Interventional Electrophysiology

Section 1 Interventional electrophysiology: organization of the interventional laboratory; catheterization and electrogram recordings; nursing care of patients undergoing interventional electrophysiology procedures; Tilt table testing as a tool of the invasive cardiac electrophysiologist. Section 2 Radiofrequency ablation: key morphological features of the normal and abnormal, modified and unmodified conduction system; catheter ablation of right free-wall accessory pathways and Mahaim fibers; ablation of posteroseptal accessory pathways; radiofrequency catheter ablative therapy for anteroseptal and midseptal accessory atrioventricular pathways; radiofrequency catheter ablative therapy for atrioventricular nodal reentrat tachycardia; complete AV ablation for management of atrial fibrillation; an electrophysiologic approach to catheter ablation of atrial flutter and tachycardia: from mechanism to practice; radiofrequency ablation of idiopathic ventricular tachycardia and bundle branch reentrat tachycardia; radiofrequency catheter ablation of ventricular tachycardia in patients with coronary artery disease; new energy sources for ablation; future catheter designs for interventional electrophysiology. Section 3 Surgical ablation techniques: the ideal cardiac mapping system; surgical techniques in supraventricular tachycardias; surgical approach to atrial flutter and atrial fibrillation; surgical techniques for ventricular tachycardia ablation. Section 4 Implantable cardioverter defibrillators: indications and patient selection for ICD therapy; non-thoracotomy approaches to the implantation of cardioverter-defibrillators; implantation of ICD's in the electrophysiology laboratory; defibrillation threshold testing and intraoperative ICD evaluation; complications of cardioverter-defibrillator surgery, postoperative care, and patient follow-up; troubleshooting of patients with implantable cardiverter defibrillator; antitachycardia pacemakers: patient selection, appropriate programming and testing; programming of implantable cardioverter defibrillator. Section 5 Indications for permanent cardiac pacing; techniques for pacemaker implantation; complications of pacemaker implantation and troubleshooting; intravascular lead extractions: details and keys to success; follow-up techniques in antibradycardia pacing.