Electrophysiological Maneuvers for Arrhythmia Analysis 1st Edition by George Klein, Lorne Gula, Peter Leong-Sit ISBN 1935395157 9781935395157

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ISBN 10: 1935395157
ISBN 13: 9781935395157
Author: George Klein, Lorne Gula, Peter Leong-Sit

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 “traditional” 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 “game plan,” including checklists that can be applied to virtually any maneuver.—George J. Klein

Electrophysiological Maneuvers for Arrhythmia Analysis 1st Table of contents:

Chapter 1: Principles of the EP Maneuver

The Importance of “Geography”

Fusion and Reset: A Key Concept

The Relationship between the His Refractory PVC during Supraventricular Tachycardia(SVT) and Entrain

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Chapter 2: Maneuvers during Sinus or Paced Rhythm

Para-Hisian Pacing

Assessing a Line of Block

Assessing a Line of Block: Tricuspid-Caval Isthmus

Assessing a Line of Block: Left Atrial Roof Line

Assessing a Line of Block: Mitral Isthmus Line

Verifying PV Isolation

Mapping Gaps in Conduction

Differential Pacing to Identify Near- vs. Far-Field EGMs

Challenges Confirming Exit Block from the PV

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Chapter 3: Extrastimuli during Tachycardia

Relationship of Extrastimuli to Entrainment

Diagnostic Utility of Programmed PVC, PAC: Specific Examples

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Chapter 4: Overdrive Pacing and Entrainment: SVT

Avoidance of Common Mistakes: The Entrainment Checklist

Practical Usage of Overdrive Pacing/Entrainment

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Chapter 5: Overdrive Pacing and Entrainment: VT, AF and Flutter

Ventricular Tachycardia

Atrial Tachycardia

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Chapter 6: Nonstimulation Based Maneuvers

Isoproterenol

Adenosine

Confirming Existence of a Tachycardia Substrate

Wide QRS Complex Tachycardia Diagnosis

SVT Responses to Adenosine

Differentiating AVNRT from JT

Adenosine and Recovery of Conduction

Miscellaneous Nonpacing Maneuvers

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