By Benedict M. Glover
This e-book presents a close precis of all points of cardiac electrophysiology, provided in a simple to take advantage of instruction manual. for every arrhythmia the aetiology, class, scientific presentation, mechanism, and electrophysiology is decided up (including exact manage and ablation parameters) and trouble-shooting are provided and confirmed utilizing fascinating photographs, fluoroscopy photos, ECG’s and electrograms.
This e-book is aimed toward cardiac electrophysiologist’s, fellows, cardiologists, physicians, kinfolk practitioners, cardiology trainees, scholars, allied pros and nurses. Given its succinct precis of electrophysiology is an invaluable reference consultant for the electrophysiology laboratory. it really is aimed toward a global viewers and gives an incredible consultant for these learning for all middle rhythm exams.
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Sample text
The ECG features are a QRS axis greater than 100° with an rS morphology in leads I and aVL; and a qR pattern in leads II, III, and aVF. The QRS is not broad. Diagrammatic representation of both anterior and posterior fascicular bock are shown in Fig. 14. RVOT LVOT IVS LB A M P MA Fig. 13 Anatomy of the LV showing the walls of the chamber, interventricular septum (IVS), mitral annulus (MA) and left ventricular outflow tract (LVOT). M. Glover et al. 22 aVL +ve -ve aVR +ve -ve AVN AVN His His LB LB LAF LAF I +ve -ve X RB LPF LPF RB X LAFB LPFB III -ve +ve aVF -ve +ve II -ve +ve Fig.
DiFrancesco D, Tortora P. Direct activation of cardiac pacemaker channels by intracellular cyclic AMP. Nature. 1991;351:145. 9. DiFrancesco D, Tromba C. Muscarinic control of the hyperpolarization-activated current (If) in rabbit sino-atrial node myocytes. J Physiol. 1988;405:493. 10. Verheijck EE, van Ginneken AC, Wilders R, Bouman LN. Contribution of L-type Ca2+ current to electrical activity in sinoatrial nodal myocytes of rabbits. Am J Physiol. 1999;276:1064–77. 11. Olshansky B, Sullivan RM.
Following this it bifurcates into the right bundle (RB) and left bundle (LB) branches at the level of the septal TV leaflet. The RB tends to have a more anterior origin than the LB. 11. The LB branch originates below the right and non-coronary cusps and then courses along the LV septal surface. It divides into two or three 1 Cardiac Anatomy and Electrophysiology 12. 13. 14. 15. 16. 17. fascicles. The anterior fascicle which is superior runs towards the base of the anterosuperior papillary muscle, the posterior fascicle which is inferior runs towards the posteroinferior papillary muscle and in 60 % of cases a central or septal fascicle which runs to the mid septum.