Interpretation of Complex Arrhythmias: A Case-Based Approach, An Issue of Cardiac Electrophysiology Clinics

Melvin Scheinman

Description

This special case-based issue of Cardiac Electrophysiology Clinics features a selection of cases on the following topics: Use of the Surface ECG to Define the Nature of Challenging Arrhythmias; Diagnostic and Prognostic Implications of Surface Recordings from Patients with A-V Block; Supraventricular Tachycardia; Ventricular Tachycardia; Atrial Fibrillation and Flutter; Troubleshooting Device Function; Adult Congenital Cardiac Disease; and Arrhythmias in Patients with Genetic Arrhythmia Syndromes.

Sujets

• Médecine
• Spécialités médicales
• Médecine Générale
• Medical
• Cardiology

Informations

• Publié par: Elsevier
• Date de parution: 12 mars 2016
• Nombre de lectures: 2
• EAN13: 9780323395564
• Langue: English
• Poids de l'ouvrage: 7 Mo

Extrait

Interpretation of Complex Arrhythmias: A Case-Based Approach
Cardiac Electrophysiology Clinics
Editor
Melvin Scheinman, MD
University of California, San Francisco Medical Center, San Francisco, San Francisco, CA, USA
Consulting Editors
RANJAN K. THAKUR
ANDREA NATALE

