2nd Edition
Handbook of Cardiac Electrophysiology
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
Preface
Acknowledgments
Editors
Contributors
SECTION I: BASIC EP LABORATORY SETUP AND EQUIPMENT
1. Device Lab Set-Up
John Lopez and Mina K. Chung
2. Organization of The Arrhythmia Lab
Roy Chung and Oussama M. Wazni
3. Holter and Event Monitor Laboratory Setup
Roy Chung, Daniel Cantillon, and Mina K. Chung
SECTION II: BRADYARRHYTHMIA
4. Bradycardia
Shiv Bagga and Mandeep Bhargava
5. Indications for Permanent Pacing and Cardiac Resynchronization Therapy
Shiv Bagga, J. David Burkhardt, and Mandeep Bhargava
SECTION III: SUPRAVENTRICULAR TACHYARRHYTHMIA
6. Atrial Flutter
Ayman A. Hussein and Oussama M. Wazni
7. Atrial Fibrillation
Rong Bai, Mohamed Salim, Luigi Di Biase, Robert Schweikert, and Walid Saliba
SECTION IV: VENTRICULAR TACHYARRHYTHMIA
8. Genetically Determined Ventricular Arrhythmias
Houman Khakpour and Jason S. Bradfield
9. Idiopathic Ventricular Tachycardia
Jackson J. Liang and David S. Frankel
SECTION V: SYNCOPE
10. Syncope Events, Definitions, Causes, and Features
Subramanya Prasad, Oussama M. Wazni, Mina K. Chung, Kenneth Mayuga, and Robert Schweikert
11. Syncope Management Facilities
Subramanya Prasad, Robert Schweikert, Mina K. Chung, Kenneth Mayuga, and Oussama M. Wazni
12. Syncope Management and Diagnostic Testing
Subramanya Prasad, Oussama M. Wazni, Robert Schweikert, Kenneth Mayuga, and Mina K. Chung
SECTION VI: DEVICE PROCEDURES
13. Implantation of Pacemakers and ICDs
Kushwin Rajamani, Michael P. Brunner, Oussama M. Wazni, and Bruce L. Wilkoff
14. Left Ventricular Lead Implantation for Cardiac Resynchronization Therapy
Kushwin Rajamani, Michael P. Brunner, Oussama M. Wazni, and Bruce L. Wilkoff
15. Extraction of Devices
Oussama M. Wazni and Bruce L. Wilkoff
SECTION VII: PERFORMING BASIC EP STUDIES
16. Venous and Arterial Access, EP Catheters, Positioning of Catheters
Ching Chi Keong, J. David Burkhardt, Thomas Dresing, and Andrea Natale
17. Basic Intracardiac Intervals
Duc H. Do and Noel G. Boyle
18. Basics of Electrophysiology Study
Jonathan R. Hoffman and Marmar Vaseghi
19. Head-Up Tilt (HUT) Table Testing
Subramanya Prasad, Amer Kadri, J. David Burkhardt, Thomas Dresing, and Kenneth Mayuga
SECTION VIII: CATHETER ABLATION TECHNIQUES
20. Ablation of SVT (AVNRT and AVRT)
Kushwin Rajamani and Patrick Tchou
21. Management and Ablation of Atrial Flutter
Carola Gianni, Amin Al-Ahmad, and Andrea Natale
22. Radiofrequency Ablation of Atrial Fibrillation
Jorge Romero, Carola Gianni, Sanghamitra Mohanty, Chintan Trivedi, Domenico G. Della Rocca, Andrea Natale, and Luigi Di Biase
23. Ventricular Arrhythmias in the Structurally Normal Heart
Andres Enriquez and Fermin Garcia
24. Catheter Ablation of Ventricular Fibrillation and Polymorphic Ventricular Tachycardia
Amin Al-Ahmad, Carola Gianni, and Andrea Natale
25. Mapping and Catheter Ablation of Postmyocardial Infarction Ventricular Tachycardia (VT): A Substrate-Based Approach
Zaid Aziz and Roderick Tung
26. Arrhythmogenic Right Ventricular Cardiomyopathy
Daniele Muser and Pasquale Santangeli
27. Non-Ischemic Cardiomyopathy And Ventricular Arrhythmias
Matthew C. Hyman and Gregory E. Supple
28. Ultrasound in the Electrophysiology Lab
Carola Gianni, Javier E. Sanchez, Domenico G. Della Rocca, Amin Al-Ahmad, and Andrea Natale
29. Left Atrial Appendage Closure
Rodney P. Horton, Carola Gianni, and Andrea Natale
30. ECG Features of Normal Heart PVCs
Robert D. Schaller
31. Epicardial Access and Indications
Jason S. Bradfield and Kalyanam Shivkumar
32. Ecg-Based Origin of Atrial Flutter
Decebal Gabriel Latcu, Nadir Saoudi, and Francis E. Marchlinski
Index
Biography
Andrea Natale
Dr. Andrea Natale is the Executive Medical Director of Texas Cardiac Arrhythmia Institute at St. David’s Medical Center, Austin, Texas and the EP National Medical Director for HCA Healthcare. He is the Editor-in-Chief of JICE and remains a leader of JAFIB, President of Venice Arrhythmia and Director of several courses and summits.
