Written by award–winning clinician–educator Fred Kusumoto of the Mayo Clinic, this unique new book takes a stepwise, patient–centered approach to guide readers through the diagnosis, treatment, and management of the most common rhythmic disorders encountered by electrophysiologists and treated with procedures carried out in the EP lab. Each chapter, designed as a series of cases, moves the reader from the initial presentation of a fictional patient, through each step required to make the correct diagnosis and then adequately prep for and carry out a flawless procedure. The book includes clinical questions to help readers test their understanding of the steps and concepts covered and prepare for certification exams.
This extremely accessible introduction to electrophysiology is designed to help readers on the road to true mastery. Although patients may come to the electrophysiology laboratory with a tentative diagnosis, all experienced electrophysiologists know that these only represent best guesses and more often than not the guesses are partially or completely wrong. Like any good puzzle, there can be many twists and turns during an electrophysiology study that must be cobbled together into a coherent and accurate diagnosis.
This unique new book uses a case based, step–wise approach that allows readers to follow along with the thought process behind how experienced electrophysiologists first diagnose, prepare, treat and manage patients with common rhythmic abnormalities, including atrial fibrillation.
Can be used as a companion to Dr Kusumoto s Understanding Intracardiac EGMs and ECGs and will be of use for MDs preparing for board certification in electrophysiology, or allied professionals preparing for the International Board of Heart Rhythm Examiners (IBHRE) test.
1 Basic electrophysiology 1
2 Supraventricular tachycardia case 1 17
3 Supraventricular tachycardia case 2 45
4 Supraventricular tachycardia case 3 55
5 Supraventricular tachycardia case 4 67
6 Supraventricular tachycardia case 5 83
7 Supraventricular tachycardia case 6: baseline preexcitation 97
8 Supraventricular tachycardia case 7: baseline preexcitation 111
9 Supraventricular tachycardia case 8 125
10 Supraventricular tachycardia case 9 135
11 Supraventricular tachycardia cases 10 and 11 143
12 Supraventricular tachycardia case 12 153
13 Supraventricular tachycardia case 13 163
14 Supraventricular tachycardia case 14: atrial fibrillation 177
15 Supraventricular tachycardia case 15: atrial tachycardia after atrial fibrillation ablation 187
16 Supraventricular tachycardia case 16: atrial tachycardia after atrial fibrillation ablation 195
17 Supraventricular tachycardia case 17: atrial tachycardia after atrial fibrillation ablation 205
18 Supraventricular tachycardia case 18: atrial tachycardia after atrial fibrillation ablation 215
19 Supraventricular tachycardia case 19: atrial tachycardia after atrial fibrillation ablation 227
20 Wide complex tachycardia case 1 237
21 Wide complex tachycardia case 2 253
22 Wide complex tachycardia case 3: premature ventricular contractions 263
23 Wide complex tachycardia case 4 273
24 Wide complex tachycardia case 5 281
25 Wide complex tachycardia case 6 291
26 Syncope 297
27 Multiple choice questions and answers 303
Dr Kusumoto is Professor of Medicine, Mayo Clinic College of Medicine and Director of the Electrophysiology and Pacing Section at Mayo Clinic, Jacksonville, Florida. He has been involved in teaching and research and received the Excellence in Training in the Discipline of Cardiovascular Diseases two years in a row at Mayo Clinic. He was also named Teacher of the Year at the University of New Mexico. Dr Kusumoto has written two books on cardiac devices and cardiac pathophysiology and two books for Wiley–Blackwell: Understanding Intracardiac ECGs and EGMs and ECG Interpretation for Everyone: an On–the–spot Guide. In addition he has authored over fifty journal articles and book chapters.