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Essential Concepts of Electrophysiology and Pacing through by Kenneth A. Ellenbogen, Roderick Tung, Prabal Guha, Jeanine

By Kenneth A. Ellenbogen, Roderick Tung, Prabal Guha, Jeanine Leffler, Kevin D. Oakeson

Edited through world-renowned heart specialist Kenneth Ellenbogen, MD, and collaboratively written by way of 5 professional physicians and allied overall healthiness execs, Essential techniques of Electrophysiology and Pacing via Case Studies publications the reader in constructing and refining the foremost ability of examining tracings - probably the most crucial proficiencies in electrophysiology.

With 60 circumstances comprising greater than one hundred twenty tracings, figures, and tables and observed by way of multiple-choice questions, this scholarly but eminently useful textual content delineates the center innovations and brings the reader without delay into every one case, supplying EP physicians and fellows, gadget representatives and engineers, and different allied overall healthiness execs a primary figuring out of an important options on which the perform of EP relies.

applicable for pros with various degrees of talent, Essential thoughts of Electrophysiology and Pacing features a wide selection of uncomplicated to complex tracings that diversity from floor ECGs to pacemaker and ICD recordings to complicated intracardiac tracings that may turn out important in strengthening and sprucing functional abilities. appropriate references incorporated with each one case permit the reader to delve even deeper into the rules offered and may be important in getting ready for IBHRE, ABIM, and different EP certification exams.

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3. Josephson ME, Callans DJ. Using the twelve-lead electrocardiogram to localize the site of origin of ventricular tachycardia. Heart Rhythm. 2005; 2(4):443-446. H Question Where is the most likely site of this bypass tract? 3 39 40 Essential Concepts of Electrophysiology and Pacing through Case Studies Answer The correct answer is C. The morphology is characteristic of an epicardial pathway location. Many algorithms have been validated for localization of bypass tracts. A four-step algorithm by Arruda et al rapidly identifies left lateral wall pathways if the delta wave is isoelectric or negative in lead I.

A Q wave in V6 in the setting of a left bundle branch block morphology is highly suggestive of VT, although not present. In this case, the R to S time is 60 ms and a precordial transition consistent with a typical left bundle branch block is seen. AV dissociation is not evident in this tracing. The axis is leftward and the initial vector in aVR is negative, which is expected for a typical left bundle. References 1. Wellens HJ, Bar FW, Lie KI. The value of the electrocardiogram in the differential diagnosis of a tachycardia with a widened QRS complex.

2. Yamada T,Yoshida N, Murakami Y, et al. Electrocardiographic characteristics of ventricular arrhythmias originating from the junction of the left and right coronary sinuses of Valsalva in the aorta: the activation pattern as a rationale for electrocardiographic characteristics. Heart Rhythm. 2008;5(2):184-192. D Question What is the most likely diagnosis in this 35-year-old woman with intermittent palpitations? 2 19 20 Essential Concepts of Electrophysiology and Pacing through Case Studies Answer The correct answer is D.

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