Cardiac Pacing and Electrophysiology

Part 1 Electrophysiology: Equipment for the electrophysiology laboratory - possibilities and limitations; Vasovagal syncope - clinical presentation, classification and management; Classification of antiarrhythmic drugs in relation to mechanisms of arrhythmias; Electrophysiological particularities in arrhythmogenic right ventricular dysplasia and dilated cardiomyopathies; Classification of death in patients under antiarrhythmic treatment; Heart rate variability; Methodology and physiological basis; Heart rate variability and QT interval - their relationship with the cardiac frequency; Role of dynamic QT interval in Holter tapes to stratify risk in postmyocardial infarction patients; Heart rate variability in patients with angina pectoris; Time and frequency domain analysis of heart rate variability after myocardial infarction; Signal averaged ECG; Technical principles, possibilities and limitations; Optimizing the predictive value of the signal-averaged electrocardiogram for serious arrhythmic events in the post-infarction period; Signal-averaged analysis of the P wave - possible applications in different settings; Late potentials during acute myocardial ischemia; Radiofrequency catheter ablation in the treatment of supraventiruclar tachycardias; Anatomical versus electrophysiological approaches for ablation of the slow pathway in patients with AV nodal reentraqnt tachycardia. Part 2 Pacing: Myocardium electrode interface at the cellular level; The myocardium-electrode interface at macro level; Cardiac pacing in Europe in 1992 - a new survey. Unipolar versus bipolar leads; Single lead VDD pacing - an update; Substantial improvement of screw-in electrodes; Physiological cardiac pacing an inidividual objective; Pacemaker syndrome during atrial-based pacing; Dual chamber pacemaker therapy in cardiomyopathy; DDD rate responsive pacing, state-of-the-art; Heart rate, oxygen saturation, minute ventilation and body activity; DDDR and atrial arrhythmia. Holter and pacemaker diagnostics; Clinical relevance of histograms in the follow-up of DDDR-pacemakers; Automatic measure of the interface capacitor and the total cardiac impedance; Critical analysis of the different algorithms designed to protect the paced patient against atrial tachyarrhythmias in dual chapter pacing; Mode switching in DDDR pacing. Part 3 Defibrillators: Indication for ICD implantation and selection of patient - present and future; The optimum tilt for defibrillation; Cerebrovasomotor reactivity predicts tolerance to tiered therapy with implantable cardioverter-defribillators; (Part contents.)