Clinical Cardiac Pacing Defibrillation and Resynchronization Therapy 1st Edition by Kenneth A Ellenbogen ISBN 1416025367 9781416025368

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ISBN 10: 1416025367 
ISBN 13: 9781416025368
Author: Kenneth A Ellenbogen

Your must-have bench reference for cardiac electrophysiology is now better than ever!

• Expert guidance from world authorities who contribute fresh perspectives on the challenging clinical area of cardiac electrophysiology.
• New focus on clinical relevance throughout, with reorganized content and 15 new chapters.
• New coverage of balloons, snares, venoplasty, spinal and neural stimulation, subcutaneous ICDs and leadless pacing, non-CS lead implantation, His-bundle pacing, and much more.
• New sections on cardiac anatomy and physiology and imaging of the heart, a new online chapter covering radiography of devices, and thought-provoking new information on the basic science of device implantation.
• State-of-the-art guidance on pacing for spinal and neural stimulation, computer simulation and modeling, biological pacemakers, perioperative and pre-procedural management of device patients, and much more.
• Greatly expanded online video library demonstrating key procedures and new technologies such as sub Q ICDs, implantation of non-coronary sinus left ventricular leads, the use of snares, and venoplasty of the subclavian and coronary sinus.
• More than 60 multimedia case presentations online covering a broad range of heart rhythm scenarios.
• Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices.

Clinical Cardiac Pacing Defibrillation and Resynchronization Therapy 1st Table of contents:

Part I: Fundamentals of Cardiac Pacing and Defibrillation

1. History and Evolution of Cardiac Pacing and Defibrillation
   • Early concepts and devices.
   • Technological advancements over the decades.
2. Basic Electrophysiology for Pacing and Defibrillation
   • Cardiac anatomy and conduction system.
   • Action potentials, excitability, and refractoriness.
   • Mechanisms of bradycardia and tachycardia.
3. Basic Principles of Pacing
   • Pacing modes and nomenclature (e.g., VVI, DDD).
   • Pacing thresholds, sensing, and impedance.
   • Lead technology and design (passive vs. active fixation, unipolar vs. bipolar).
4. Basic Principles of Defibrillation
   • Mechanisms of ventricular fibrillation and tachycardia.
   • Defibrillation thresholds.
   • Waveforms and energy delivery.
5. Implantable Cardioverter-Defibrillator (ICD) Detection and Therapy
   • Detection algorithms for VT/VF.
   • Antitachycardia Pacing (ATP).
   • Shock therapies and programming considerations.
6. Fundamentals of Lead Management
   • Lead design, insertion, and fixation.
   • Lead integrity monitoring.
   • Extraction techniques and indications.
7. Device Generators (IPGs and ICDs): Batteries and Electronics
   • Battery chemistry and longevity.
   • Microprocessor technology.
   • Telemetry and remote monitoring capabilities.

Part II: Clinical Applications of Pacing

8. Indications for Permanent Pacing: Bradycardia
   • Sick Sinus Syndrome.
   • Atrioventricular (AV) Blocks (first, second, third degree).
   • Carotid Sinus Hypersensitivity and Vasovagal Syncope.
   • Specific conditions (e.g., neuromuscular disorders).
9. Pacing for Atrial Arrhythmias
   • Pacing strategies for atrial fibrillation prevention.
   • Pacing in patients with atrial fibrillation (rate vs. rhythm control).
10. Pacing for Hypertrophic Cardiomyopathy
    • Specific pacing strategies (e.g., DDD pacing with short AV delay).
11. Pediatric Pacing
    • Indications and unique considerations for children.
    • Growth-related challenges and follow-up.
12. Temporary Pacing
    • Indications for temporary transvenous and transcutaneous pacing.
    • Techniques and management.

Part III: Clinical Applications of Defibrillation

13. Indications for ICD Implantation: Primary Prevention
    • Post-MI, dilated cardiomyopathy, genetic syndromes (LQTS, Brugada).
    • Risk stratification for sudden cardiac death.
14. Indications for ICD Implantation: Secondary Prevention
    • Survivors of sudden cardiac arrest.
    • Sustained ventricular tachycardia.
15. ICD Therapy: Programming and Optimization
    • Zones, detection settings, and therapy sequencing.
    • T-wave oversensing, noise, and other programming challenges.
16. Management of ICD Shocks and Arrhythmia Storms
    • Psychological impact of shocks.
    • Pharmacological and ablative strategies for recurrent VT/VF.
17. Subcutaneous ICD (S-ICD)
    • Indications, implant technique, and advantages/disadvantages.
    • Unique programming considerations.

Part IV: Cardiac Resynchronization Therapy (CRT)

18. Physiology of Heart Failure and Electrical Dyssynchrony
    • Mechanisms of ventricular remodeling in heart failure.
    • Interventricular and intraventricular dyssynchrony.
19. Indications for CRT
    • Patient selection criteria (NYHA class, QRS duration, LVEF).
    • Role in non-ischemic and ischemic cardiomyopathy.
20. CRT Systems: Leads and Implantation
    • Coronary sinus anatomy and venography.
    • Left ventricular lead placement strategies.
    • LV lead performance and troubleshooting.
21. Optimization of CRT
    • Echocardiographic and hemodynamic optimization.
    • AV and VV delay programming.
    • Response and non-response to CRT.
22. Remote Monitoring of CRT Devices
    • Benefits and practical aspects of remote follow-up.

Part V: Advanced Topics and Special Considerations

23. Device Follow-Up and Troubleshooting
    • Routine follow-up protocols.
    • Interrogation techniques and data interpretation.
    • Recognizing and managing common device malfunctions (e.g., lead fractures, insulation breaks, battery depletion, sensing/capture issues).
24. Drug-Device Interactions
    • Impact of antiarrhythmic drugs on device function.
    • Pharmacologic management of arrhythmias in device patients.
25. Electromagnetic Interference (EMI) and Devices
    • Sources of EMI (e.g., MRI, electrocautery, radiation therapy).
    • Safety precautions and management protocols.
26. Infection in Cardiac Devices
    • Diagnosis, prevention, and management of device infections.
    • Lead and device removal.
27. Psychological and Quality-of-Life Issues in Device Patients
    • Patient education and support.
    • Coping with device implantation and shocks.
28. Device Management at End of Life
    • Ethical considerations regarding device deactivation.
    • Patient and family counseling.
29. Future Directions in Pacing and Defibrillation
    • Leadless pacemakers.
    • Conduction system pacing (His bundle, Left Bundle Branch).
    • Novel ICD technologies.
    • Pharmacologic and genetic therapies.

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Tags: Kenneth A Ellenbogen, Clinical, Cardiac