Table of Contents: Cardiac Electrophysiology: A Visual Guide for Nurses, Techs, and Fellows About the Authors Foreword Preface Acknowledgments Abbreviations Glossary Before We Begin an SVT Study Unit 1: The Basics 1. Catheter Placement 2. The Computer System 3. Signal Processing 4. Signal Sequence in Sinus Rhythm 5. Basic Conduction Intervals 6. Tissue Conduction 7. Supraventricular Tachycardia Diagnostic Study - Incremental Ventricular Pacing - Retrograde Wenckebach - Ventricular Extra-stimulus Pacing - Retrograde V-A Block - Ventricular Effective Refractory Period - Atrial Extra-stimulus Pacing - Atrioventricular Block - Atrial Effective Refractory Period - Incremental Atrial Pacing Unit 2: Common Clinical Tachycardias 8. AV Nodal Reentrant Tachycardia - Typical AVNRT Pathways - Jump - AV Nodal Echo - Onset of Tachycardia 9. Atrioventricular Reentrant Tachycardia - Wolff-Parkinson-White - Accessory Pathway Locations - Accessory Pathway Echo - AVRT Initiation - Effective Refractory Period of an Accessory Pathway - Ablation of Accessory Pathways 10. Focal Atrial Tachycardia 11. Atrial Flutter - Typical Catheter Placement - Cavo-tricuspid Isthmus Ablation - Split A's 12. Atrial Fibrillation - Basic Diagnosis - Near-Field Versus Far-Field Electrograms - Entrance Block - Exit Block - Pulmonary Vein Fibrillation - Independent Pulmonary Vein Activity 13. Ventricular Tachycardia - Basic Diagnosis - Activation Mapping - Pace Mapping - Entrainment Mapping - Scar-dependent Ventricular Tachycardia - Voltage Mapping - Substrate Modification Unit 3: Advanced Concepts 14. Mechanisms of Tachycardia 15. Bipolar Versus Unipolar Electrograms 16. Latency 17. Gap Phenomenon 18. PVCs into AVNRT 19. PVCs into AVRT 20. Entrainment Pacing 21. Para-Hisian Pacing Unit 4: Advanced Tracings 22. An Irregular Rhythm 23. Why Does the A-H Interval Vary? 24.Distinguishing A from V 25. An Unexpected QRS 26. Unusual Onset of Tachycardia 27. Diagnostic Dilemma 28. A Dangling Potential 29. After Pulmonary Vein Ablation
Paul D. Purves, BSc, RCVT, CEPS; Senior Electrophysiology Technologist , Cardiac Investigation Unit, London Health Sciences Centre, London, Ontario, Canada. George J. Klein, MD, FRCP(C); Professor of Medicine, Division of Cardiology, University of Western Ontario, London, Ontario, Canada. Peter Leong-Sit, MD, FRCP(C); Assistant Professor of Medicine, Division of Cardiology, University of Western Ontario, London, Ontario, Canada. Raymond Yee, MD, FRCP(C); Professor of Medicine, Director, Arrhythmia Service, Division of Cardiology, University of Western Ontario, London, Ontario, Canada. Allan C. Skanes, MD, FRCP(C); Associate Professor of Medicine, Division of Cardiology, University of Western Ontario, London, Ontario, Canada. Lorne J. Gula, MD, FRCP(C); Associate Professor of Medicine, Division of Cardiology, University of Western Ontario, London, Ontario, Canada. Andrew D. Krahn, MD, FRCP(C); Professor of Medicine, Division of Cardiology, University of Western Ontario, London, Ontario, Canada .
This would be very useful as a training manual or reference for beginning practitioners. I anticipate that it would be kept in an electrophysiology lab so that staff could refer to the illustrations and descriptions. - Doody Review (Elaine Hannigan, RN, MSN) - (Paul Purves is a unique EP technologist who has coupled his technical expertise and knowledge of EP with a passion for understanding the underpinnings of the study, and teaches what he knows to other technologists, nurses, and indeed physicians. He is a gifted teacher who has coordinated and assembled the "collective wisdom" of our team into this reader-friendly and unique visual guide to performing and understanding the arrhythmia study. It surpasses the needs of a simple introduction and will be useful to all levels of trainee who want to understand what is really "going on" and move to the next level. -George J. Klein, MD, FRCP(C)
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