Electrophysiological Maneuvers For Arrhythmia Analysis

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 In my opinion, this book should be on the shelf of every electrophysiologist trainee as well as every clinical cardiac electrophysiologist. It is a classic, like its editor. Dr. Klein deserves high praise for organizing his and his colleagues’ clinical experiences and thought processes into a concise, practical text that should be part of all training programs in electrophysiology. —From the foreword by Mark E. Josephson, MD

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.

This issue is a valuable tool to help electrophysiologists interpret complex ECGs so they can better understand arrhythmia mechanisms. Organized by cases, this issue illustrates many of the classic electrocardiographic findings and phenomena that every electrophysiologist should know. Study of this issue demonstrates a systematic way to analyze arrhythmia mechanisms.

Concise yet comprehensive, this practical guide to the diagnosis and ablation of cardiac arrhythmias in the electrophysiology laboratory is an indispensable resource for electrophysiologists and general cardiologists. It contains an extensive, unmatched collection of intracardiac recordings, fluoroscopic and ICE images, and 3D color-coded electroanatomic maps (EAMs), making it the premier electrophysiology reference for gaining a better understanding of cardiac arrhythmias. Each chapter focuses on a specific arrhythmia and presents a systematic discussion of diagnostic and ablation criteria, followed by an atlas of electrophysiologic recordings. These illustrations demonstrate all key aspects of the arrhythmia: electrophysiologic features, mode of induction and termination, response to diagnostic pacing maneuvers, classic presentations, unusual manifestations, mapping techniques, and target site criteria for ablation.

A significantly expanded third edition, this book provides a comprehensive and concise overview of cardiac arrhythmias and their ECG/telemetry manifestations, including the principles of cardiac electrophysiology, current concepts of pharmacology, clinical features, diagnoses, and state-of-the-art treatments. Additionally, the book emphasizes decision-making strategies in approaching each individual patient and the application of technical innovations in specific clinical situations. Organized into eight parts, beginning chapters introduce the concepts and principles of cardiac electrophysiology, unique rhythms, and ECG waves/signs. These chapters are designed to integrate emerging knowledge in basic science and clinical medicine. Subsequent chapters focus on the diagnosis of a variety of cardiac arrhythmias using non-invasive methodology. Throughout the book, chapters continue to analyze pharmacological and other approaches to therapy of specific arrhythmias, including supraventricular tachycardias, atrial fibrillation and flutter, ventricular arrhythmias, and bradyarrhythmias. Finally, the book closes with coverage on inherited cardiac arrhythmia syndromes including the long, short QT, and J-wave syndromes, catecholaminergic polymorphic ventricular tachycardia, and arrhythmogenic right ventricular cardiomyopathy. The third edition of Management of Cardiac Arrhythmias, is an essential resource for physicians, residents, fellows, and medical students in cardiology, cardiac surgery, vascular surgery, cardiac electrophysiology, and cardiac radiology.

Widely known as the premier electrophysiology text, Josephson’s Clinical Cardiac Electrophysiology provides a thorough understanding of the mechanisms of cardiac arrhythmias and the therapeutic interventions used to treat them. Dr. David J. Callans, personally chosen and trained by Dr. Mark Josephson, continues the tradition of excellence of previous editions while bringing the text fully up to date in every area of this complex field. The sixth edition provides highly visual guidance on the electrophysiologic methodology required to define the mechanism and site of origin of arrhythmia – enabling you to choose the safest and most effective therapy for each patient.

From master teacher George J. Klein, MD, this stepwise book is for those with a working knowledge of electrophysiology who have looked at a complicated ECG or intracardiac tracing and drawn a blank, not recognizing a pattern from their personal experience, and without a good idea of how to proceed or venturing a guess with variable confidence. Dr. Klein presents strategies that he has found useful, not just by providing an “answer,” but also exploring how he solved the problem with a systematic approach using “tools” of analysis that applies to both ECGs and EGM tracings.