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Milind G. Parikh - Cardiac Electrophysiology: Board Review and Self-Assessment

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Milind G. Parikh Cardiac Electrophysiology: Board Review and Self-Assessment
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This book offers a comprehensive review of clinical cardiac electrophysiology in a question and answer format. Chapters contain over 200 questions divided into 9 chapters, each organized by cardiac electrophysiology topic. Each question is followed by the correct answer with a detailed explanation along with references for further reading. Important concepts are highlighted and supported by over 200 illustrations and high resolution images. The book addresses a broad range of topics that are important when studying for the initial certification or recertification of the clinical cardiac electrophysiology board examination. It is also highly relevant for daily clinical practice in cardiology and cardiac electrophysiology.

Topics covered in the book include:

  • Review of basic and clinical cardiac electrophysiology principles associated with cardiac arrhythmias
  • The evaluation and management of patients with cardiac rhythm disorders
  • Review of pharmacologic and nonpharmacologic therapies for the treatment of arrhythmias
  • Clinical indications, fundamental principles and electrical characteristics of implantable cardiac electronic devices such as pacemakers and defibrillators
  • Clinical, electrocardiographic, and electrophysiologic characteristics of specific cardiac arrhythmia syndromes

Cardiac Electrophysiology Board Review is a must-have resource for cardiology and cardiac electrophysiology trainees as well as attending physicians preparing for the certification or recertification examination. It may also be a useful guide for cardiologists, cardiac electrophysiologists and all clinicians who wish to further their understanding of heart rhythm disorders.

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Book cover of Cardiac Electrophysiology Milind G Parikh Cardiac - photo 1
Book cover of Cardiac Electrophysiology
Milind G. Parikh
Cardiac Electrophysiology
Board Review and Self-Assessment
Logo of the publisher Milind G Parikh MD FACC FHRS College of Medicine - photo 2
Logo of the publisher
Milind G. Parikh MD, FACC, FHRS
College of Medicine, University of Central Florida, Orlando, FL, USA
ISBN 978-3-030-75325-2 e-ISBN 978-3-030-75326-9
https://doi.org/10.1007/978-3-030-75326-9
Springer Nature Switzerland AG 2022
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

This book is dedicated to my family, the constant source of my inspiration.

To my parents, Girish and Shobha Parikh, to whom I owe so much. Thank you for your unconditional love and support and for teaching me the importance of hard work.

To my amazing wife, Sima, for your constant love, patience and support. Thank you for always believing in me while pushing me to do better. This book would never have been completed without you.

To my beautiful children, Sahana, Sahil and Alina. You are truly the light of my life and I love you with all my heart.

To my brother, Gaurang, for all your encouragement. I hope seeing me complete this helps inspire you to accomplish all that you are truly capable of.

Preface

The idea of putting together this book arose when I was studying for the clinical cardiac electrophysiology board examination for initial certification. At that time, I had difficulty finding one comprehensive study guide that incorporated all of the material being tested on the exam. As a result, I was forced to review multiple different study guides which proved to be challenging as this was not only expensive but also time consuming. Moreover, I had a hard time finding sample board-style questions to ensure that I fully understood the concepts. My goal was to create a practical review book in a question-and-answer format combining all of the various facets of clinical cardiac electrophysiology that was relevant not only for the board examination but also for everyday clinical practice.

The book contains over 200 questions divided into 9 chapters and organized by cardiac electrophysiology topic. Many questions are formatted as a clinical case presentation, while others directly test the readers knowledge base. Each question has four to five answer choices, mimicking the board-style question format, to accurately test ones understanding of the relevant cardiac electrophysiology concepts. Of note, I have also included some that do not quite follow board-style questions as they include all of the following except formatting, but this is mainly to ensure that the reader truly has a thorough understanding of the electrophysiology principles. Answers with detailed explanations for each question along with pertinent illustrations are provided at the end of each chapter. Another unique aspect of this book is that each answer explanation is followed by relevant references for further reading.

Although this book is intended as a board preparatory guide for cardiac electrophysiologists who are studying for initial certification and recertification, the topics addressed in this book are highly relevant to daily clinical practice and may serve as an excellent reference for physicians both in cardiology and internal medicine. In summary, it is hoped that this book will fill a real need for all cardiac electrophysiologists and cardiologists (both in training and in clinical practice) as an essential review guide and provide an indispensable resource for all of us who treat patients with heart rhythm disorders.

Milind G. Parikh
Orlando, FL, USA
Contents
Springer Nature Switzerland AG 2022
M. G. Parikh Cardiac Electrophysiology https://doi.org/10.1007/978-3-030-75326-9_1
1. Fundamentals of Electrophysiology: Basic Science and Ion Channels
Milind G. Parikh
(1)
College of Medicine, University of Central Florida, Orlando, FL, USA
Multiple Response Questions (MRQs)
MRQ 1
Which cardiac ion current is least affected by sympathetic stimulation?
  1. A.

    If

  2. B.

    IKr

  3. C.

    IKs

  4. D.

    ICaL

MRQ 2
Which statement is least accurate about theautonomic nervous system ?
  1. A.

    Sympathetic stimulation increases the slope of phase 0 depolarization in the pacemaker cell action potential (AP)

  2. B.

    Sympathetic stimulation decreases the slope of phase 4 depolarization in the pacemaker cell AP

  3. C.

    Sympathetic activation occurs via cyclic adenosine monophosphate (cAMP)

  4. D.

    Sympathetic stimulation quickens repolarization during phase 3 due to increased IKs

MRQ 3
Which of the following is most accurate regarding phase 3 of the ventricular action potential?
  1. A.

    IKr is the dominant current at slower heart rates

  2. B.

    IKs is the dominant current at slower heart rates

  3. C.

    IKur is the dominant current at slower heart rates

  4. D.

    IK1 is the dominant current at slower heart rates

MRQ 4
Which of the following statements is least accurate about IKs?
  1. A.

    The amplitude of IKs increases at faster heart rates

  2. B.

    Loss of function mutation of the -subunit (minK) will result in long QT syndrome (LQTS) type 5

  3. C.

    Shortening of action potential duration with increasing heart rate is due to slow deactivation of IKs

  4. D.
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