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This volume features 30 cases, presented as a series of "unknowns" to teach electrophysiology and cardiology fellows-in-training the concept of connecting ventricular arrhythmias' QRS morphology with the arrhythmia site of origin. These case studies are complemented by multimodality imaging and anatomy data to illustrate the precise locations of the sites of origin of different ventricular arrhythmias.Mapping approaches are discussed to emphasize how 12-lead ECGs help identify critical sites of the arrhythmias.Fully illustrated with more than 100 figures that include 12-lead ECGs, ECGs with intracardiac tracings, electroanatomic activation maps, and 3D reconstructions of echocardiographic images.These cases will benefit the reader by providing a reminder of the localizing value of ECGs in combination with appropriate imaging for the mapping and ablation of ventricular arrhythmias.

Atlas of Cardiac Anatomy represents a new standard for the study of the human heart.Drs. Shumpei Mori and Kalyanam Shivkumar have created a visually stunning presentation of more than 200 full-color photographs of the human heart and its adjacent structures.Atlas of Cardiac Anatomy includes unpublished and restored iconic photographs from the Wallace A. McAlpine Collection at UCLA and new images from the UCLA Cardiac Arrhythmia Center based on the methods and photographic techniques for the study of cardiac anatomy pioneered by Dr. McAlpine.This first volume serves as a core foundational study of cardiac anatomy and provides a basis for planned atlases edited by Dr. Shivkumar in the series, Anatomical Basis of Cardiac Interventions. Electrophysiology, structural heart disease, imaging, and cardiac surgery are the focus of future atlases.The authors' goals are to offer an exceptionally comprehensive resource on cardiac anatomy. It aims to inspire new solutions and provide additional perspectives for skilled interventional and surgical operators. More broadly, it is likely to be useful for anyone caring for patients with cardiac disease.Includes access to 25 anaglyphs (3D images). 3D glasses required for viewing and are not included.The authors are at the UCLA Cardiac Arrhythmia Center, Los Angeles, California.Foreword by Francis E. Marchlinski, MD, and William G. Stevenson, MD.

Clinically valuable approaches for the effective diagnosis and ablation of cardiac arrhythmias.Five years after the publication of the second edition, this updated and expanded Hands-On Ablation, The Experts' Approach, Third Edition is a comprehensive book that gives an inside look at leading electrophysiology labs throughout the world and provides the reader with useful information and tips for ablation procedures directly from the experts themselves.-Fourteen new chapters cover subjects such as wire mapping of ventricular premature beats, alcohol ablation, and pulsed field ablation.-Each chapter highlights the practical knowledge of the expert author with a specific procedure for ablation of arrhythmias.-"Hands-on" detail helps translate new ideas and innovations into practice for the most state-of-the-art patient care.-A valuable reference for every electrophysiology lab to help differentiate diagnostic challenges.-Fully illustrated with over 160 videos and more than 580 figures.Purchase of this book includes online access to full text, figures, and videos.

A focus on intracardiac echocardiography (ICE), with an emphasis on practical use during electrophysiological procedures.This illustrated text, complemented by more than 50 instructional videos, presents description, rationale, and instruction in ICE utilization for the complete range of currently performed EP procedures, including mapping and ablation procedures, device implantation procedures, and all common variations on these procedures.ICE is the only continuous real-time imaging modality with widespread utilization by electrophysiologists:Reliably and accurately visualize intracardiac and extracardiac structures and placement of catheters within the heart chambers.Observe anatomic detail otherwise invisible.Potentially improve procedural safety and efficacy.This text is written and edited by experts with extensive experience and knowledge that they have imparted to the reader. The editors have previously collaborated on a related textbook from Cardiotext Publishing, Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias.All it took was one visit from Mansour Razminia to UChicago during a patient collaboration to provide step-by-step guidance to not only perform fluoroless transseptal puncture, but to quickly and beautifully visualize every anatomic region with simple and reproducible clock/counter/flex/ bend commands. It changed my life.―From the Foreword, Roderick Tung, MDEditors:Mansour Razminia, MD; Amita St. Joseph Hospital, Elgin, IllinoisPaul C. Zei, MD, PhD; Brigham and Women's Hospital, Boston, MassachusettsThis book includes access to a library of 53 videos.The purchase of a new copy of this print book entitles the first buyer to free personal access to a digital version of this edition. Redemption instructions are included in the book.

