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Bennett's Cardiac Arrhythmias
Practical Notes on Interpretation and Treatment
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Main description:

A trusted source for junior doctors, students, nurses and cardiac technicians for over 30 years, the new edition of this classic reference continues the winning formula of previous editions while at the same time incorporating essential new content on today s most important clinical topics, including:


Atrial fibrillation: ablation, drugs, rate control versus rhythm control, risk of systemic embolism, prognosis


Indications for and management of implantable defibrillators including complications such as arrhythmia storms


Indications for pacemaker implantation


Anticoagulant therapy (for atrial fibrillation)


Long QT syndromes and other channelopathies


Recently–approved anti–arrhythmia drugs


The 8th edition also features the latest guidelines on ECG screening of athletes and clear guidance for anaesthetists and surgeons dealing with patients with arrhythmias and/or implantable devices. Rich with example ECGs and designed for ease of access to information, Bennett s Cardiac Arrhythmias is the reference you can trust to help you master arrhythmia diagnosis and provide optimal treatment of any patient under your care


Reviews of previous editions:


a well conceived practical guide to the interpretation and treatment of the main cardiac rhythm disturbances
Lancet


This book presents a concise and simplified approach to the diagnosis and management of abnormalities
in cardiac rhythm One of the book s strengths is the number and quality of electrocardiographic tracings
New England Journal of Medicine


this book provides an excellent foundation for all those involved in the care of arrhythmia patients
British Journal of Hospital Medicine


would recommend it unreservedly to anaesthetists who wish to improve their knowledge of cardiac
arrhythmias
British Journal of Anaesthesia


This book about cardiac arrhythmias is of much educational value
European Heart Journal


Back cover:

A trusted source for junior doctors, students, nurses and cardiac technicians for over 30 years, the new edition of this classic reference continues the winning formula of previous editions while at the same time incorporating essential new content on today s most important clinical topics, including:


Atrial fibrillation: ablation, drugs, rate control versus rhythm control, risk of systemic embolism, prognosis


Indications for and management of implantable defibrillators including complications such as arrhythmia storms


Indications for pacemaker implantation


Anticoagulant therapy (for atrial fibrillation)


Long QT syndromes and other channelopathies


Recently–approved anti–arrhythmia drugs


The 8th edition also features the latest guidelines on ECG screening of athletes and clear guidance for anaesthetists and surgeons dealing with patients with arrhythmias and/or implantable devices. Rich with example ECGs and designed for ease of access to information, Bennett s Cardiac Arrhythmias is the reference you can trust to help you master arrhythmia diagnosis and provide optimal treatment of any patient under your care


Reviews of previous editions:


a well conceived practical guide to the interpretation and treatment of the main cardiac rhythm disturbances
Lancet


This book presents a concise and simplified approach to the diagnosis and management of abnormalities
in cardiac rhythm One of the book s strengths is the number and quality of electrocardiographic tracings
New England Journal of Medicine


this book provides an excellent foundation for all those involved in the care of arrhythmia patients
British Journal of Hospital Medicine


would recommend it unreservedly to anaesthetists who wish to improve their knowledge of cardiac
arrhythmias
British Journal of Anaesthesia


This book about cardiac arrhythmias is of much educational value
European Heart Journal


Contents:

