Electrophysiology: The Basics A Companion Guide for the Cardiology Fellow during the EP Rotation

Jonathan S. Steinberg, MD Chief, Division of Cardiology Al-Sabah Endowed Director of the Arrhythmia Institute St. Luke's and Roosevelt Hospitals Professor of Medicine Columbia University College of Physicians and Surgeons New York, New York

Suneet Mittal, MD Director, Electrophysiology Laboratory St. Luke's and Roosevelt Hospitals Associate Professor of Medicine Columbia University College of Physicians and Surgeons New York, New York

@L Wolters Kluwer Lippincott Williams & Wilkins

Philadelphia - Baltimore • New York - London Buenos Aires • Hong Kong • Sydney • Tokyo

CONTENTS

Contributors iv Preface viii

SECTION I EVALUATION AND MANAGEMENT

1 Bradycardia 1 Andrea Corrado, Gianni Gasparini, and Antonio Raviele

2 Supraventricular Tachycardia: AVNRT, AVRT 10 Nittsh Badhwar, Ken W. Lee, and Melvin M, Scheinman

3 Atrial Arrhythmias 36 Jonathan S. Steinberg, Aysha Arshad, and Tina Sichrovsky

4 Ventricular Tachycardia 65 Sbuaib Latifand David J. Callans

5 Syncope 74 Suneet Mittal

6 Sudden Cardiac Death and the Cardiac Arrest Survivor 82 Jaimie Manlucu, Raymond Yee, Lome J. Gula, George J. Klein, Allan C. Skanes, and Andrew D. Krahn

SECTION II THE ELECTROPHYSIOLOGY LABORATORY

7 Electrophysiology Equipment 95 Mark W. Preminger

8 Electrophysiologic Testing: Indications and Limitations 109 Aman Chugh and Fred Morady

9 Principles of Mapping and Ablation 125 Eric Buch, Noel G. Boyle, and Kalyanam Sbivkumar

10 Indications for Cardiac Rhythm Management Devices 137 Gautbam Kalahasty and Kenneth Ellenbogen

11 Miscellaneous Procedures 154 Aysha Arshad and Suneet Mittal

SECTION III THE PACEMAKER AND DEFIBRILLATOR CLINIC

12 Device Interrogations and Utilization of Diagnostic Data 169 Charles J. Love

CONTENTS

SECTION IV MISCELLANEOUS TOPICS

13 Approach to the Patient with Wide Complex Tachycatdia 186 John M. Miller, Deepak Bhakta, John A. Scherschel, and Anil V. Yadav

14 Antiarrhythmic Medications 195 Katia Dyrda, Paul Khairy, Stanley Nattel, Mario Talajic, Peter G. Guerra,

Bernard Thibault, Marc Dubuc, Laurent Made, and Denis Roy

15 Channelopathies 210 Iwona Cygankiewicz and Wojciech Zareba

Index 225