Dedication

3

Overview

5

Foreword   Melvin M. Scheinman, MD

7

PART 1

INTRODUCTION TO ELECTROPHYSIOLOGY

1

History of Electrophysiology

11

2

Cardiac Anatomy and the Electrical Conduction System

17

3

The Cardiac Action Potential

23

4

Electrocardiograms

27

5

Basic and Advanced Cardiac Life Support

33

6

The Eiectrophysiology Laboratory

43

7

Radiation Protection

53

Part 1: Quiz

57

PART 2

THE ELECTROPHYSIOLOGY STUDY AND BASIC ARRHYTHMIAS

8

Venous and Arterial Access

63

9

Assessment of Conduction and Refractoriness

67

10

Mechanisms of Arrhythmias

83

11

Pharmacotherapy

87

12

Catheter Ablation

97

13

Nonfluoroscopic Three-Dimensional Mapping and Intracardiac Imaging

105

14

Programmed Electrical Stimulation

113

15

Atrial Fibrillation

117

16

AV-Node Reentrant Tachycardia

121

17

Atrial Tachycardia

129

18

Atrial Flutter

135

19

External Cardioversion and Defibrillation

145

20

Accessory Pathways

149

21

Ventricular Tachycardia

167

22

Hereditary Conditions

183

Part 2: Quiz

191

PART 3

IMPLANTABLE DEVICES TO DIAGNOSE AND TREAT ARRHYTHMIAS AND HEART FAILURE

23

Syncope

201

24

Congestive Heart Failure

207

25

Permanent Pacemaker

211

26

Implantable Cardioverter-Defibrillator

219

27

Cardiac Resynchronization Therapy

227

28

Lead Extraction

237

Part 3: Quiz

241

PART 4

ADMINISTRATION

29

Intravenous Drug Administration/Preoperative Checklist

249

30

Members of the EP Team

255

31

The Future of Electrophysiology

267

APPENDICES

A

Pre-Electrophysiology Procedure/Implant Checklist

276

B

Patient Discharge Instructions

277

C

Inventory Management Checklist

279

D

Department of Electrophysiology ACT Record

292

Glossary

293

Index

301

Bibliography

309

Acknowledgements

349