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Your must-have bench reference for cardiac electrophysiology is now better than ever! This globally recognized gold standard text provides a complete overview of clinical EP, with in-depth, expert information that helps you deliver superior clinical outcomes. In this updated 5th Edition, you'll find all-new material on devices, techniques, trials, and much more – all designed to help you strengthen your skills in this fast-changing area and stay on the cutting edge of today's most successful cardiac EP techniques. - Expert guidance from world authorities who contribute fresh perspectives on the challenging clinical area of cardiac electrophysiology. - New focus on clinical relevance throughout, with reorganized content and 15 new chapters. - New coverage of balloons, snares, venoplasty, spinal and neural stimulation, subcutaneous ICDs and leadless pacing, non-CS lead implantation, His-bundle pacing, and much more. - New sections on cardiac anatomy and physiology and imaging of the heart, a new online chapter covering radiography of devices, and thought-provoking new information on the basic science of device implantation. - State-of-the-art guidance on pacing for spinal and neural stimulation, computer simulation and modeling, biological pacemakers, perioperative and pre-procedural management of device patients, and much more. - Greatly expanded online video library demonstrating key procedures and new technologies such as sub Q ICDs, implantation of non-coronary sinus left ventricular leads, the use of snares, and venoplasty of the subclavian and coronary sinus. - More than 60 multimedia case presentations online covering a broad range of heart rhythm scenarios. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices.

Implantable defibrillators as originally conceived by Michel Mirowski were limited to the detection and automatic termination of ventricular fibrillation. In the original'AID'device, the detection algoritlun sought to distinguish sinus rhytlun from ventricular fibrillation by identifying the'more sinusoidal waveform of ventricular fibrillation.'The therapeutic intervention was elicited only once deadly polymorphic rhythms had developed. It was rapidly learned, however, that ventricular fibrillation is usually preceded by ventricular tachycardia. Mirowski recognized the pivotal importance of developing algoritllms based on heart rate. Ventricular tachycardia detection allowed the successful development of interventions for the termination of ventricular tachyarrhythmias before they degenerated into ventricular fibrillation. Current device therapy no longer confines itself to tlle termination of chaotic rhythms but seeks to prevent them. Diagnostic algorithms moved upward along the chain of events leading to catastrophic rhytlulls. Rate smoothing algorithms were developed to prevent postextrasystolic pauses from triggering ventricular and atrial tachyarrhytlmlias. Beyond the renaissance of ectopy-centered strategies, long-term prevention received increasing attention. Multisite pacing therapies provided by'Arrhythmia Management Devices'were designed to reduce the'arrhytlunia burden'and optimize the synergy of cardiac contraction and relaxation. Clinical evidence now suggests that atrial fibrillation prevention by pacing is feasible and tllat biventricular pacing may be of benefit in selected patients with heart failure. However, these applications of device therapy that generally require ventricular defibrillation backup remain investigational and were not considered in this book.

Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy, 4th Edition, by Drs. Kenneth A. Ellenbogen, Bruce L. Wilkoff, G. Neal Kay, and Chu-Pak Lau, helps you deliver superior clinical outcomes using the latest, most successful cardiac electrophysiology techniques. Expertly and practically incorporate today's technical developments in device and ablation therapies into your practice, and stay on the edge of this rapidly advancing field. Strengthen your skills in challenging new areas like ICD therapy in hereditary arrhythmias, interventional techniques for device implantation, implantable cardiovascular monitors, leadless pacing, and the biologic pacemaker. Watch experts perform these cutting-edge procedures online at www.expertconsult.com to help maximize your efficiency and solve a broader range of heart rhythm challenges than ever before.Manage more patients and handle a broader range of conditions by following the newest standards in pacing, defibrillation, and resynchronization technologies. Apply the latest procedures with guidance from world authorities who contribute fresh perspectives on the challenging clinical area of cardiac electrophysiology. Confidently treat your patients with the newest, state-of-the-art techniques for atrial and ventricular pacing modes; ICD therapy in hereditary arrhythmias; interventional techniques for device implantation; guidelines for managing device and lead advisories; implantable cardiovascular monitors; leadless pacing and ICDs; and the biologic pacemaker. Mirror the performance of the experts as they perform step-by-step procedures in intervention, implantation, and ablation therapies in the online videos. Search the complete contents online, link to PubMed, download the image gallery, review practice guidelines, and view all of the videos at www.expertconsult.com.

This 3rd edition presents cutting-edge standards of pacing and defibrillation to keep you at the forefront of this rapidly expanding field. You'll find coverage of all the new devices and management strategies you need to solve a full range of clinical problems using today's best approaches. Written by world authorities on pacing and devices for cardiac care, this new full-color 3rd edition is the more practical than ever!Addresses the management of patients with a broad range of conditions, including sinus node disease, carotid sinus hypersensitivity, tachyarrhythmias, heart failure, and more.Details cardiac pacing in pediatric patients.Illustrates vital concepts and techniques with over 745 x-rays and figures.Explains how to approach pacemaker generator changes.Reviews fundamental concepts such as how to pace the heart and how leads, power sources, programmers, and electronic circuitry work.Contains a new chapter on resynchronization trials.Includes an image bank and video clips of key procedures on DVD-ROM to help you understand and implement the latest techniques.Offers technical information on both new and old devices to help you make the correct choice for every patient.Provides new material on implantation, with key updates to all aspects of this challenging clinical area.