Advances in supraventricular tachycardia:
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1997
|
Schriftenreihe: | Cardiology clinics
15,4 |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | X S., S. 517 - 758 Ill., graph. Darst. |
Internformat
MARC
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245 | 1 | 0 | |a Advances in supraventricular tachycardia |c Melvin M. Scheinman, guest ed. |
264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1997 | |
300 | |a X S., S. 517 - 758 |b Ill., graph. Darst. | ||
336 | |b txt |2 rdacontent | ||
337 | |b n |2 rdamedia | ||
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490 | 1 | |a Cardiology clinics |v 15,4 | |
650 | 2 | |a Tachycardie supraventriculaire | |
650 | 7 | |a Tachycardie |2 gtt | |
650 | 4 | |a Tachycardia | |
650 | 4 | |a Tachycardia, Supraventricular | |
650 | 0 | 7 | |a Supraventrikuläre Tachykardie |0 (DE-588)4263530-5 |2 gnd |9 rswk-swf |
655 | 7 | |0 (DE-588)4143413-4 |a Aufsatzsammlung |2 gnd-content | |
689 | 0 | 0 | |a Supraventrikuläre Tachykardie |0 (DE-588)4263530-5 |D s |
689 | 0 | |5 DE-604 | |
700 | 1 | |a Scheinman, Melvin M. |e Sonstige |4 oth | |
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Datensatz im Suchindex
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adam_text | ADVAVIS l SlJl K.W i: rKKLI.AK lACIIYCAKniA
CONTENTS
Foreword xi
Michael H. Crawford
Preface xiii
Melvin M. Scheinman
Cellular Electrophysiologic Mechanisms of Cardiac Arrhythmias 517
Candido Cabo and Andrew L. Wit
Cardiac arrhythmias are caused by alterations in the electrophysiologic
properties of the cardiac cells, which affect the characteristics of the trans
membrane potentials. The electrophysiologic properties that cause arrhyth¬
mias are automaticity, triggered activity, and reentrant excitation. Each
of these mechanisms is described in terms of the characteristics of the
transmembrane potentials and how these influence the appearance of the
arrhythmia on the electrocardiogram.
Role of the Surface Electrocardiogram in the Diagnosis of Patients
with Supraventricular Tachycardia 539
Shih Ann Chen, Ching Tai Tai, Chern En Chiang, and
Mau Song Chang
In this era of interventional electrophysiology, the accuracy of the electro¬
cardiogram in diagnosis of supraventricular tachycardia could be im¬
proved by detailed endocardial mapping and confirmed by results of
radiofrequency catheter ablation. This article describes the electrocardio
graphic characteristics for different types of supraventricular tachycardia:
atrial fibrillation, atrial flutter, atrial tachycardia, atrioventricular recipro¬
cating tachycardia using an accessory pathway, and atrioventricular node
reentrant tachycardia. Several limitations, including the identification of P
wave morphologies and polarities and separation between the terminal
part of T wave and P wave during tachycardia, should be resolved before
an accurate algorithm of the 12 lead surface electrocardiogram is devel¬
oped for the diagnosis of supraventricular tachycardia.
CARIMOIOGY CLINICS VOLUME 15 • NUMBER 4 • NOVEMBER 1997 vii
Electrophysiologic Evaluation of Supraventricular Tachycardia 567
Mark E. Josephson and Hein J. J. Wellens
This article describes the evaluation of supraventricular tachycardias re¬
sulting from atrioventricular nodal reentry, circus movement tachycardia
using a concealed accessory pathway, and atrial tachycardia.
Current Role of Pharmacologic Therapy for Patients with Paroxysmal
Supraventricular Tachycardia 587
Magdy Basta, George J. Klein, Raymond Yee, Andrew Krahn, and
John Lee
This article reviews the current role of pharmacotherapy in the manage¬
ment of supraventricular tachycardia in this era of successful catheter
ablation. Intravenous antiarrhythmic drugs will continue to have an im¬
portant role in the acute management of supraventricular tachycardia. The
cost, adverse effects, and inconvenience of long term drug therapy will
result in the increasing use of curative ablation for most individuals with
problematic supraventricular tachycardia.
Inappropriate Sinus Tachycardia: Diagnosis and Treatment 599
Randall J. Lee and Jerold S. Shinbane
Inappropriate sinus tachycardia is characterized by consistently elevated
heart rates and exaggerated responses to minimal physiologic activity. The
syndrome of inappropriate sinus tachycardia is defined by the clinical
presentation of palpitations and presyncope that commonly appear to be
out of proportion to the severity of the tachycardia. The development of a
potentially curative procedure for patients suffering from inappropriate
sinus tachycardia has renewed interest in the treatment of such patients.
Continued research directed at the pathophysiology of inappropriate sinus
tachycardia and what the optimal end point for achieving adequate rate
control by radiofrequency catheter ablation without the need for the im¬
plantation of a permanent pacemaker is required. The optimal treatment
may be the use of drugs that specifically inhibit sinus node pacemaker cur¬
rent.
Catheter Ablation for Patients with Atrial Tachycardia 607
Cynthia M. Tracy
Although atrial tachycardias are relatively rare, their poor response to
standard therapies, the suboptimal hemodynamic results of complete
atrioventricular node ablation and pacer implantation, and their potential
for serious hemodynamic effects make management difficult. Although
their mechanisms are complex and divergent, catheter ablation has proven
to be highly effective in management of atrial tachycardias. This article
discusses arrhythmia mechanisms and therapeutic approaches by cathe¬
ter ablation.
