Handbook of Cardiac Electrophysiology

Andrea NataleDr. 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 ShivkumarDr. 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, MDDr. 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)

• BASIC EP LABORATORY SETUP AND EQUIPMENT. Device Lab Set-Up. Organization of The Arrhythmia Lab. Holter and Event Monitor Laboratory Setup. BRADYARRHYTHMIA. Bradycardia. Indications For Permanent Pacing and Cardiac Resynchronization Therapy. SUPRAVENTRICULAR TACHYARRHYTHMIA. Atrial Flutter. Atrial Fibrillation. VENTRICULAR TACHYARRHYTHMIA. Genetically Determined Ventricular Arrhythmias. Idiopathic Ventricular Tachycardia. SYNCOPE. Syncope Events, Definitions, Causes, and Features. Syncope Management Facilities. Syncope Management and Diagnostic Testing. DEVICE PROCEDURES. Implantation of Pacemakers and ICDs. Left Ventricular Lead Implantation For Cardiac Resynchronization Therapy. Extraction of Devices. PERFORMING BASIC EP STUDIES. Venous and Arterial Access, EP Catheters, Positioning of Catheters. Basic Intracardiac Intervals. Basics of Electrophysiology Study. Head-Up Tilt (HUT) Table Testing. CATHETER ABLATION TECHNIQUES. Ablation of SVT (AVNRT and AVRT). Management and Ablation of Atrial Flutter. Radiofrequency Ablation of Atrial Fibrillation. Ventricular Arrhythmias in the Structurally Normal Heart. Catheter Ablation of Ventricular Fibrillation and Polymorphic Ventricular Tachycardia. Mapping and Catheter Ablation of Postmyocardial Infarction Ventricular Tachycardia (VT): A Substrate-Based Approach. Arrhythmogenic Right Ventricular Cardiomyopathy. Non-Ischemic Cardiomyopathy And Ventricular Arrhythmias. Ultrasound in the Electrophysiology Lab. Left Atrial Appendage Closure. ECG Features of Normal Heart PVCs. Epicardial Access and Indications. ECG-Based Origin of Atrial Flutter.