECTROCARDIOGRAPHIC FEATURES OF SINUS NODE DYSFUNCTION -- Sinus Bradycardia -- Sinoatrial Block and Sinus Arrest -- Bradycardia-Tachycardia Syndrome -- ELECTROCARDIOGRAPHIC MONITORING OF PATIENTS SUSPECTED OF HAVING SINUS NODE DYSFUNCTION -- ASSESSMENT OF AUTONOMIC TONE -- ELECTROPHYSIOLOGIC EVALUATION OF SINUS NODE FUNCTION -- Sinoatrial Conduction Time -- Sinus Node Electrogram.
Sinoatrial Conduction Time in Patients With Sick Sinus Syndrome -- Sinus Node Recovery Time -- Effect of Atropine and Autonomic Blockade on Sinus Node Recovery Time in Normal Persons -- Results of Sinus Node Testing in Patients Suspected of Having Sinus Node Dysfunction -- EFFECT OF DRUGS ON SINUS NODE RECOVERY TIME AND SINOATRIAL CONDUCTION TIME -- Digoxin -- Propranolol -- Calcium Channel Antagonists -- Antiarrhythmic Agents -- VAGAL HYPERSENSITIVITY (NEUROCIRCULATORY) SYNDROMES -- THERAPEUTIC IMPLICATIONS -- Chapter 3 Atrioventricular Conduction -- ATRIUM -- ATRIOVENTRICULAR NODE -- HIS BUNDLE -- INFRA-HIS CONDUCTION SYSTEM -- PAROXYSMAL A-V BLOCK -- VALUE OF INTRACARDIAC STUDIES IN THE EVALUATION OF A-V CONDUCTION DISTURBANCES -- SUPPRESSION OF A-V CONDUCTION BY VENTRICULAR STIMULATION -- THERAPEUTIC CONSIDERATIONS -- Chapter 4 Intraventricular Conduction Disturbances -- DEFINITIONS -- SITE OF "BLOCK" OR CONDUCTION DELAY DURING BUNDLE BRANCH BLOCK -- Chronic Right Bundle Branch Block -- Left Bundle Branch Block -- Transient Bundle Branch Block -- CLINICAL RELEVANCE OF INTRAVENTRICULAR CONDUCTION DISTURBANCES -- Role of Electrophysiologic Studies in Predicting Risk of Heart Block -- Methods to Identify Patients at Risk of Developing A-V Block -- Alternating Bundle Branch Block -- Syncope and Sudden Death in Patients With Bundle Branch Block -- THERAPEUTIC IMPLICATIONS -- Chapter 5 Miscellaneous Phenomena Related to Atrioventricular Conduction -- CONCEALED CONDUCTION -- GAP PHENOMENON -- SUPERNORMAL CONDUCTION -- Chapter 6 Ectopic Rhythms and Premature Depolarizations -- ATRIAL DEPOLARIZATIONS -- JUNCTIONAL (HIS BUNDLE OR A-V NODAL) DEPOLARIZATIONS -- FASCICULAR DEPOLARIZATIONS -- VENTRICULAR DEPOLARIZATIONS -- Chapter 7 Supraventricular Tachycardias -- MECHANISMS OF SUPRAVENTRICULAR TACHYCARDIA -- METHODS OF EVALUATION.
SUPRAVENTRICULAR TACHYCARDIA RESULTING FROM ATRIOVENTRICULAR NODAL REENTRY -- Mechanisms of Initiation of Atrioventricular Nodal Reentry -- Determinants for the Induction of Atrioventricular Nodal Reentry -- Atrial Activation Sequence and the P-QRS Relationship During Supraventricular Tachycardia -- Effect of Bundle Branch Block During Atrioventricular Nodal Reentrant Supraventricular Tachycardia -- Requirement of the Atrium and Ventricle -- SUPRAVENTRICULAR TACHYCARDIA RESULTING FROM CONCEALED ATRIOVENTRICULAR BYPASS TRACTS -- Mechanism of Initiation -- Effects of Pharmacologic and Physiologic Maneuvers During Supraventricular Tachycardia -- SUPRAVENTRICULAR TACHYCARDIA RESULTING FROM INTRA-ATRIAL OR SINUS NODE REENTRY -- AUTOMATIC ATRIAL TACHYCARDIA -- ATRIAL TACHYCARDIA DUE TO TRIGGERED ACTIVITY -- DISTINGUISHING ATRIAL TACHYCARDIA FROM AVNRT AND AVRT -- MULTIPLE SVT MECHANISMS IN INDIVIDUAL PATIENTS -- OVERVIEW -- Chapter 8 Atrial Fibrillation and Atrial Flutter -- ELECTROPHYSIOLOGIC AND ANATOMIC SUBSTRATES OF MACROREENTRANT ATRIAL TACHYCARDIA AND FIBRILLATION -- Conduction Defects in Patients With Atrial Fibrillation and Flutter -- Atrial Refractoriness -- Atrial Vulnerability -- Modern Studies of the Electrophysiologic and Anatomic Substrate of Atrial Fibrillation -- ELECTROPHYSIOLOGIC MECHANISMS OF ATRIAL FIBRILLATION -- Mapping During Atrial Fibrillation -- Stimulation During Atrial Fibrillation -- Relationship Between Atrial Flutter and Fibrillation -- ELECTROPHYSIOLOGIC MECHANISMS OF ATRIAL FLUTTER -- Induction of Atrial Flutter -- Characterization of the Reentrant Circuit in Atrial Flutter -- Termination of Atrial Flutter -- Effects of Pharmacologic Agents on Reentrant Atrial Flutter -- Atrioventricular Conduction During Flutter -- SUMMARY -- Chapter 9 Preexcitation Syndromes -- ATRIOVENTRICULAR BYPASS TRACTS.
