Complex World of Ventricular Pre-Excitation: towards Precision Electrocardiology, An Issue of Cardiac Electrophysiology Clinics

This issue of Cardiac Electrophysiology Clinics is dedicated to the Complex World of Cardiac Pre-Excitation, covering anatomy, algorithms, pathophysiology, arrhythmias, sudden cardiac death, and ablation techniques.

Format: Hardback
Length: 240 pages
Publication date: 18 November 2020
Publisher: Elsevier - Health Sciences Division

The Complex World of Cardiac Pre-Excitation: Toward Precision Electrocardiology

This issue of Cardiac Electrophysiology Clinics, Guest Edited by Drs. Giuseppe Bagliani, Roberto De Ponti, and Fabio Leonelli, is dedicated to exploring the intricate realm of cardiac pre-excitation. Selected annually by the series Consulting Editors, Ranjan K. Thakur and Andrea Natale, this publication represents one of four issues that delve into the forefront of cardiology.

The topics covered in this edition are broad and encompass various aspects of the AV junction, pre-excitation, algorithms for identifying accessory pathways on 12-lead ECGs, pathophysiology of accessory pathways-mediated arrhythmias, arrhythmias with by-stander accessory pathways, arrhythmias involving unusual accessory pathways, sudden cardiac death in patients with ventricular pre-excitation, clinical approach to symptomatic and asymptomatic patients with ventricular pre-excitation, methodology of accessory pathway ablation, ablation of accessory pathways with unusual anatomic locations, ablation of accessory pathways with uncommon electrophysiologic properties, and ablation in pediatric patients and in association with congenital heart disease.

Understanding the anatomy of the AV junction is crucial in comprehending the mechanisms behind cardiac pre-excitation. This issue delves into the intricacies of the AV junction, including its structure, function, and potential complications. It discusses the various types of accessory pathways, their characteristics, and the role they play in the development of arrhythmias.

Pre-excitation is a condition characterized by an abnormal electrical conduction pathway that precedes the normal conduction of the heart's ventricles. This issue explores the pathophysiology of accessory pathways, including their origin, activation mechanisms, and the impact they have on cardiac function. It discusses the diagnostic techniques used to identify accessory pathways and the clinical implications of their presence.

Arrhythmias with by-stander accessory pathways are a subset of arrhythmias that occur due to the presence of an accessory pathway that connects the atria to the ventricles. This issue discusses the clinical presentation, diagnosis, and management of arrhythmias with by-stander accessory pathways. It highlights the importance of timely intervention and the various ablation techniques available for their treatment.

Arrhythmias involving unusual accessory pathways are a rare but significant cause of arrhythmias. This issue explores the characteristics and mechanisms of these pathways, including their anatomic location, electrophysiologic properties, and treatment options. It discusses the challenges associated with their ablation and the potential benefits of successful ablation in preventing arrhythmias and improving patient outcomes.

Sudden cardiac death in patients with ventricular pre-excitation is a major concern in cardiology. This issue discusses the clinical presentation, diagnostic evaluation, and management of sudden cardiac death in patients with ventricular pre-excitation. It highlights the importance of early detection, appropriate treatment, and the role of preventive measures in reducing the risk of sudden cardiac death.

The clinical approach to symptomatic and asymptomatic patients with ventricular pre-excitation is a critical aspect of managing this condition. This issue discusses the diagnostic evaluation, risk stratification, and treatment options for patients with ventricular pre-excitation. It emphasizes the importance of individualized care and the need for close monitoring and follow-up.

Methodology of accessory pathway ablation is a crucial technique in the treatment of arrhythmias with accessory pathways. This issue discusses the various ablation techniques available, including radiofrequency ablation, cryoablation, and surgical ablation. It highlights the advantages and disadvantages of each technique and the importance of selecting the most appropriate approach for each patient.

Ablation of accessory pathways with unusual anatomic location is a challenge that requires specialized expertise and equipment. This issue discusses the techniques and strategies used to ablate accessory pathways with unusual anatomic locations, including the use of 3D mapping, intracardiac echocardiography, and magnetic resonance imaging. It highlights the importance of meticulous planning and the potential benefits of successful ablation in improving patient outcomes.

Ablation of accessory pathways with uncommon electrophysiologic properties is a complex and challenging task that requires careful consideration and expertise. This issue discusses the techniques and strategies used to ablate accessory pathways with uncommon electrophysiologic properties, including the use of programmed electrical stimulation, electrogram-based mapping, and high-resolution imaging. It highlights the importance of teamwork and collaboration among cardiologists, electrophysiologists, and surgeons to achieve successful ablation.

Ablation in pediatric patients and in association with congenital heart disease is a specialized area of cardiology that requires expertise and experience. This issue discusses the clinical presentation, diagnostic evaluation, and treatment options for pediatric patients with ventricular pre-excitation and congenital heart disease. It highlights the importance of early intervention and the need for multidisciplinary care to ensure optimal outcomes for these patients.

In conclusion, this issue of Cardiac Electrophysiology Clinics, Guest Edited by Drs. Giuseppe Bagliani, Roberto De Ponti, and Fabio Leonelli, provides a comprehensive and in-depth exploration of the complex world of cardiac pre-excitation. It offers a wealth of information and insights into the anatomy, pathophysiology, diagnosis, and treatment of accessory pathways-mediated arrhythmias. By presenting a diverse range of topics, this publication aims to advance the field of cardiology and improve patient care.

Weight: 618g
Dimension: 185 x 264 x 19 (mm)
ISBN-13: 9780323760584