To understand cardiac implantable electronic device (CIED) management, the clinician requires a foundation of information regarding CIED purpose, design and function, as well as experience in interpreting CIED output, i.e., electrical assessment of the system, programmed parameters, electrograms, and markers. In addition, one must be able to correlate and interpret the accompanying electrocardiographic tracing with the patient's clinical presentation. For students of CIED management, be they beginners in the field or more advanced, there is always an appreciation for case studies, i.e., real-world examples of managing a specific device-related issue. To this end, this workbook of 61 device management case studies has been prepared by six talented RN Device Specialists and three physicians involved in the Heart Rhythm Service practice at the Mayo Clinic in Rochester, Minnesota. Included in the case studies are examples from pacemakers, ICDs and CRT devices, illustrating interpretation and management of a variety of device behaviors, some with abnormal function that requires diagnosis and management approach, and others that display appropriate behavior of a specific device algorithm that may be confusing for the CIED student. ~David L. Hayes, MD, and the contributors - adapted from the Preface.

* From senior electrophysiologist and world-class educator George Klein, a fully illustrated guide with over 100 intracardiac tracings and figures that allow the physician to approach electrophysiologic problems effectively and systematically. The book is especially focused on electrophysiological maneuvers and provides a clear and understandable guide to their proper selection and interpretation using abundant clinical examples. Defines the integral role for "e;traditional"e; electrogram (EGM) analysis in order to understand the mechanism of a tachycardia. It goes without saying that a correct arrhythmia diagnosis is a prerequisite to catheter ablation regardless of the presence of sophisticated mapping and imaging technologies. Electrophysiological maneuvers are fundamental to this process, and proper selection and interpretation of maneuvers constitute a core skill of the electrophysiologist. In this volume, we make the case that most maneuvers are fundamentally similar in principle and can be understood by appreciating a few basic physiological and anatomical principles. The art lies not in a comprehensive knowledge by rote of every maneuver or its application, but rather a systematic approach using common principles. We illustrate this by showing abundant examples and emphasizing the "e;game plan,"e; including checklists that can be applied to virtually any maneuver. -George J. Klein

Current Concepts in Arrhythmogenic Cardiomyopathy, Second Edition presents essential insights into all aspects of this complex disease and will serve as a valuable guide to help readers provide the best possible care for their patients. Discussion by internationally recognized authorities includes: Increasing evidence that arrhythmogenic cardiomyopathy is not necessarily confined to the RV, but often involves both ventricles Basic and clinical science of arrhythmogenic cardiomyopathy Pathophysiology, molecular mechanisms, and genetic background The mechanisms of disease progression leading to a diversity of disease?phenotypes Guidance in the clinical setting for diagnosis, risk strati?fication, and therapy

Background:Catheter ablation has become a widely used approach to treating various cardiac arrhythmias. Traditionally, catheter ablation procedures are guided by fluoroscopic imaging to help understand catheter position during mapping. The potentially significant exposure to radiation to the patient, physician, and staff increases risks of radiation exposure-related disease. Also, the protective lead garments worn increases risks of orthopedic injury. Current advanced electroanatomic mapping and intracardiac echocardiography technology have allowed the development of endocardial catheter ablation techniques without the use of fluoroscopy safely and effectively. A host of expert and experienced authors present a practical overview of the rationale and methodology for a low- or zero-fluoro environment in the electrophysiology lab with the critical goal of significantly reducing radiation exposure to the patient, physician, and staff.This practical guide: Covers the entire spectrum of commonly (and less commonly) performed ablation procedures via endocardial approach. Discusses general principles that are applicable across ICE and EAM platforms. Will assist the electrophysiologist and their team to safely and effectively work toward the significant reduction in fluoroscopy utilization while also likely improving procedural safety, i.e., fewer complications, after the adoption of these techniques. Includes a library of 50 videos, with 9 extended films (108 minutes) by Dr. Razminia detailing step-by-step procedures and techniques.