Preface, vii


Notes, viii


1 Sinus Rhythm, 1


ECG characteristics, 1


Sinus bradycardia, 4


Sinus tachycardia, 4


Sinus arrhythmia, 5


2 Ectopic Beats, 6


Prematurity, 6


Atrial ectopic beats, 8


Atrioventricular junctional ectopic beats, 9


Ventricular ectopic beats, 10


3 Escape Beats, 15


Timing, 15


Origins, 16


4 Bundle Branch and Fascicular Blocks, 17


Right bundle branch block, 17


Left bundle branch block, 18


Left anterior and posterior fascicular blocks, 19


5 The Supraventricular Tachycardias, 24


Main types, 24


Atrial origin versus atrioventricular re–entry, 25


Effects of supraventricular tachycardias, 26


6 Atrial Fibrillation, 29


ECG characteristics, 29


Causes, 33


Prevalence, 34


Prognosis, 34


Classification, 34


Management, 35


Systemic embolism, 35


Rhythm management, 38


7 Atrial Flutter, 44


Common atrial flutter, 44


Causes, 49


Prevalence, 49


Treatment, 49


Systemic embolism, 51


8 Atrial Tachycardia, 52


ECG characteristics, 52


Causes, 54


Treatment, 55


Multifocal atrial tachycardia, 55


9 Atrioventricular Junctional Re–entrant Tachycardias, 56


Mechanism, 56


ECG characteristics, 57


Clinical features, 62


Treatment, 63


10 Wolff Parkinson White Syndrome, 67


Pre–excitation, 67


ECG characteristics, 68


Arrhythmias, 69


Treatment, 72


11 Ventricular Tachyarrhythmias, 77


Ventricular tachycardia, 77


Ventricular fibrillation, 78


Supraventricular versus ventricular tachycardia, 78


12 Monomorphic Ventricular Tachycardia, 79


ECG characteristics, 79


Causes, 81


Mechanisms of ventricular tachycardias, 81


Investigations, 83


Treatment, 85


Coronary heart disease, 88


Hypertrophic cardiomyopathy, 88


Arrhythmogenic right ventricular


cardiomyopathy, 89


Dilated cardiomyopathy, 92


Ventricular tachycardias not due to structural heart disease, 92


Non–sustained ventricular tachycardia, 97


Accelerated idioventricular rhythm, 97


13 Polymorphic Ventricular Tachycardia and Ventricular Fibrillation, 98


Polymorphic ventricular tachycardia, 98


Torsade de pointes tachycardia, 99


Hereditary long QT syndromes, 102


Ventricular fibrillation, 106


14 Tachycardias with Broad Ventricular Complexes, 115


Causes of a broad complex tachycardia, 115


Useless guidelines, 116


Useful guidelines, 116


15 Atrioventricular Block, 123


Classification, 123


Causes of atrioventricular block, 127


Atrioventricular dissociation, 128


Bilateral bundle branch disease, 128


Clinical aspects of atrioventricular block, 130


Treatment, 131


16 Sick Sinus Syndrome, 132


Causes, 132


ECG characteristics, 133


Clinical features, 135


Diagnosis, 135


Treatment, 136


17 Neurally Mediated Syncope, 137


Malignant vasovagal syndrome, 137


Carotid sinus syndrome, 141


Postural orthostatic tachycardia syndrome, 141


Causes of syncope, 142


18 Arrhythmias due to Myocardial Infarction, 143


Ventricular fibrillation, 144


Ventricular tachycardia, 146


Reperfusion arrhythmias, 146


Arrhythmias subsequent to recent myocardial infarction, 146


Long–term significance of ventricular arrhythmias, 147


Accelerated idioventricular rhythm, 147


Supraventricular tachycardias, 148


Sinus and junctional bradycardias, 148


Atrioventricular block, 149


19 Antiarrhythmic Drugs, 152


Limitations, 152


Choice of treatment, 153


Modes of action, 153


Notes on individual drugs, 154


Antiarrhythmic drugs during pregnancy, 166


20 Sudden Cardiac Death, 167


Definition, 167


Causes of arrhythmic sudden death, 168


Aborted sudden cardiac death, 169


Athletic activities, 169


21 Cardioversion, 171


Transthoracic cardioversion, 171


Transvenous cardioversion, 174


22 Ambulatory ECG Monitoring, 176


Continuous ECG recording, 176


Intermittent ECG recording, 183


23 Cardiac Pacing, 187


Long–term cardiac pacing, 187


Common indications for long–term pacing, 187


Pacing modes, 190


Pacemaker hardware, 200


Pacemaker implantation, 202


Pacemaker clinic, 215


Electromagnetic interference, 215


Other precautions, 217


Temporary cardiac pacing, 218


24 Implantable Cardioverter Defibrillators, 221


Defibrillator implantation, 223


Indications for ICD implanation, 224


Defibrillator function, 226


Precautions, 233


25 Catheter Ablation, 234


Procedure, 234


Wolff Parkinson White syndrome, 237


Typical atrioventricular nodal re–entrant tachycardia, 241


Atrial tachycardia, 243


Atrial flutter, 244


Atrial fibrillation, 244


Atrioventricular nodal ablation, 245


Right ventricular outflow tract tachycardia, 247


Fascicular ventricular tachycardia, 248


Ventricular tachycardia due to structural heart disease, 249


Catheter ablation: what should the patient expect? 250


26 Arrhythmias for Interpretation, 252


Questions, 252


Interpretations and answers, 307


Index, 317


PRODUCT DETAILS

ISBN-13: 9781118432402
Publisher: John Wiley & Sons Ltd (Wiley–Blackwell)
Publication date: December, 2012
Pages: 336

Subcategories: Cardiovascular Medicine, Diseases and Disorders

MEET THE AUTHOR

David H. Bennett, Senior Consultant Cardiologist, Regional Cardiac Centre, University Hospital of South Manchester & Honorary Clinical Lecturer in Cardiology, University of Manchester