Clinics Review Articles

www.cardiacEP.theclinics.com

March 2016 Volume 8 Number 1
Table of Contents
Cover image
Title page
Copyright
Contributors
Consulting Editors
Editor
Section Editors
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Foreword. Interpretation of Complex Arrhythmias: A Case-Based Approach
Preface. Challenging Cases, Match Wits with the Masters
Use of the Surface Electrocardiogram to Define the Nature of Challenging Arrhythmias
Key points
Introduction
Be methodical
The process is more important than the answer
Use a ladder diagram
Take the time to nurture your practice
Disorders of impulse conduction: what is the mechanism and location of the block?
Concealed conduction
From narrow to wide
From wide to narrow
Reentry versus parasystole
Triggered activity and torsade de pointes
Supernormal conduction
Summary
References
Diagnostic and Prognostic Implications of Surface Recordings from Patients with Atrioventricular Block
Key points
Atrioventricular block
Some foolers
Supraventricular Tachycardia (Nitish Badhwar)
Antidromic Atrioventricular Reciprocating Tachycardia Using a Concealed Retrograde Conducting Left Lateral Accessory Pathway
Key points
Clinical presentation
Electrophysiology study
Question
Discussion
Clinical course
Summary
References
Supraventricular Tachycardia in a Patient with an Interrupted Inferior Vena Cava
Key points
Clinical presentation
Clinical question
Electrophysiology study
Question
Discussion
Clinical course
Summary
References
Atrioventricular Nodal Reentrant Tachycardia with 2:1 Atrioventricular Block
Key points
Clinical presentation
Electrophysiology study
Question
Discussion
Summary
References
Implantable Cardioverter-Defibrillator Shock Caused by Uncommon Variety of Nonreentrant Atrioventricular Nodal Tachycardia
Key points
Clinical presentation
Question
Discussion
Electrophysiology study and ablation
Discussion
Summary
References
Incessant Palpitations and Narrow Complex Tachycardia
Key points
Clinical presentation
Electrophysiology study
Question
Maneuvers during tachycardia
Mapping and ablation
Summary
References
Narrow Complex Tachycardia: What is the Mechanism?
Key points
Clinical presentation
Question
Discussion
References
Incessant Long R-P Tachycardia
Key points
Clinical presentation
Electrophysiology study
Question: where is the site of origin of the focal atrial tachycardia?
Discussion
References
Ventricular Tachycardia (Henry Hsia)
Ventricular Tachycardias
Key points
References
Unusual Outflow Tract Ventricular Tachycardia
Key points
Introduction
Anatomy of the outflow tracts
Case presentation
Unusual outflow tract ventricular tachycardia
General approach to outflow tract ventricular arrhythmias
References
Ventricular Arrhythmias from the Left Ventricular Summit: Critical Importance of Anatomy, Imaging, and Detailed Mapping to Allow Safe and Effective Ablation
Key points
Introduction
Case 1
Case 2
Discussion
Summary
References
Catheter Ablation of Ventricular Arrhythmias Arising from the Left Ventricular Summit
Key points
Introduction
The case
Discussion
Summary
References
Ventricular Tachycardia Arising from Cardiac Crux: Electrocardiogram Recognition and Site of Ablation
Key points
Clinical presentation
Summary
References
Anatomical Ablation Strategy for Noninducible Fascicular Tachycardia
Key points
Clinical presentation
Ventricular tachycardia induction
Discussion
References
Ablation of Ventricular Tachycardia in Patients with Ischemic Cardiomyopathy
Key points
Case introduction
Preablation assessment
Using the 12-lead and QRS morphology to determine exit of ventricular tachycardia
Case revisited
Mechanism of ischemic ventricular tachycardia
Mapping techniques
Endocardial substrate-based ablation
Case revisited
Summary
References
Pleomorphic Ventricular Tachycardias in Nonischemic Cardiomyopathy
Key points
Case presentation
Electrophysiology study and catheter ablation
Discussion
References
Ventricular Tachycardia in a Patient with Biventricular Noncompaction
Key points
Introduction
Electrophysiology study and ablation
Question
Discussion
Summary
References
Atrial Fibrillation and Flutter (Edward Gerstenfeld)
Concomitant Isolation of the Pulmonary Veins and Posterior Wall Using a Box Lesion Set in a Patient with Persistent Atrial Fibrillation and Variant Pulmonary Venous Anatomy
Key points
Clinical history
Clinical question
Clinical course
Discussion
References
Acquired Pulmonary Vein Isolation in a Patient with Friedreich Ataxia
Key points
Clinical presentation
Clinical question
Clinical course
Discussion
References
Ablation of Atrial Fibrillation in a Patient with a Mechanical Mitral Valve
Key points
Clinical presentation
Clinical question
Clinical course
Discussion
References
Atrial Fibrillation Ablation Without Pulmonary Vein Isolation in a Patient with Fontan Palliation
Key points
Clinical history
Clinical question
Clinical course
Discussion
References
Troubleshooting Device Function (Byron Lee)
A Case of Cough-induced Ventricular Tachycardia in a Patient with a Left Ventricular Assist Device
Key points
Clinical presentation
Clinical question
Clinical course
Discussion
References
An Approach to Endovascular Ventricular Pacing in a Patient with Ebstein Anomaly and a Mechanical Tricuspid Valve
Key points
Clinical presentation
Clinical questions
Clinical course
Discussion
References
Implantable Cardioverter-Defibrillator Discharge in a Patient with Dilated Cardiomyopathy: What Is the Mechanism?
Key points
Introduction
What is the rhythm that led to the patient s implantable cardioverter-defibrillator shock?
Summary
References
Inappropriate Implantable Cardioverter-Defibrillator Shock from QRS Double Counting in the Setting of Hyperkalemia
Key points
Clinical presentation
Clinical question
Clinical course
Discussion
References
A Confused Pacemaker
Key points
Clinical presentation
Clinical questions
Discussion
Summary
A Subclavian Arteriovenous Fistula Associated with Implantable Cardioverter-Defibrillator Implantation
Key points
Clinical presentation
Clinical question
Clinical course
Discussion
References
Adult Congenital Cardiac Disease (Ronn Tanel)
Slow Pathway Modification in a Patient with D-Transposition of the Great Arteries and Atrial Switch Procedure
Key points
Clinical presentation
Clinical course
Clinical question
Management and ablation
Discussion
References
Intra-atrial Reentrant Tachycardia in Complete Transposition of the Great Arteries Without Femoral Venous Access
Key points
Clinical presentation
Clinical question
Clinical course
Discussion
References
Ventricular Tachycardia Following Surgical Repair of Complex Congenital Heart Disease
Key points
Clinical presentation
Electrophysiology study
Management and clinical course
Clinical considerations
Discussion
References
Ventricular Tachycardia in Congenital Pulmonary Stenosis
Key points
Clinical presentation
Clinical question
Clinical course
Discussion
Summary
References
Arrhythmias in Patients with Genetic Arrhythmia Syndromes (Marwan Refaat)
Twin Atrioventricular Nodal Reentrant Tachycardia Associated with Heterotaxy Syndrome with Malaligned Atrioventricular Canal Defect and Atrioventricular Discordance
Key points
Preprocedure preparation
Electrophysiology study and ablation
Discussion
References
Arrhythmogenic Right Ventricular Cardiomyopathy Caused by a Novel Frameshift Mutation
Key points
Case presentation
Discussion
Genetics
Clinical presentation
Risk classification and management
Summary
References
The Muscle-Bound Heart
Key points
Introduction
Background
Symptoms and diagnosis
The genetics behind hypertrophic cardiomyopathy
Hypertrophic cardiomyopathy complications
Therapy and prevention
Summary
Case presentation: follow-up
References
Catecholaminergic Polymorphic Ventricular Tachycardia
Key points
Case presentation
Discussion
Clinical characteristics and diagnosis
Genetics of catecholaminergic polymorphic ventricular tachycardia
Management
Summary
References
Brugada Syndrome
Key points
Case presentation
Discussion
Management
Case presentation: follow-up
Summary
References
Iron Overload Leading to Torsades de Pointes in -Thalassemia and Long QT Syndrome
Key points
Introduction
Case
Genetic testing
Long QT syndrome
Case presentation discussion
Summary
References
Copyright
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CARDIAC ELECTROPHYSIOLOGY CLINICS Volume 8, Number 1 March 2016 ISSN 1877-9182, ISBN-13: 978-0-323-39555-7
Editor: Lauren Boyle
Developmental Editor: Susan Showalter
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