This illustrated text teaches electrophysiology and cardiology fellows-in-training the concept of connecting ventricular arrhythmias' QRS morphology with the arrhythmia site of origin. Thirty case studies, including multimodality imaging and anatomy data, illustrate the precise locations of the sites of origin of different ventricular arrhythmias. Mapping approaches are discussed, with an emphasis on how the 12-lead ECG helps to identify critical sites of the arrhythmias.Illustrated with 106 figures that include 12-lead ECGs, intracardiac ECG tracings, and electroanatomical maps that are complemented by reconstructed intracardiac echo images.

A study guide for practicing cardiologists preparing for ABIM recertification as well as fellows preparing for initial certification. Complements in-depth texts by summarizing the key facts necessary for success with an emphasis on ACC/AHA guideline recommendations. Maximizes your study time by focusing exclusively on high-yield material explicitly geared for the ABIM Cardiovascular Disease Exam."Dr. Sawyer's text is the perfect complement to a review course. Rather than furiously taking notes, you can instead focus on the material because the notes are here."- Marko Yakovlevitch, MD

Essential Concepts of Electrophysiology Through Case Studies: Intracardiac EGMs builds on our first book, Essential Concepts of Electrophysiology and Pacing through Case Studies, that guides the reader in developing and refining the key skill of analyzing electrophysiologic recordings. Over 60 cases with a focus on intracardiac EGMs are presented as board exam cases and questions. Tracings are framed by a question, followed by annotated tracings, and a discussion of the correct and potential answers. Cases present a full range of difficulty from simple to advanced. This book will provide a valuable review for a wide variety of professionals - physicians, associated professionals, nurses and technicians - preparing for certification and re-certification examinations in electrophysiology.

Full-page detailed landscape tracings with discussions on fundamental electrophysiologic and electrocardiographic principles and clinical concepts. Particularly useful for quickly building an ECG library, or studying for certification and recertification cardiology examinations.The sixth and final print volume in the Podrid's Real-World ECGs series presents 124 case studies covering: pacemakers ECG recording issues drugs electrolytes congenital conditions abnormalities

Transradial Access: Techniques for Diagnostic Angiography and Percutaneous Intervention offers a single source for both novice and experienced interventional cardiologists for safely and effectively performing transradial catheterization procedures. First described in 1989, the transradial approach for coronary angiography and percutaneous interventions has seen a constant and progressive increase around the world as a result of significantly reduced procedural complications, shorter hospital stays, increased patient satisfaction, and lower associated costs compared with the transfemoral approach.Yet despite its apparent benefits, adoption of this technique in the United States has been slow, largely due to the increased technical aspects of entering a smaller artery, accessing the central circulation and engaging the coronary arteries from this approach. In addition, until recently the technique was not routinely taught in the majority of training programs. This book flattens that learning curve by highlighting the technical aspects of transradial diagnostic and interventional procedures, and includes detailed discussion of: Normal vascular anatomy of the hand and arm Indications and contraindications for transradial access procedures Patient and catheter selection Tips and tricks for both beginner and advanced operators Procedural pitfalls and potential complicationsTechniques are demonstrated in detail using both still images and video. Whether you are an experienced transfemoral operator who wants to refine and expand your technique or a new transradial operator looking to master the technique, this comprehensive text holds the key to mastering this revolutionary procedure.

