Handbook of Cardiac Electrophysiology

The second edition of this bestseller provides a practical, user-friendly manual guiding the theory and practice of cardiac electrophysiology. The handbook provides the specialist in training with a thorough grounding procedures, and clinical findings for clinicians. It provides a review of the main kinds of arrhythmia with illustrations of typical ECG findings supported where appropriate by correlative imaging. It also details the principal diagnostic and therapeutic procedures include implantation of pacemakers, resynchronization therapy, and ablation techniques. Key FeaturesProvides concise, user friendly guide to the equipment, procedures and clinical findings with which EPs need to be familiar Delivers alternatives resource to the flagship titles available in this field - idea for those beginning training or seeking an update Presents extensively updated material to enhance comprehension Includes new treatments and devices for electrophysiologists trained to perform interventional cardiac electrophysiology studies (EPS) as well as surgical device implantations

Preface Acknowledgments Editors Contributors SECTION I: BASIC EP LABORATORY SETUP AND EQUIPMENT1. Device Lab Set-Up John Lopez and Mina K. Chung2. Organization of The Arrhythmia Lab Roy Chung and Oussama M. Wazni3. Holter and Event Monitor Laboratory Setup Roy Chung, Daniel Cantillon, and Mina K. ChungSECTION II: BRADYARRHYTHMIA4. Bradycardia Shiv Bagga and Mandeep Bhargava5. Indications for Permanent Pacing and Cardiac Resynchronization Therapy Shiv Bagga, J. David Burkhardt, and Mandeep BhargavaSECTION III: SUPRAVENTRICULAR TACHYARRHYTHMIA6. Atrial Flutter Ayman A. Hussein and Oussama M. Wazni7. Atrial Fibrillation Rong Bai, Mohamed Salim, Luigi Di Biase, Robert Schweikert, and Walid SalibaSECTION IV: VENTRICULAR TACHYARRHYTHMIA8. Genetically Determined Ventricular Arrhythmias Houman Khakpour and Jason S. Bradfield9. Idiopathic Ventricular Tachycardia Jackson J. Liang and David S. FrankelSECTION V: SYNCOPE10. Syncope Events, Definitions, Causes, and Features Subramanya Prasad, Oussama M. Wazni, Mina K. Chung, Kenneth Mayuga, and Robert Schweikert11. Syncope Management Facilities Subramanya Prasad, Robert Schweikert, Mina K. Chung, Kenneth Mayuga, and Oussama M. Wazni12. Syncope Management and Diagnostic Testing Subramanya Prasad, Oussama M. Wazni, Robert Schweikert, Kenneth Mayuga, and Mina K. ChungSECTION VI: DEVICE PROCEDURES13. Implantation of Pacemakers and ICDs Kushwin Rajamani, Michael P. Brunner, Oussama M. Wazni, and Bruce L. Wilkoff14. Left Ventricular Lead Implantation for Cardiac Resynchronization Therapy Kushwin Rajamani, Michael P. Brunner, Oussama M. Wazni, and Bruce L. Wilkoff15. Extraction of Devices Oussama M. Wazni and Bruce L. WilkoffSECTION VII: PERFORMING BASIC EP STUDIES16. Venous and Arterial Access, EP Catheters, Positioning of Catheters Ching Chi Keong, J. David Burkhardt, Thomas Dresing, and Andrea Natale17. Basic Intracardiac Intervals Duc H. Do and Noel G. Boyle18. Basics of Electrophysiology Study Jonathan R. Hoffman and Marmar Vaseghi19. Head-Up Tilt (HUT) Table Testing Subramanya Prasad, Amer Kadri, J. David Burkhardt, Thomas Dresing, and Kenneth MayugaSECTION VIII: CATHETER ABLATION TECHNIQUES20. Ablation of SVT (AVNRT and AVRT) Kushwin Rajamani and Patrick Tchou21. Management and Ablation of Atrial Flutter Carola Gianni, Amin Al-Ahmad, and Andrea Natale22. Radiofrequency Ablation of Atrial Fibrillation Jorge Romero, Carola Gianni, Sanghamitra Mohanty, Chintan Trivedi, Domenico G. Della Rocca, Andrea Natale, and Luigi Di Biase23. Ventricular Arrhythmias in the Structurally Normal Heart Andres Enriquez and Fermin Garcia24. Catheter Ablation of Ventricular Fibrillation and Polymorphic Ventricular Tachycardia Amin Al-Ahmad, Carola Gianni, and Andrea Natale25. Mapping and Catheter Ablation of Postmyocardial Infarction Ventricular Tachycardia (VT): A Substrate-Based Approach Zaid Aziz and Roderick Tung26. Arrhythmogenic Right Ventricular Cardiomyopathy Daniele Muser and Pasquale Santangeli27. Non-Ischemic Cardiomyopathy And Ventricular Arrhythmias Matthew C. Hyman and Gregory E. Supple28. Ultrasound in the Electrophysiology Lab Carola Gianni, Javier E. Sanchez, Domenico G. Della Rocca, Amin Al-Ahmad, and Andrea Natale29. Left Atrial Appendage Closure Rodney P. Horton, Carola Gianni, and Andrea Natale30. ECG Features of Normal Heart PVCs Robert D. Schaller31. Epicardial Access and Indications Jason S. Bradfield and Kalyanam Shivkumar32. Ecg-Based Origin of Atrial Flutter Decebal Gabriel Latcu, Nadir Saoudi, and Francis E. MarchlinskiIndex

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’.