Oussama Wazni
Oussama Wazni, MD, is currently the Section Head of Electrophysiology at the Cleveland Clinic. He specializes in electrophysiology with special interest in atrial fibrillation, ventricular tachycardia and complex device management.
Dr. Wazni is principal investigator in several ongoing research studies related to device management, atrial fibrillation and ventricular tachycardia ablation, genetics of ventricular tachycardia, and long term follow-up after AF ablation.
Kalyanam Shivkumar
Dr. Shivkumar is a physician scientist who serves as the director of the UCLA Cardiac Arrhythmia Center & EP Programs (since its establishment in 2002). His is a graduate of the UCLA STAR Program (class of 2000) and his field of specialization is interventional cardiac electrophysiology. He leads a large group at UCLA (comprising a diverse group of fifteen faculty members, several trainees and sixty staff + allied health professionals) involved in clinical care, teaching, research and biomedical innovation. Currently Dr. Shivkumar oversees a 15-university NIH consortium on neural control of the heart.
Francis E. Marchlinski, MD
Dr. Marchlinski is the Richard T and Angela Clark President’s Distinguished Professor of Medicine at the Perelman School of Medicine at the University of Pennsylvania, the Director of Electrophysiology, University of Pennsylvania Health Care System and the Director of the Electrophysiology Laboratory at the Hospital of the University of Pennsylvania. He has authored or co-authored over 450 original scientific articles and over 200 book chapters/reviews/editorials on a variety of topics in cardiac electrophysiology. Dr. Marchlinski has served on the International Heart Rhythm Society Committee to establish guidelines for the treatment of atrial fibrillation and ventricular tachycardia using catheter ablation techniques. Dr. Marchlinski is on the editorial board of ‘Circulation, Arrhythmias and Electrophysiology’, ‘American Journal of Cardiology, ‘Heart Rhythm Journal’, ‘Journal of Cardiovascular Electrophysiology’, ‘Journal of Interventional Cardiac Electrophysiology’ and ‘JACC- Electrophysiology’ and is the Arrhythmia Section Editor for ‘Journal of the American College of Cardiology’.
This expanded second edition of a comprehensive overview of the complex subject of electrophysiology focusing on the intricate clinical aspects of diagnosis and treatment. It addresses the updated aspects of pacemaker and ICD technology as well as the advances in ablation therapy. The objectives laid out by the editors are adequately met and the use of detailed graphics, ECGs, charts, and graphs provides excellent visual aids to guide physicians in understanding the objectives. It builds a framework for the understanding of complex concepts by starting with the diagnosis of specific arrhythmias and incrementally adding more complexity to the treatment. The use of numerous ECG examples with arrows and detailed explanations helps to conceptualize sophisticated electrophysiology. The use of other figures, charts, and graphics significantly helps readers solidify their understanding of the text. This book is a valuable resource for cardiology fellows in training interested in electrophysiology, electrophysiology fellows, and electrophysiologists. The quality of ECGs and the content of the book is excellent.
Matthew Alan Colna, MD(East Tennessee State University Quillen College of Medicine)