Podrid's Real-World ECGs are case-based workbooks that offer students, instructors, health care professionals, and physicians an indispensable resource for developing and honing the technical skills and systematic approach needed to interpret ECGs with confidence. ECGs from real patient cases offer a complete and in-depth learning experience by focusing on fundamental electrophysiologic properties and clinical concepts as well as detailed discussion of important diagnostic findings and relevant management decisions. 8 comprehensive volumes (6 titles with 2 additional volumes of practice cases) encompass 648 individual case studies that include discussion about the important waveforms and clinical decision-making involved. From an introductory volume that outlines the approaches and tools utilized in the analysis of all ECGs to subsequent volumes covering particular disease entities for which the ECG is useful, readers will take away the in-depth knowledge needed to successfully interpret the spectrum of routine to challenging ECGs they will encounter in their own clinical practice.Full-page detailed landscape tracings with discussions on fundamental electrophysiologic and electrocardiographic principles and clinical concepts. Particularly useful for quickly building an ECG library, or studying for certification and recertification cardiology examinations.Volume 2, Myocardial Abnormalities, breaks down the essential skills necessary for diagnosing acute myocardial ischemia as well as acute and chronic myocardial infarction--arguably the most important component of the ECG armamentarium across the spectrum of health care professions. It also demonstrates the skills needed for the diagnosis of myocardial hypertrophy, atrial abnormality, and pericarditis. Volume 2, Myocardial Abnormalities includes 92 cases.

Podrid's Real-World ECGs combines traditional case-based workbooks with a versatile Web-based program to offer students, health care professionals, and physicians an indispensable resource for developing and honing the technical skills and systematic approach needed to interpret ECGs with confidence. ECGs from real patient cases offer a complete and in-depth learning experience by focusing on fundamental electrophysiologic properties and clinical concepts as well as detailed discussion of important diagnostic findings and relevant management decisions. Six comprehensive volumes encompass more than 600 individual case studies-plus an online repository of hundreds more interactive case studies (www.realworldECGs.com)-that include feedback and discussion about the important waveforms and clinical decision-making involved. From an introductory volume that outlines the approaches and tools utilized in the analysis of all ECGs to subsequent volumes covering particular disease entities for which the ECG is useful, readers will take away the in-depth knowledge needed to successfully interpret the spectrum of routine to challenging ECGs they will encounter in their own clinical practice. Volume 3, Conduction Abnormalities, explores the essentials of AV nodal and intraventricular conduction abnormalities seen in everyday clinical practice: - AV conduction abnormalities, including first-, second-, and third-degree AV block and enhanced AV conduction - Intraventricular conduction abnormalities, including intraventricular conduction delay, fascicular block, and bundle branch blocks

The House Officer's Guide to ICU Care is an eminently practical handbook for junior house officers, medical students, PAs, and nurses that offers nuts-and-bolts guidelines for optimal management of medical and surgical patients in the ICU setting. Using clear, straightforward language, the authors methodically guide clinicians through the decision-making process, first by outlining the pathophysiology of abnormalities seen in the ICU and then by explaining the principles underlying today's therapeutic measures and describing how these agents and devices are used to ensure safe patient recovery. While the text focuses on the postoperative cardiothoracic surgery patient, the principles and therapies covered are broadly relevant to all medical and general surgery ICU patients.This third edition has been thoroughly updated to include the newest diagnostic and treatment technologies, procedures, and practices, and covers everything the house officer needs to know to deliver safe, effective, front-line care - especially during those times when senior staff are not there to rely on. Updated references, self-assessment tools, and an Emergency Response Sheet of essential paradigms, drugs, and doses will ensure confident decision-making when it counts the most.For the house officer, this book gives you everything you need to know, and not a word more.Especially useful for:- house officers and medical students embarking on ICU responsibilities- intensive care nurses and nurses in training- physicians' assistants- respiratory therapists

Presents 61 case studies for students to sharpen their skills in reading ECGs and diagnosing both narrow complex tachyarrhythmias and wide complex tachyarrhythmias. ECGs present etiologies and mechanisms for aberration. Each case offers ECGs illustrating various causes of aberration, highlighting features that help to establish its etiology.

