Clinical Arrhythmology E-Book

Antoni Bayés de Luna

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 1219

Veröffentlichungsjahr: 2017

Beschreibung

The second edition of Clinical Arrhythmology provides a fresh, clear, and authoritative overview that will guide readers from a solid understanding of the mechanisms behind cardiac arrhythmias -- which is fundamental to their identification -- to diagnosis via electrocardiograms and other tools, to specific management options for each of the arrhythmias that cardiologists and other clinicians will encounter in clinical practice.

• Organized in a clear, intuitive manner; introducing the reader to an understanding of the anatomical and electrophysiological bases of arrhythmias, then to a comprehensive review of how to diagnose the full range of rhythmic abnormalities, and then to a discussion of specific clinical syndromes in which arrhythmias play a part
• Highly illustrated chapters ensure key concepts are simpler to understand
• Detailed appendices provide quick reference values for diagnostic and therapeutic techniques, and pharmacotherapeutic agents, and Recommendations

Leseprobe

Table of Contents

Cover

Title Page

Copyright

Foreword by Dr. Valentin Fuster

Foreword by Dr. Pere Brugada i Terradellas

Preface

Preface to the Second Edition by Dr Adrian Branchuk

Recommended General Bibliography

Part I: Anatomical and Electrophysiological Considerations, Clinical Aspects, and Mechanisms of Cardiac Arrhythmias

Chapter 1: Clinical Aspects of Arrhythmias

Definition of Arrhythmia

Classification

The Importance of Clinical History and Physical Examination in Diagnosis and Assessment of Arrhythmias

(Bellet, 1969; Knoebel et al., 1993; Recommended General Bibliography p. xvii)

The Importance of Surface ECG and Other Techniques

References

Chapter 2: Anatomic and Electrophysiologic Basis

Anatomic Basis

Electrophysiologic Characteristics

(Hofman and Cranefield, 1960; Paes de Carvalho and Hofman, 1966; Markus et al., 1998; Issa et al., 2012; Recommended General Bibliography p. xvii)

References

Chapter 3: Electrophysiologic Mechanisms

Mechanisms Responsible for Active Cardiac Arrhythmias

Mechanisms Leading to Passive Arrhythmias

References

Part II: Diagnosis, Prognosis and Treatment of Arrhythmias

Chapter 4: Active Supraventricular Arrhythmias

Premature Supraventricular Complexes

Sinus Tachycardia

Atrial Tachycardia

Junctional Reentrant (Reciprocating) Tachycardia

AV Junctional Tachycardia Due to Ectopic Focus

Chaotic Atrial Tachycardia

Atrial Fibrillation

Atrial Flutter

(Figures 4.57-4.71)

Supraventricular Tachyarrhythmias and Atrial Wave Morphology: Monomorphic and Polymorphic Morphology

Differential Diagnosis of Supraventricular Tachyarrhythmias with Regular RR Intervals and Narrow QRS

Electrocardiographic Diagnosis of the Paroxysmal Supraventricular Tachycardias: a Sequential Approach

References

Chapter 5: Active Ventricular Arrhythmias

Premature Ventricular Complexes

Ventricular Tachycardias

Ventricular Flutter

Ventricular Fibrillation

References

Chapter 6: Passive Arrhythmias

Escape Complex and Escape Rhythm

Sinus Bradycardia due to Sinus Automaticity Depression (Figures 6.7 and 6.8)

Sinoatrial Block

Atrial Blocks

Atrioventricular Block

Ventricular Blocks

Cardiac Arrest

The Pacemaker Electrocardiography

(Garson, 1990; Kasumoto and Goldschlager, 1996; Hesselson, 2003; Baranchuk, 2013) (Figures 6.30-6.38)

Clinical, Prognostic, and Therapeutic Implications of Passive Arrhythmias

References

Chapter 7: Analytical Study of an Arrhythmia

Determining the Presence of a Dominant Rhythm

Atrial Wave Analysis

QRS Complex Analysis

Atrioventricular Relationship Analysis

Premature Complex Analysis

Pause Analysis

Delayed Complex Analysis

Analysis of the P Wave and QRS-T Complexes of Variable Morphology

(Figures 7.4 and 7.5, Table 7.1)

Repetitive Arrhythmias Analysis: Bigeminal Rhythm

Differential Diagnosis Between Several Arrhythmias in Special Situations

References

Part III: The ECG and Risk of Arrhythmias and Sudden Death in Different Heart Diseases and Situations

Chapter 8: Ventricular Pre-Excitation

Concept and Types of Pre-Excitation

WPW-type Pre-Excitation (Type 1)

Atypical Pre-Excitation

Short PR Interval Pre-Excitation

(Lown et al.

, 1957

) (Figures

8.14

and

8.15

)

References

Chapter 9: Inherited Heart Diseases

Introduction

Cardiomyopathies

Specific Conduction System Involvement: Lenegre Syndrome

Ionic Channel Disorders in the Absence of Apparent Structural Heart Disease: Channelopathies

References

Chapter 10: Other ECG Patterns of Risk

Severe Sinus Bradycardia

Third-Degree (Advanced) Interatrial Block

(Figures 10.4-10.7)

High-Risk Ventricular Block

Advanced Atrioventricular Block

The Presence of Ventricular Arrhythmias in Chronic Heart Disease Patients

Acquired Long QT

(Figure 10.17)

Electrical Alternans

(see Table 7.1 and Figure 7.5)

Other Electrocardiographic Patterns of Risk for Sudden Death

Early Repolarization (ER) Pattern (J Wave) and Sudden Death

(Figure 10.18)

Risk of Serious Arrhythmias and Sudden Death in Patients with Normal or Nearly Normal ECG

References

Chapter 11: Arrhythmias in Different Heart Diseases and Situations

Ischemic Heart Disease

Heart Failure

Valvular Heart Disease

Congenital Heart Disease

Hypertensive Heart Disease

Myocarditis

Cor Pulmonale

Pericardial Disease

Sudden Death in Other Heart Diseases

Sudden Infant Death Syndrome

Athletes

(Figure 11.9)

Alcohol Intake

Special Situations

Sudden Death in Apparently Healthy People

(see Chapter 9, Idiopathic Ventricular Fibrillation)

References

Appendix

Introduction

Calculation of Sensitivity, Specificity, and Predictive Value (Table A-1)

Diagnostic Techniques

Therapeutic Techniques

Antiarrhythmic Agents

Classification of the Recommendations for Diagnostic and Therapeutic Procedures and Level of Evidence (AHA/ESC/ACC Guidelines)

References

Index

End User License Agreement

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Guide

Cover

Table of Contents

Prefacw

Part I: Anatomical and Electrophysiological Considerations, Clinical Aspects, and Mechanisms of Cardiac Arrhythmias

Begin Reading