The Clinical Cardiac Electrophysiology Handbook
The clinical science of interventional cardiac electrophysiology is a rapidly evolving area. In the early days, it was referred to as “His bundle electrophysiology,” because about the only procedure available was to record the electrical potential arising in the common bundle of His with a catheter electrode and use the results to localize/quantify conduction abnormalities to identify patients needing pacemakers. But a lot has changed since then: Programmed stimulation produced a revolution in the 1970s, followed in the 1980s by ablation and more advanced recording methods (beginning with the recording of potentials from accessory pathways). Progress advanced to include sophisticated invasive and noninvasive mapping systems and complex access and intervention approaches. Implantable devices were introduced as simple right ventricular pacemakers implanted by surgeons, developing over time into implantable defibrillators, and from there to highly sophisticated units capable of complex data recording and acquisition, high levels of programmability and interrogation capacity, complex antitachycardia pacing algorithms combined with intelligent defibrillation maneuvers, and even leadless devices. Basic science advances have revolutionized our understanding of arrhythmia mechanisms and created exciting new therapeutic possibilities. Large, randomized clinical trials have provided solid bases for clinical decision-making.
One consequence of these formidable developments has been the challenging mass of information that needs to be mastered in order to understand and apply clinical cardiac electrophysiology interventions. This volume of knowledge is particularly daunting to trainees and paramedical personnel, who perform vital functions requiring high-level skills but who lack the extensive training, knowledge base, and experience of established clinical electrophysiologists.
This was the reason to create The Clinical Cardiac Electrophysiology Handbook: to offer in a succinct presentation all the practical information needed to understand the subtleties of a wide range of cardiac electrophysiology problems and approaches. Our focus is on the “how to,” with the goal of providing key knowledge about approaches to identify, diagnose, and manage a broad range of cardiac rhythm disorders. However, the user will also find a lot of information on the “why”—the underlying fundamental and clinical science basis for clinical electrophysiology decision-making.
We took the approach that our book should look like what you might expect to find if a brilliant clinical electrophysiology fellow had transcribed notes about all that he or she was taught and was able to obtain from the literature, including all the most important information without any filler in between. It is intended to be a quick source for information in the EP lab or on the wards, as well as a guide to learnin —offering the ability to quickly review the essential components prior to a case or to rapidly reinforce new notions and practices encountered during a case.
Overall, we hope users will find that The Clinical Cardiac Electrophysiology Handbook constitutes a valuable new tool, occupying an important niche that was largely empty prior to its completion and offering readers a key contribution to the learning material in this area.
—Stanley Nattel, MD
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|March 17, 2016|
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