In the rapidly evolving field of treating cardiac arrhythmias, the importance of direct management of patients with implantable cardiac devices is growing. The devices have become increasingly complex, and understanding their algorithms and growing programming options is essential for physicians who implant and manage them. Written by experts and world authorities in the field, Pacemakers and Implantable Cardioverter Defibrillators: An Expert's Manual provides electrophysiologists, fellows in training, nurses, and cardiovascular technicians involved in day-to-day management of device patients with detailed information about the many device algorithms and interactions.Heavily illustrated with over 300 figures and tablesUniquely meets the day-to-day needs of all direct management professionalsFocuses in detail on algorithmsDescribes device interactions, addressing every major manufacturerProvides in-depth insight into pacing, including biventricular pacingDiscusses arrhythmia detection and device classification, testing, and therapyPacemakers and Implantable Cardioverter Defibrillators: An Expert's Manual was listed by the American Journal of Cardiology as one of the "Good Books in Cardiovascular Disease in 2010." - American Journal of Cardiology Vol. 107, Issue 8, Pages 1250-1251

The Clinical Cardiac Electrophysiology Handbook, Second Edition, is a concise presentation of the practical information needed to understand the subtleties of cardiac electrophysiology. The Handbook focuses on the "e;how to"e; management of arrhythmias, along with an understanding of the "e;why."e;"e;. . . 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 before a case or to reinforce new notions and practices encountered during a case."e;

Fact-based and clinically-focused, this new third edition of Essential Cardiac Electrophysiology: The Self-Assessment Approach is an ideal reference in a bullet-point format that provides a concise and essential overview of electrophysiology. Packed with ABIM-style 200 multiple-choice questions designed to aid readers' understanding of key concepts and retention of essential facts, it is an excellent study aid for electrophysiology fellows, cardiology fellows, and electrophysiologists preparing for board examination or other EP certifications. Comprehensively updated with the latest recommendations and findings, it includes multiple tables, electrophysiology tracings and illustrations, and a treasury of electrophysiology pearls. This expanded Third Edition includes new chapters on AV blocks, channelopathies, and ventricular arrhythmias in a structurally normal heart, along with enhanced coverage of: Electrophysiologic aspects of AVNRT and AVRT Long and short RP tachycardia Parahisian pacing Bystander activation of accessory pathways Brugada syndrome Long QT syndrome and pregnancy A note on the questions: All the questions are ABIM style. Some of the questions have a tangential approach, i.e., not only one has to know the correct diagnosis but also has to know the correct management approach. Some questions are "e;concept"e; questions; i.e., it is to evaluate a basic concept to verify understanding.

Practical Electrophysiology is a detailed presentation of the fundamental aspects of electrophysiology written by an internationally recognized group of experts. To fully engage the reader and to help facilitate the learning process, 77 case studies covering ECGs, SVTs, atrial fibrillation, ventricular tachycardia and more are included not only with questions, but also with a full discussion of the answers.From the Preface:A plethora of significant new research and findings makes it difficult to keep up with the ever-changing field of electrophysiology. Despite these constant advances, there are fundamental aspects of the science that need to be understood by students of electrophysiology. This book was created to educate and uses cases and questions to keep the reader engaged. Chapter and case topics were chosen so that the information presented is useful for years to come. My associate editors and I are hopeful that this book will prove a useful tool for those interested in the field of electrophysiology. We also are very grateful to all the contributing authors for spending their time and effort to help create this handy but comprehensive and interesting work.Jasbir Sra, Milwaukee

Now in an abridged second edition, Electrophysiological Foundations of Cardiac Arrhythmias focuses on teaching the fundamental concepts of cardiac cellular electrophysiology with an emphasis on the relationship of basic mechanisms to clinical cardiac arrhythmias.