ELECTROPHYSIOLOGIC PROPERTIES OF A-V BYPASS TRACTS -- ELECTROPHYSIOLOGIC EVALUATION IN PATIENTS WITH WOLFF-PARKINSON-WHITE SYNDROME -- Diagnosis of an A-V Bypass Tract -- MODE OF INITIATION OF TACHYCARDIAS -- ORTHODROMIC TACHYCARDIA -- PREEXCITED TACHYCARDIAS -- ATRIAL FIBRILLATION -- LOCALIZATION OF THE BYPASS TRACT -- RELATION OF LOCAL VENTRICULAR ELECTROGRAMS TO DELTA WAVE -- PACING FROM MULTIPLE ATRIAL SITES -- RETROGRADE ATRIAL ACTIVATION -- EFFECT OF BUNDLE BRANCH BLOCK DURING ORTHODROMIC TACHYCARDIA -- DIRECT RECORDING OF BYPASS TRACT POTENTIALS -- ROLE OF THE BYPASS TRACT IN GENESIS OF ARRHYTHMIAS -- DETERMINATION OF THE ANTEGRADE REFRACTORY PERIOD OF THE BYPASS TRACT -- INTERMITTENT PREEXCITATION -- EFFECT OF ANTIARRHYTHMIC AGENTS ON PREEXCITATION -- EXERCISE TESTING IN WOLFF-PARKINSON-WHITE SYNDROME -- DETERMINATION OF THE ANTEGRADE REFRACTORY PERIOD OF THE BYPASS TRACT BY PROGRAMMED STIMULATION -- TERMINATION OF ORTHODROMIC TACHYCARDIA -- MULTIPLE BYPASS TRACTS -- ATRIOVENTRICULAR NODAL "BYPASS TRACTS"-THE LOWN-GANONG-LEVINE SYNDROME -- Electrophysiologic Properties -- Atrial Pacing -- Response to Atrial Premature Depolarizations -- Ventriculoatrial Conduction -- Response to Pharmacologic and Physiologic Maneuvers -- Role of the Bypass Tract in Arrhythmias -- Therapeutic Implications -- ACCESSORY PATHWAYS WITH ANTEROGRADE DECREMENTAL CONDUCTION AND FASCICULOVENTRICULAR PATHWAYS -- Slowly Conducting Accessory Pathways -- Electrophysiologic Manifestations -- Atriofascicular and Long Atrioventricular Bypass Tracts -- Short Slowly Conducting Atrioventricular Bypass Tracts -- Nodofascicular and Nodoventricular Bypass Tracts -- Tachycardias Associated With Atriofascicular, Slowly Conducting A-V, Nodofascicular, and Nodoventricular Bypass Tracts -- Therapeutic Implications -- Fasciculoventricular Bypass Tracts.
Chapter 10 Recurrent Ventricular Tachycardia -- DEFINITIONS OF VENTRICULAR TACHYCARDIAS -- Morphology -- Duration -- CLASSIFICATION OF VENTRICULAR TACHYCARDIA QRS COMPLEXES -- DIAGNOSIS OF VENTRICULAR TACHYCARDIA -- Use of His Bundle Recordings in Diagnosing Ventricular Tachycardia -- PATHOPHYSIOLOGIC SUBSTRATE FOR VENTRICULAR TACHYARRHYTHMIAS -- Anatomic Substrate -- Electrophysiologic Substrate -- MECHANISMS OF VENTRICULAR TACHYCARDIA -- Initiation of Ventricular Tachycardias -- Initiation of Sustained Uniform Ventricular Tachycardia -- Initiation of Polymorphic Ventricular Tachycardia-Ventricular Fibrillation -- Initiation of Monomorphic Nonsustained Ventricular Tachycardia -- Response of Sustained Uniform Ventricular Tachycardia to Stimulation -- Protocol for Stimulation During Sustained VT -- Response of Ventricular Tachycardia to Overdrive Pacing-Continuous Resetting (Entrainment) -- EFFECT OF DRUGS ON VENTRICULAR TACHYCARDIA -- LOCALIZATION OF THE SITE OF ORIGIN OF VENTRICULAR TACHYCARDIA -- General Methods of Catheter Mapping -- Relationship of Mapping Data to Heart Disease -- Sinus Rhythm Mapping -- Relationship of QRS Morphologies to Sites of Origin of Tachycardias -- Role of Pace Mapping in Determining the Site of Origin of Ventricular Tachycardia -- VENTRICULAR STIMULATION IN MISCELLANEOUS DISORDERS -- Chapter 11 Catheter and Surgical Ablation in the Therapy of Arrhythmias -- BIOPHYSICS OF CURRENT ABLATION TECHNIQUES -- Direct Current Ablation -- Irreversible Electroporation (Pulsed Electrical Field Ablation) -- Radiofrequency Energy -- Novel Concepts in RF ablation -- Laser Ablation -- Cryoablation -- Ultrasound -- CONTROL OF SUPRAVENTRICULAR ARRHYTHMIAS BY ABLATIVE TECHNIQUES -- Ablation of Atrioventricular Bypass Tracts and Variants of Preexcitation -- Localization of Bypass Tracts -- Catheter Ablation of Bypass Tracts.
Ablation of Preexcitation Variants.
Altri titoli varianti Clinical cardiac electrophysiology
Record Nr. UNINA-9910794006603321
Callans David J  
Philadelphia, : Wolters Kluwer, 2021
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui