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Handbook of Cardiac Electrophysiology
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Table of Contents

Section I Introduction 1. Basic Arrhythmia Physiology and Mechanisms, Mohammed Kanj & Walid Saliba Section II Basic EP lab set up and Equipment 2. Device Lab Setup, Michael McWilliams, Robert Schweikert and Mina Chung 3. Organization of the arrhythmia lab, Shane Bailey, Robert Schweikert and Mina Chung 4. Holter and Event monitoring Lab Setup, Subramanya Prasad, Robert Schweikert and Mina Chung Section III Bradyarrhythmia 5. Bradycardia: Pathophysiology, Shane Bailey, David Burkhardt, and Mandeep Bhargava 6. Indications for permanent pacing and cardiac resynchronization therapy, Kenneth Civello, Mandeep Bhargava, and David Burkhardt Section IV Supraventricular Tachyarrhythmia 7. Introduction, Umamahesh Rangasetty, Sergio Thal, Walid Saliba, and Robert Schweikert 8. Atrial Flutter, Dimpi Patel, Lucia Popova, Tamer Fahmy, Dhanunjaya Lakkireddy, Robert Schweikert, and Walid Saliba 9. Atrial Fibrillation, Oussama Wazni, Bai Rong, Dimpi Patel, Luigi di Biase, Robert Schweikert, and Walid Saliba Section V Ventricular Tachyarrhythmia 10. Normal Heart Ventricular Tachycardia: Genetically determined ventricular arrhythmmias, Atul Khanis, Jennifer Cummings, and Patrick Tchou 11. Normal Heart Ventricular Tachycardia: Idiopathic RVOT and LVOT, Atul Khanis, Patrick Tchou, and Jennifer Cummings Section VI Syncope 12. Syncope Events, definitions, causes and features, Prasad Subramanya, Oussama Wazni, Mina Chung, and Robert Schweikert 13. Syncope Management Facilities, Prasad Subramanya, Robert Schweikert, Mina Chung, and Oussama Wazni 14. Syncope Management and Diagnostic Testing, Prasad Subramanya, Oussama Wazni, Robert Schweikert, and Mina Chung Section VII Device Procedures 15. Implantation of permanent pacemakers and ICDS/ Indications for ICD implantation, Mohammed Khan, Jennifer Cummings, and Bruce Wilkoff 16. Implantation of Cardiac Resynchronization Therapy, Kenneth Civello, Mohammed Khan, Bruce Wilkoff, and Jennifer Cummings 17. Extraction of Devices, Sergio Thal, Dhanunjaya Lakkireddy, Jennifer Cummings, and Bruce Wilkoff Section VIII Performing Basic EP Studies 18. Venous and Arterial Access, EP Catheters, Positioning of Catheters, Chi Keong Ching, David Burkhardt, Thomas Dresing, and Andrea Natale 19. Basic intervals and intracardiac ECGs, Claude Elayi, David Burkhardt, and Thomas Dresing 20. Basic EP study Protocols, Claude Elayi, Thomas Dresing, and David Burkhardt 21. Tilt Table testing protocols and Endpoints, Prasad Subramanya, David Burkhardt, and Claude Elayi Section IX Catheter Ablation Techniques 22. Ablation of SVT (ANRT and AVRT), Chi Keong Ching, Andrea Natale, Mauricio Arruda, and Patrick Tchou 23. Management and Ablation of Atrial Flutter, Dhanunjaya Lakkireddy, Dimpi Patel, Tamer Fahmy, Patrick Tchou, Mauricio Arruda, and Andrea Natale 24. Ablation of Atrial Fibrillation, Oussama Wazni, Mohamed Kanj, Patrick Tchou, Mauricio Arruda, and Andrea Natale 25. Ablation of Normal Heart Ventricular Tachycardia, Mohamed Kanj, Maurcio Arruda, Andrea Natale and Patrick Tchou 26. Catheter Ablation of Ventricular Fibrillation and Polymorphic Ventricular Tachycardia, Timothy Mahoney, Maurcio Arruda, Andrea Natale, Patrick Tchou, and Robert Schweikert 27. Mapping and Catheter Ablation of Post Myocardial Infarction Ventricular Tachycardia-A substrate based approach, Mauricio Arruda, Marketa Kozelohova, Tamer Fahmy, Dimpi Patel, and Luigi Di Biase 28. Ablation of VT Secondary to Right Ventricular Dysplasia, Tamer Fahmy, Oussama Wazni, Patrick Tchou, Mauricio Arruda and Andrea Natale 29. Idiopathic Dilated Cardiomyopathy, Tamer Fahmy, Oussama Wazni, Patrick Tchou, Mauricio Arruda and Andrea Natale

