This text focuses on the practical, and theoretical when applicable,
aspects of clinical electrophysiology of cardiac arrhythmias in the
young. It represents a compilation of the clinical course,
electrocardiograms, electrophysiologic studies, pharmacological
management and transcatheter ablation therapy in patients from
infancy through young adulthood seen at the clinical sites of the
authors of this volume.
The book is divided into two parts. The first part, Background
(Chapters 1-3) discusses the cardiac conduction system - development,
anatomy and physiology. Particular attention is directed to the
clinical electrophysiology of the cardiac conduction system and the
techniques of electrophysiologic study that are specific to children
and that have been developed and practiced at the clinical centers
represented in this volume. The second part, Cardiac
Electrophysiology in Infants and Children focuses on the clinical
science of cardiac arrhythmias in infants and children.
Chapters 4-12 discuss the mechanisms, the ECG characteristics,
electrophysiologic findings, treatment and prognosis of
tachyarrhythmias. Chapters 13-16 focus on bradyarrhythmias. Chapters
17-20 address certain specialized subjects including syncope, cardiac
pacemakers, implantable cardiac defibrillators, genetic disorders of
the cardiac impulse, fetal arrhythmias and sudden cardiac death as it
occurs in the young. Chapters 21-22 center on the pharmacology of
antiarrhythmic agents, indications for use, doses, side effects and
toxicity, as well as on transcatheter arrhythmia ablation. Finally,
what the practitioner can expect to see from the impact of cardiac
arrhythmias on the life of the patient and family is discussed from
the nursing point of view in Chapter 23.
This volume is intended for the young house officer or mature
physician to increase their understanding, spark their interest and
lead them to a therapeutic solution when faced with a child with a
cardiac arrhythmia.
Written for:
Adult and pediatric cardiologists, cardiac electrophysiologists,
trainees in cardiology and EP