The Clinical Cardiac Electrophysiology Handbook

by Jason G. Andrade, MD; with Matthew T. Bennett, MD; Marc W. Deyell, MD, MSc; Nathaniel Hawkins, MD; Andrew D. Krahn, MD; Laurent Macle, MD; Stanley Nattel, MD


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Published March 2016
384 pages
ISBN: 9781942909002
List price:  $99.00

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About:

The Clinical Cardiac Electrophysiology Handbook is a succinct presentation of all the practical information that is needed to understand the subtleties of cardiac electrophysiology and the management of arrhythmias.

A focus on the “how to” — learn about the approaches used to identify, diagnose, and manage a broad range of cardiac rhythm disorders.

...with an understanding of the “why”— reinforce the underlying fundamental and clinical science concepts forming the basis for clinical electrophysiology decision-making.

"...a quick source for information in the EP lab or on the wards, as well as a guide to learning—offering the ability to quickly review the essential components prior to a case or to rapidly reinforce new notions and practices encountered during a case."

- From the preface


Authors:

Jason G. Andrade, MD
Montreal Heart Institute
Université de Montréal, Montreal, Canada
University of British Columbia, Vancouver, Canada

Contributors:
Matthew T. Bennett, MD
University of British Columbia, Vancouver, Canada

Marc W. Deyell, MD, MSc
University of British Columbia, Vancouver, Canada

Nathaniel Hawkins, MD
University of British Columbia, Vancouver, Canada

Andrew D. Krahn, MD
University of British Columbia, Vancouver, Canada

Laurent Macle, MD
Montreal Heart Institute
Université de Montréal, Montreal, Canada

Stanley Nattel, MD
Montreal Heart Institute
Université de Montréal, Montreal, Canada


Table of Contents:

Chapter 1:  Fundamentals    
    The Cardiac Action Potential
    Arrhythmia Mechanisms
    Entrainment
    Resetting
    Fusion
    Left-Sided Access
    Transaortic (Retrograde) Approach
    Transseptal (Anterograde) Approach
    Intracardiac Electrogram (EGM)
    3D Cardiac Mapping
    3D Electroanatomic Mapping Systems
    Arrhythmia Mapping
    Ablation Energy

Chapter 2:  Electrophysiology Study and Maneuvers
    The Electrophysiology Study
    Standard Catheter Placement
    Measurement Of Basic Conduction Intervals
     Refractory Periods
    Assessment Of Refractory Periods
    Anterograde Conduction
    Retrograde Conduction
    Arrhythmia Induction
    Programmed Ventricular Stimulation
    Observations In Tachycardia: Atrial Activation Sequence
    Ventricular Entrainment From RV Overdrive Pacing
    Ventricular Pacing Maneuvers During Tachycardia
    Atrial Pacing Maneuvers During Tachycardia
    Pacing Maneuvers During Sinus Rhythm
    Evaluation Of Sinus Node Function
    Evaluation Of AV Node Function

Chapter 3: Electrophysiology Study: Specific Approaches
    Approach To Narrow-Complex Tachycardia
    Approach To Wide-Complex Tachycardia
    Programmed Ventricular Stimulation
    Pharmacologic Challenge For Inherited Arrhythmia Syndromes

Chapter 4: Atrioventricular Nodal Reentrant Tachycardia
    Atrioventricular Nodal Reentrant Tachyarrhythmias (AVRNT)
    Differentiating AVNRT From Other Tachycardias    
    Catheter Ablation Of AVRNT
    Ablation Of Atypical AVRNT Substrates

Chapter 5: Accessory Pathways
    Accessory Pathways

Chapter 6: Atrioventricular Reciprocating Tachycardia
    Arrhythmias Associated With Accessory Pathways
    Atrioventricular Reciprocating Tachycardia (AVRT)
    Atrioventricular Reentrant Tachycardias
    Special Circumstances
    Accessory Pathway Ablation

Chapter 7: Focal Atrial Tachyarrhythmia
    Catheter Ablation Of Atrial Tachyarrhythmia