About the Author

Dr. Andrea Natale is the Medical Director for the Center for Atrial Fibrillation, Director of the Electrophysiology Laboratories, and Section Head of Pacing and Electrophysiology in the Cleveland Clinic Department of Cardiovascular Medicine. As a cardiologist, he is certified by the American Board of Internal Medicine in internal medicine, cardiology and clinical cardiac electrophysiology, and by the Italian Board of Medicine and the Italian Board of Cardiology. Dr. Natale specializes in the treatment of abnormal heart rhythms. He has pioneered some of the present catheter based cures for atrial fibrillation. He was also the first electrophysiologist in the nation to perform percutaneous epicardial radiofrequency ablation, which is a treatment for patients who fail conventional ablations. In 2004, Dr. Natale was named among the "Best Doctors in America." Dr. Natale was born in Siracusa, Italy. He graduated summa cum laude from the Medical School of the University of Firenze, Italy in 1985 and summa cum laude from the Catholic University School of Cardiology in Rome, Italy. Dr. Natale received his clinical training in cardiology at Methodist Hospital, Baylor College in Houston, Texas and at the University of Western Ontario, London, Ontario, Canada. After completing a clinical fellowship in cardiology (electrophysiology) at the University of Western Ontario in 1991, he further trained in cardiology (electrophysiology) at the University of Wisconsin, Sinai Samaritan Medical Center in Milwaukee. He was appointed to the Cleveland Clinic in 1999. Dr. Natale has held several academic appointments including Head of the Cardiovascular Physiopathology Section, Italian Air Force, Aerospace Research Centre, Department of Medicine, Rome, Italy; Assistant Professor of Medicine, Director of Electrophysiology Laboratory, Duke University, Durham, N.C.; and Associate Professor of Medicine, Director of Electrophysiology Program, University of Kentucky, Lexington. He currently serves as a Professor of Medicine, Ohio State University and the Program Director of the Electrophysiology Fellowship Program in the Department of Cardiology at The Cleveland Clinic Foundation, in addition to his other medical appointments. Dr. Natale's major research interests have focused on clinical studies of mechanisms for defibrillation, ablation treatment of supraventricular arrhythmias, clinical cardiac electrophysiology and TxAs metabolites production in patients with unstable angina and post-myocardial infarction. His research has been funded by the American Heart Association and the American Society of Echocardiography, among others. Dr. Natale has been an invited lecturer at more than 100 symposiums and conferences worldwide. He is the author or co-author of hundreds of published studies on pacing and electrophysiology. Dr. Natale serves as a reviewer on several editorial boards including PACE Official Journal of the North American Society of Pacing and Electrophysiology, the Journal of American College of Cardiology, American Journal of Cardiology, Journal of Cardiovascular Electrophysiology, American Heart Journal, Circulation and Journal of Electrocardiology. Dr. Natale has served as a grader for abstracts presented at professional association meetings of the American Heart Association, American College of Cardiology and at the North American Society of Pacing and Electrophysiology. He is a member of the North American Society of Pacing and Electrophysiology, the Ontario College of Physicians and Surgeons, the Italian Society of Cardiology, and the Italian College of Physicians. In his leisure time, Dr. Natale enjoys skiing and sailing.

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