Table of Contents

Dedication - 3
Overview - 5
Foreward by 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 Electrophysiology 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