Chapter 8: Atrial Flutter and Macro Reentrant Atrial Tachycardia
    Catheter Ablation Of MRAT
    Catheter Ablation Of Cavotricuspid Isthmus MRAT

Chapter 9: Atrial Fibrillation
    Understanding And Evaluating Atrial Fibrillation (AF)
    Atrial Fibrillation Ablation    
    Pulmonary Vein Ablation Procedure    
    AF Ablation — Left Atrial Linear Ablation
    AF Ablation – CFAE Ablation
    Recurrent Atrial Tachyarrhythmias After AF Ablation
    Complete AV Node Ablation    

Chapter 10: Ventricular Tachycardia
    Understanding And Managing Ventricular Tachycardia
    Catheter Ablation Of Ventricular Tachycardia
    Idiopathic Right Ventricular Tachycardia
    Bundle Branch Reentrant VT (BBR-VT)
    Fascicular (Or Idiopathic) Left Ventricular Tachycardia
    Premature Ventricular Complexes

Chapter 11: Sinus Tachycardia
    Identifying And Managing Sinus Tachycardia

Chapter 12: Bradycardia And Blocks
    Sinus Bradycardia And Sinus Node Dysfunction
    First-Degree AV Node Conduction Block
    Second-Degree AV Node Conduction Block
    Third-Degree (Complete) AV Node Conduction Block

Chapter 13: Cardiac Implantable Electronic Devices
   Permanent Pacemakers
   Cardiac Implantable Electronic Devices Timing Cycles
   Implantable Cardioverter-Defibrillator (ICD)
   Complications Of Devices
   Assessment Of The CIED Patient
   Approach To Pacemaker And ICD Interrogation
   Problem Solving Cardiac Implantable Electronic Devices
   Managing The Patient With An ICD Therapy
   Arrhythmic Or Electrical Storm
   CIED: Special Considerations
   Defibrillator Threshold Testing
   Non-Responders To CRT
   CIED Infection

Chapter 14: Sudden Cardiac Death and Inherited Arrhythmias
    Sudden Cardiac Death
    Identifying Patients At Risk Of SCD
    Sudden Cardiac Death In Athletes
    Channelopathies
    Catecholaminergic Polymorphic VT
    Brugada Syndrome
    Arrythmogenic Cardiomyopathy
    Left Dominant Arrhythmogenic Cardiomyopathy
    Hypertrophic Cardiomyopathy
    References

Chapter 15: Syncope
    The Basics Of Syncope
    Tilt Table Testing


Review

"As a young specialist in cardiac EP, I really enjoyed studying this handbook, which served as an invaluable additional source to prepare for the European Heart Rhythm Association examinations in cardiac EP and cardiac rhythm devices. The book can be highly recommended to EP Fellows preparing for the board examinations, and also to the practitioner caring for the arrhythmia patient.”

- Ardan Saguner, MD
European Heart Journal


doody's review service

Reviewer
Samy Abdelghani,  MD (Ochsner Clinic Foundation)

Description
This is a basic overview of cardiac electrophysiology and arrhythmia management.

Purpose
It is intended as a guide to understanding the building blocks of electrophysiology, including electrophysiology studies and basic arrhythmia management strategies.

Audience
As it is written at an intermediate level review, this book would be helpful for cardiology fellows or general cardiologists interested in electrophysiology.

Features
It covers the fundamentals of the cardiac action potential all the way through the medical and invasive management of numerous types of arrhythmias including, but not limited to, AVNRT, focal atrial tachycardia, atrial fibrillation, atrial flutter, ventricular fibrillation, and ventricular tachycardia. In addition, it discusses the assessment and management of bradycardia, syncope, and sudden cardiac death. Numerous graphics and tables complement the text very well.

Assessment
This is an exceptional reference for multiple levels of cardiology providers interested in arrhythmia or involved in the care of patients with arrhythmia from a medical or invasive standpoint. It provides an excellent basic understanding of electrophysiology.