Cardiac Electrophysiology: Clinical Case Review by Amin Al-Ahmad (auth.), Andrea Natale, Amin Al-Ahmad, Paul J.

By Amin Al-Ahmad (auth.), Andrea Natale, Amin Al-Ahmad, Paul J. Wang, John DiMarco (eds.)

As the sector of cardiac electrophysiology evolves, the problem continues to be to teach new generations of cardiac electrophysiologists with the fundamentals in addition to the most recent advances within the box. whereas there are numerous notable assets delivering in-depth evaluation of electrophysiology issues, there are few case-based books that comprehensively conceal medical electrophysiology, units and ablation. Case evaluation bargains an easy, but potent method in instructing vital recommendations, providing perception into either the fundamental pathophysiology of an issue in addition to the scientific reasoning that results in an answer. Cardiac Electrophysiology: scientific Case evaluation collates the main finished case-based reports of electrophysiology designed to attract all scholars of the sphere whether or not they are fellows, allied pros or training electrophysiologists. The Editors have recruited a number of the precise specialists within the box to give a contribution instances that they've encountered and summarizing the real studying ambitions in a succinct approach. overlaying scientific electrophysiology, equipment troubleshooting and research in addition to intracardiac electrogram research and ablation, readers will locate the circumstances precious as a evaluate of electrophysiology or of their each day interactions with patients.

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Sample text

Then electrogram-based ablation in the RA resulted in a transient conversion to atrial tachycardia (AT). Early recurrence of AF I II V1 A I II V1 B required external cardioversion to restore sinus rhythm. During sinus rhythm, both linear lesions were assessed and completed. Four months later, the woman developed an AT and she therefore had a second ablation procedure. A decapolar catheter was placed into the coronary sinus (CS) and demonstrated a colliding activation pattern in the proximal CS.

J Cardiovasc Electrophys. 2005;16(11):1125-1137. Case 3 Amin Al-Ahmad Case Summary A 51-year-old male with a history of pulmonary fibrosis and a single lung transplant is found to have atrial flutter on routine follow-up. Initially he is unaware of this rhythm, but later recalls an increase in fatigue over the previous week. He is referred for evaluation by an electrophysiologist. A Holter monitor shows his heart rate to be approximately 90 on average. He has periods of normal sinus rhythm and periods of atrial flutter.

The transesophageal EP study easily demonstra­ted ­the induction of sustained SVT during minimal effort (AA300ms). The echocardiography evaluation was normal and 24 h-ECG Holter documented two episodes of SVT which began after a physiologic increase in heart rate. After examining Figs. 3, what is the likely diagnosis? Case Discussion This case demonstrates a narrow complex tachycardia that is not 1:1; with A > V. 8). 1 12-lead resting ECG (paper speed 25 mm/s) showing normal sinus rhythm with a ventricular rate of 66 bpm and a normal PR interval (136 ms) and a QRS width of 100 ms A.

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