Color Atlas and Synopsis of Electrophysiology

Title Page......Page 4
Copyright Page......Page 5
Dedication......Page 7
Contents......Page 8
Contributors......Page 12
Preface......Page 27
Acknowledgments......Page 28
Section I: Diagnostic Electrophysiology—Mapping, Imaging, and Pacing Maneuvers......Page 29
1 Ablation of Ventricular Tachycardia Using Carto 3-Dimensional Electroanatomical Mapping System......Page 30
2 Three-Dimensional Electroanatomic Mapping for Ablation of Cardiac Arrhythmias: Ensite Navx and Ensite Array......Page 46
3 Intracardiac Echocardiography for Transseptal Access......Page 64
4 Diagnostic Maneuvers for Supraventricular Tachycardia: VAV, VAAV, PPI, and VA Linking......Page 73
5 Diagnostic Maneuvers for Supraventricular Tachycardia: PVC on His and Para-Hisian Pacing......Page 81
6 Atrial Tachycardia and Cardiac Anatomy: Crista Terminalis......Page 88
Section II: Case Studies in Supraventricular Tachycardia......Page 97
7 Typical Atrioventricular Nodal Reentrant Tachycardia......Page 98
8 AV Nodal Reentrant Tachycardia: Atypical......Page 113
9 Atrioventricular Reciprocating Tachycardia: Right-Sided......Page 132
10 AV Reciprocating Tachycardia: Left-Sided......Page 147
11 AV Reciprocating Tachycardia: Epicardial......Page 157
12 Atypical Accessory Pathways......Page 164
13 Wolff-Parkinson-White Syndrome and Sudden Cardiac Death......Page 173
14 Analysis of Challenging Intracardiac Electrograms: Case I— Orthodromic Reciprocating Tachycardia Utilizing a Septal Accessory Pathway versus Atrial Tachycardia or Atrioventricular Nodal Reentrant Tachycardia......Page 182
15 Analysis of Challenging Intracardiac Electrograms: Case II—Focal Versus Macroreentrant Atrial Tachycardia......Page 192
16 Supraventricular Tachycardia with Congenital Heart Disease......Page 200
Section III: Case Studies in Ventricular Tachycardia......Page 217
17 The Evaluation and Management of Nonsustained Ventricular Tachycardia in Patients after Myocardial Infarction......Page 218
18 PVC and Cardiomyopathy......Page 226
19 Ventricular Tachycardia and Cardiac Anatomy: Aortic Cusp......Page 238
20 Mapping and Ablation of Ventricular Tachycardia: Voltage Mapping......Page 251
21 Mapping and Ablation of Ventricular Tachycardia: Local Abnormal Ventricular Activity......Page 262
22 Ablation of Ventricular Tachycardia with Nonischemic Cardiomyopathy......Page 282
23 Ablation of Ventricular Tachycardia in Patients with Left Ventricular Assist Devices......Page 295
24 Remote Magnetic Navigation Ablation of Idiopathic Epicardial Premature Ventricular Complexes......Page 304
25 Bundle Branch Reentrant Ventricular Tachycardia......Page 313
26 Ventricular Tachycardia in Congenital Heart Disease......Page 317
Section IV: Prevention of Thromboembolism Related to Atrial Fibrillation......Page 331
27 Prevention of Thromboembolism in Atrial Fibrillation: Coumadin......Page 332
28 Prevention of Thromboembolism in Atrial Fibrillation: Factor XA and Thrombin Inhibitors......Page 337
Section V: Antiarrhythmic Medical Therapy for Atrial Fibrillation......Page 347
29 Class I Antiarrhythmic Medications......Page 348
30 Class III Antiarrhythmic Drugs......Page 355
31 Dronedarone Use for the Treatment of Atrial Fibrillation......Page 369
32 Amiodarone......Page 378
33 Long-Term Monitoring of Antiarrhythmic Drug Therapy......Page 388
Section VI: Catheter Ablation Techniques for Managing Atrial Fibrillation and Atrial Flutter......Page 399
34 Pulmonary Vein Initiation and Tachycardia......Page 400
35 Antral Pulmonary Vein Isolation for Atrial Fibrillation......Page 415
36 Approaches to Ablation of Atrial Fibrillation: Fractionated Electrograms......Page 428
37 Approaches to Atrial Fibrillation: Cryoablation......Page 445
38 Technologies for Ablation of Atrial Fibrillation: Duty-Cycle Ablation......Page 459
39 Technologies for Ablation of Atrial Fibrillation: Rotor Mapping......Page 467
40 Technologies for Ablation of Atrial Fibrillation: MRI Analysis of Atrial Tissue Remodeling and Scarring......Page 477
41 Atrial Tachycardia Occurring after Ablation of Atrial Fibrillation......Page 490
42 Pulmonary Vein Stenosis......Page 502
43 Isthmus-Dependent Atrial Flutter......Page 513
44 Incisional Atrial Flutter: Insights on How to Map and Ablate Non–Isthmus-Dependent Atrial Flutters......Page 541
Section VII: Syncope......Page 551
45 Syncope: A Management Strategy......Page 552
46 Vasodepressor Syncope......Page 562
47 Medical and Pacing Therapies for Neurocardiogenic Syncope......Page 570
48 Syncope in the Athlete......Page 575
49 The Implantable Loop Recorder......Page 595
50 Evaluation of Unexplained Sudden Cardiac Death......Page 598
Section VIII: Evaluation and Management of Inherited Arrhythmias......Page 607
51 Genetic Testing for Assessment of Inherited Arrhythmias......Page 608
52 Genetic Counseling......Page 616
53 Hypertrophic Cardiomyopathy......Page 629
54 Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C)......Page 642
55 ECG Criteria and Drug Challenge as Diagnosis for Brugada Syndrome......Page 656
56 Catecholaminergic Polymorphic Ventricular Tachycardia......Page 664
Section IX: Implantable Cardiac Devices for Management of Malignant Ventricular Arrhythmias and Treatment of Heart Failure......Page 675
57 Magnetic Resonance Imaging and Cardiac Implantable Electronic Devices......Page 676
58 Technique for Device Implantation: Cephalic Vein......Page 683
59 Technique for Device Implantation: Iliac Vein......Page 695
60 Malignant Ventricular Arrhythmias Occurring Early after Acute Myocardial Infarction and Revascularization......Page 705
61 Prevention of Sudden Death: Chronic Ischemic Cardiomyopathy......Page 709
62 Prevention of Sudden Death: Nonischemic Cardiomyopathy......Page 717
63 Avid Registry: Reversible Causes of Sudden Cardiac Death......Page 726
64 Patient with Ischemic Cardiomyopathy Presents with Sustained Stable Ventricular Tachycardia......Page 738
65 Managing Recurrent ICD Therapies: Medical Therapy......Page 745
66 Managing Recurrent ICD Therapies: Ablation Therapy......Page 755
67 Pause-Dependent Polymorphic Ventricular Tachycardia......Page 770
68 Optimal Programming of ICD to Reduce Unnecessary Therapy......Page 779
69 Pacemaker Programming to Minimize Right Ventricular Pacing......Page 787
70 Cardiac Resynchronization Therapy......Page 794
71 Subcutaneous Defibrillator: Patient Selection and Implantation Technique......Page 807
72 Subcutaneous Defibrillator: Appropriate and Inappropriate Therapies......Page 815
73 Device Troubleshooting: Case I—Diagnosis of SVT versus VT......Page 828
74 Device Troubleshooting: Case II—Lead/Device Noise......Page 835
Index......Page 842