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Lucian Muresan - Clinical Cases in Cardiac Electrophysiology: Supraventricular Arrhythmias: Volume 1

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Lucian Muresan Clinical Cases in Cardiac Electrophysiology: Supraventricular Arrhythmias: Volume 1
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Clinical Cases in Cardiac Electrophysiology: Supraventricular Arrhythmias: Volume 1: summary, description and annotation

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This is the first of a three-volume project aimed at providing unique case reports (20 cases per volume) of a large number of supraventricular and ventricular arrhythmias encountered in clinical practice. The book is focused on the treatment of supraventricular arrhythmias, namely focal atrial tachycardias, typical and atypical AVNRT and accessory pathways (both manifest and concealed). All presented-cases were performed using the CARTO electro-anatomical mapping system, which allows the reader to better understand the arrhythmia features due to the high number of images provided.

A large number of high-quality figures, which represent the core of the authors work, enrich the contents: all cases are built around suggestive figures acquired during the patients hospitalization, which clearly illustrate important concepts used in catheter ablation of cardiac arrhythmias. The figures are not only related to the catheter ablation procedure, but also to the patient history, thus helping the reader to place the invasive treatment of the arrhythmias into clinical context: electrocardiograms, Holter ECGs, signal-averaged ECGs, chest X-Rays, transthoracic and transesophageal echocardiography images, MRI, CT scans, coronary angiography images are provided when considered relevant, in order to better present the patients condition. Short videoclips with activation maps of the atria or the ventricles during the studied arrhythmia complete the information provided.

Teaching-oriented, all chapters include questions and answers and key messages at the end of each case. For this reason, it will be an invaluable tool for cardiologists, clinical cardiac electrophysiologists, and interventional cardiac electrophysiologists in training, but also for all those interested in learning more about the subject.

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Book cover of Clinical Cases in Cardiac Electrophysiology Supraventricular - photo 1
Book cover of Clinical Cases in Cardiac Electrophysiology: Supraventricular Arrhythmias
Editor
Lucian Muresan
Clinical Cases in Cardiac Electrophysiology: Supraventricular Arrhythmias
Volume 1
The Springer logo Editor Lucian Muresan Department of Cardiology Centre - photo 2

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Editor
Lucian Muresan
Department of Cardiology, Centre Hospitalier de Mulhouse, Mulhouse, France
ISBN 978-3-031-07356-4 e-ISBN 978-3-031-07357-1
https://doi.org/10.1007/978-3-031-07357-1
The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022
This work is subject to copyright. All rights are solely and exclusively licensed 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

Preface

The field of interventional treatment of cardiac arrhythmias is continuously expanding. New diagnostic and therapeutic techniques are developed every year, improving our understanding and capabilities of offering better treatment options to our patients. In this regard, reading and learning remains a crucial step in keeping up with this rapidly evolving field.

This volume is a collection of 20 cases of supraventricular arrhythmias treated with catheter ablation, which we hope that our readers will find interesting. All these ablation procedures were guided by an electro-anatomical mapping system, some of them exclusively, some of them with the additional help of fluoroscopy. Our team strongly believes in the concept of zero-fluoroscopy procedures and, where this was possible to achieve, it was done so.

This book was created from the very beginning with a strong learning purpose. In this regard, each of the 20 cases contains a short presentation of the clinical context, relevant paraclinical examinations, and several multiple-choice questions related to the arrhythmia presented. The electrophysiological study and the catheter ablation procedure are then described, with additional questions addressed to the reader along the way. At the end, answers to the questions are provided, followed by a short commentary of the case, with comments and references to related articles from the literature. The most important aspects to be kept in mind are stressed out at the end of each presentation.

We hope that the readers will appreciate the format of the book and most importantly, that there will be something to learn for each of them, which will be able to improve their knowledge and most importantly, patients care.

We would like to address our very warm and special thanks to our dear colleagues: Dr. Jorge Aventin, Dr. Gokhan Bodur, Dr. Narcisa Bors, Dr. Alexandrina Calatan, Dr. Jean-Pierre Chemouny, Dr. Claudine Cordier, Dr. Paul Klero de Rosbo, Dr. Daniel Franck, Dr. Stphane Greciano, Dr. Francis Homatter, Dr. Jean-Ren Kieny, Dr. Patricia Magnus, Dr. Alvaro Pereira Zenklusen, Dr. John Philippe, Dr. Pedro Rodriguez, Dr. Olivier Roth, Dr. Elena Rugina, Dr. Antoine Wuillermin, Dr. Jean-Julien Stolz, Dr. Jean-Marie Reinbold, to our wonderful nurses: Catherine Paulus, Galle Meyer, Jocelyne Scheibel, Sabine Bruckert, Elodie Gaullard, Natacha Meyer, Marie Ribstein, and to our hard-working radiology technicians: Anne Maresca, Michal Wittiche, Anne Pelloux Gervais, