The Arrhythmic Patient in the Emergency Department

Massimo Zecchin got his degree in Medicine in 1991 and has been working in the Cardiovascular Department of Cardiology of Trieste (Italy) since 1995. Since 2002 he has been Chief of Electrophysiology at the same hospital. From 2012 to 2014 he was Secretary of the Italian Arrhythmologic Association (Associazione Italiana di Aritmologia e Cardiostimolazione). At present he is member of the "Area Aritmie" of the National Cardiology Society (Associazione Nazionale Medici Cardiologi Ospedalieri) and co-chairman of the Italian Registry of Pacemakers, Defibrillators and Loop Recorders. His clinical activities and fields of research mainly focus on clinical arrhythmology and electrophysiology and sudden death prevention; he is author of more than 150 publications and reviewer of several national and international journals. Gianfranco Sinagra, Full Professor of Cardiology at University of Trieste, is Director of the Cardiovascular Department of the University Hospital Ospedali Riuniti in Trieste, Italy, since 1999. He attended courses at the St George's Hospital of London (1989), and the Wallenberg Laboratory for Cardiovascular Research of the Sahlgrenska Hospital, Gothenburg University, Sweden (1991 and 1993). He is author of more than 400 publications as articles, chapters, and books. Beside the intense clinical activity, the research avenues he pursues are mainly focused on the study of hea rt failure, cardiomyopathies, histology and morphology of endomyocardial biopsy, and molecular cardiology. He is component of the End Point Clinical Event Committee of the ValHeFT Trial (N:Engl J Med 2001; 345:1667), coordinated by the Veterans Affairs- USA web, ANMCO and Mario Negri Pharmacological Research Institute of Milan. He is fellow of the European Society of Cardiology. He is main researcher since 2003 of the project COMIRB // 99-177 14.05.2003 "Identification of a Gene for Autosomal Dominant Dilated Cardiomyopathy on Chromosome 9", granted by the National Institute of Health-USA, in cooperation with the Health Science Centre, University of Colorado, Denver. With Springer he published "Genetic Cardiomyopathies" (2013) and "Clinical Echocardiography and Other Imaging Techniques in Cardiomyopathies" (2014).

1 Introduction.- 2 Management of arrhythmic patients in ED: general principles.- 3 Syncope: first evaluation and management in ED.- 4 Bradyarrhythmias.- 5 Narrow QRS tachyarrhythmias.- 6 Atrial flutter and fibrillation.- 7 Wide QRS tachycardias.- 8 Acute management of arrhythmias in patients with known congenital heart disease and channelopathies.- 9 Acute management of patients with arrhythmias and non-cardiac diseases.- 10 Drug abuse and intoxication.- 11 Pacemaker malfunction; is it real?.- 12 Management of the electrical storm in patients with ICD.- 13 Emergency Surgery and Cardiac Devices.