Catheter Ablation for Atrioventricular Nodal Reentrant Tachycardia 623
Sanjay Deshpande, Masood Akhtar, and Panagiotis Panotopoulos
The current status of catheter ablation techniques for the management of
atrioventricular nodal reentry tachycardia is outlined in this article. Some
pertinent aspects of the atrioventricular nodal anatomy and physiology
are discussed, to the extent that they are essential for understanding of
the mechanism of this arrhythmia and the technique of catheter ablation.
Catheter Ablation of Accessory Pathways 647
Bradley P. Knight and Fred Morady
Radiofrequency catheter ablation is a highly effective, curative treatment
for arrhythmias related to accessory atrioventricular connections. Com¬
pared with medical therapy, ablation is more definitive, is more cost
effective, and is associated with a lower risk of proarrhythmia. This article
updates the reader on the current indications, techniques, and innovations
related to ablation of accessory pathways using radiofrequency energy.
Mechanisms and Medical Management of Patients with Atrial Flutter 661
Albert L. Waldo, Judith A. Mackall, and Lee A. Biblo
The mechanisms of atrial flutter have been elucidated. Better understand¬
ing of these mechanisms has resulted in new insights into effective ther¬
apy. This article reviews the current management of atrial flutter.
The Laboratory Evaluation and Role of Catheter Ablation for
Patients with Atrial Flutter 677
Jeffrey E. Olgin and Michael D. Lesh
This article defines the different types of atrial flutter and focuses primarily
on the evaluation and ablation of typical atrial flutter. The other forms of
atrial macroreentrant tachycardia are listed in the article and are important
in the differential diagnosis. The principles of mapping and ablation of
typical atrial flutter are relevant to these arrhythmias as well.
The Medical Management of Atrial Fibrillation 689
Frederick A. Masoudi and Nora Goldschlager
Atrial fibrillation is an extremely common arrhythmia that is associated
with significant sequelae. Certain aspects of therapy, such as anticoagula
tion, are studied in well constructed randomized trials. Other therapy,
such as the maintenance of sinus rhythm with antiarrhythmic agents, is
supported by limited evidence. This article reviews the epidemiology
and medical treatment of this arrhythmia, addressing anticoagulation,
ventricular rate control, and restoration and maintenance of sinus rhythm.
Randomized trials in progress that attempt to answer important questions
in the management of atrial fibrillation are also discussed.
Radiofrequency Catheter Ablation for Atrial Fibrillation 721
Jonathan M. Kalman and Melvin M. Scheinman
Until recently, catheter based radiofrequency ablation for atrial fibrillation
was limited to palliative approaches of either atrioventricular node abla¬
tion or modification. It is now recognized that at least a proportion of
patients with paroxysmal atrial fibrillation may be suitable for curative
ablation of an underlying single arrhythmogenic focus. With the intense
interest in this area, a catheter based cure involving endocardial linear
lesion creation for patients with chronic or paroxysmal atrial fibrillation
may not be far in the future.
The Maze Procedure for Cure of Atrial Fibrillation 739
Thoralf M. Sundt III, Cynthia J. Camillo, and James L. Cox
Atrial fibrillation is the most common dysrhythmia encountered in clinical
practice. A significant number of patients fail medical therapy because of
inability to convert or control the rhythm pharmacologically, intolerance
of the requisite medication, or persistent symptoms despite apparently
satisfactory rate control. Based on experimental studies establishing the
electrophysiologic basis of atrial fibrillation, a surgical procedure has been
developed that is highly effective in restoring sinus rhythm without fur¬
ther requirement for medications. The evolution of this procedure, its
current indications, and results are outlined.
Cumulative Index 1997 749
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physical | X S., S. 517 - 758 Ill., graph. Darst. |
publishDate | 1997 |
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publisher | Saunders |
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series | Cardiology clinics |
series2 | Cardiology clinics |
spelling | Advances in supraventricular tachycardia Melvin M. Scheinman, guest ed. Philadelphia [u.a.] Saunders 1997 X S., S. 517 - 758 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Cardiology clinics 15,4 Tachycardie supraventriculaire Tachycardie gtt Tachycardia Tachycardia, Supraventricular Supraventrikuläre Tachykardie (DE-588)4263530-5 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Supraventrikuläre Tachykardie (DE-588)4263530-5 s DE-604 Scheinman, Melvin M. Sonstige oth Cardiology clinics 15,4 (DE-604)BV000008602 15,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007903797&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Advances in supraventricular tachycardia Cardiology clinics Tachycardie supraventriculaire Tachycardie gtt Tachycardia Tachycardia, Supraventricular Supraventrikuläre Tachykardie (DE-588)4263530-5 gnd |
subject_GND | (DE-588)4263530-5 (DE-588)4143413-4 |
title | Advances in supraventricular tachycardia |
title_auth | Advances in supraventricular tachycardia |
title_exact_search | Advances in supraventricular tachycardia |
title_full | Advances in supraventricular tachycardia Melvin M. Scheinman, guest ed. |
title_fullStr | Advances in supraventricular tachycardia Melvin M. Scheinman, guest ed. |
title_full_unstemmed | Advances in supraventricular tachycardia Melvin M. Scheinman, guest ed. |
title_short | Advances in supraventricular tachycardia |
title_sort | advances in supraventricular tachycardia |
topic | Tachycardie supraventriculaire Tachycardie gtt Tachycardia Tachycardia, Supraventricular Supraventrikuläre Tachykardie (DE-588)4263530-5 gnd |
topic_facet | Tachycardie supraventriculaire Tachycardie Tachycardia Tachycardia, Supraventricular Supraventrikuläre Tachykardie Aufsatzsammlung |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007903797&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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