S. Saksena – Electrophysiological Disorders of the Heart (Second edition, 2012)

Автор: S. Saksena
Название книги: Electrophysiological Disorders of the Heart (Second edition, 2012)
Формат: PDF
Жанр: Медицина
Страницы: 1420
Качество: Изначально компьютерное, E-book

The new edition of Electrophysiological Disorders of the Heart helps you diagnose and treat a full range of heart rhythm disorders using today’s latest technologies and therapies. It provides practical, hands-on coverage of hot topics such as pediatric EP, imaging, echocardiography-guided EP procedures, regenerative therapies, cardiac pacing, and more. Now available in a new full-color format

Discover new ways to treat and manage the full range of heart rhythm disorders with content focused on common clinical features, diagnosis, and management.
Review expert management strategies to help you handle complex patient problems.
Stay current with the latest molecular and technical advances as well as new treatment options implemented over the last few years.
Use the latest technologies and devices to accurately diagnose and manage heart rhythm disorders.
Consult new and expanded coverage of regenerative therapies, echo-guided procedures, cardiac pacing, and CRT, as well as a new section on pediatric electrophysiology and imaging.
Enjoy improved visual guidance with many new full-color images.

In the theatre, the second act inevitably builds on the first act. In
medicine, swift progress in medical knowledge often requires a
second edition of a textbook to revisit, and even rebuild, part of
the original foundation. In the first edition of this book, we sought
to “analyze and distill new information and meld it with classical
concepts of arrhythmology.” We have continued this effort in this
edition, but with the realization that the foundations of knowledge
in our discipline have broadened, often with completely new
and novel constructs. Our original goal of approaching the subject
matter from the viewpoint of the practicing clinician involved in
the care of the arrhythmia patient or the scientist in search of
understanding of disease states or current therapies remains unaltered,
but the addition of new sections and the expansion of
existing ones have become necessary. Since the publication of the
first edition, advances in the basic and translational sciences and
therapeutic technology have had continuing impact on clinical
practice in cardiac arrhythmias. A strong focus on evidence-based
outcomes, including understanding their methodology, is now a
cornerstone of modern clinical practice and a major theme in this
new edition. Thus, comprehensive analysis of clinical trials is presented
by experts.
Keeping pace with changes in information delivery methods
has resulted in a dynamic Expert Consult companion web site to
this text. This site will be periodically updated with important new
developments. Multimedia presentations are a new aspect of this
book to enhance content delivery. Video presentations are linked
to the online version of this text that appears on Expert Consult
and have been incorporated in technical and procedural chapters.
An exhaustive bibliography is available in this online version of
the text to allow more content in the physical book and provide
a handy reference for searches on a topic.
We have continued in our belief in moving away from specialized
segmentation of information in this field. In addition, the
section editors of this text have preferred a presentation oriented
more toward disease states and clinical syndromes. This book
remains a detailed clinical reference yet is still sufficiently detailed
to serve as a comprehensive reference in all of its sections. Four
new sections have been added to broaden the scope of the book.
These include clinical electrophysiological techniques, cardiac
pacing, and noninvasive electrophysiology as separate sections
still linked to the diagnostic and treatment sections on cardiac
arrhythmia and clinical syndromes. These sections now provide
a comprehensive review of each area. Clinical electrophysiological
techniques from basic methods to individual procedures for each
dysrhythmia are fully detailed for practicing clinical electrophysiologists
or cardiologists wanting to familiarize themselves with
laboratory techniques. The cardiac pacing section provides
treatment of pacemaker technology, engineering, physiology,
and clinical implementation of device therapy and serves as a
reference for all practitioners and researchers involved in the
delivery of pacemaker therapy. Noninvasive electrophysiology has
expanded into a stand-alone section with individual chapters
examining all methods in current clinical practice that are now widely used by cardiologists and electrophysiologists alike in the
assessment of the arrhythmia patient. A new section on pediatric
electrophysiology reflects the burgeoning knowledge base and
patient care needs in this segment of the arrhythmia patient population.
Pediatric and adult cardiologists as well as arrhythmia
specialists are now actively and directly engaged in care of these
patients. The need for continuity of arrhythmia care for pediatric
patients into their adult years and the importance of excellent
arrhythmia care in the early years are now also important public
health challenges.
The original book sections have also been seriously reengineered.
The underlying basic science in this field has been comprehensively
expanded and rearranged in two subsections, the
first focusing on concepts of normal and abnormal physiology and
the second on clinical investigation methods and therapies in
current use. This new structure provides the reader with a full
view of the enormous advances in our fundamental understanding
of normal and disease states as well as the scientific bases of
diagnostic and treatment methods. The section on cardiac
rhythms and arrhythmias, despite extensive revisions, has maintained
its distinct multi-authored chapter format that was widely
appreciated in the first edition. Clinical syndromes have been
updated, but the disease state model for the clinician involved in
longitudinal care is continued. Finally, the section on therapeutics
and interventional therapies provides state-of-the-art information
on current treatment methods and strategies, with particular
focus on evidence-based analysis and current practice guidelines.
Each subsection provides a complete treatment of the individual
therapeutic approach (drug, device, or procedural). Device
therapy from implantation to surveillance methods and the full
array of interventional mapping and ablation procedures (both in
the catheterization laboratory and operating room) with their
target population provide the clinician with a complete understanding
of all potential options for patient care. Each subsection
is designed to provide the arrhythmia specialist, cardiologist, or
interventional electrophysiologist with an understanding of the
fundamentals as well as current applications of arrhythmia
therapies.
Each of these nine sections can stand alone as a focused monograph
for different educational needs, yet each section complements
other discussions elsewhere in the book. Overlap between
sections and chapters has been limited as far as is feasible without
disruption of presentation. The use of multi-authored chapters in
Section V reflects our continuing bias that the information base
needed for such synthesis is vast, requiring experts in each area
of study to provide the core knowledge needed for that topic. This
results, in our view, in a particularly compelling and authoritative
treatment of the subject. We believe this will serve as a reference
text for students of this field in any country and is particularly
suitable for those seeking advanced certification in clinical cardiac
electrophysiology.
To achieve such an ambitious revision would have been inconceivable
without the energy, support, and commitment of a truly international team of of co-editors and authors and the editorial
team at our individual institutions and Elsevier. These individual
contributions reflect the global interest in this field, and this
unique worldwide effort has produced a truly international textbook.
We have been extraordinarily fortunate to assemble a team
of editors who have the knowledge and experience to provide a
bridge between classic concepts and the most recent developments
in the field. These distinguished educators brought their
individual ideas and editorial skills to produce the core sections
of this text. The individual authors and coauthors, now numbering
227 authors from 14 countries, provided the momentum for
this project. Their wealth of knowledge, experience, and insight
have made the content of this text unique in its spectrum and
utility to the reader. To our contributors, we can only express our
deepest gratitude and hope that the final product is, for them,
in small measure a worthwhile outcome of their efforts. In shepherding this project, we could not have arrived at our
destination without the continuous support of our staff, colleagues,
and the editorial and production staff at Elsevier. In particular,
we would like to thank and acknowledge the contributions
of Ms. Celeste Simmons, Dr. Irina Savieleva, Ms. Joan Ryan, Ms.
Natasha Andjelkovic, Ms. Carrie Stetz, and Ms. Dolores Meloni.
As senior editors, we have had the opportunity to shape this
book, and this has in turn helped us redefine and revisit our own
ideas on the educational needs and best information delivery
techniques in cardiac arrhythmology. It is our sincere hope that
this textbook will continue to fulfill the expectations of our readers
and compel and expand their interest in this great discipline.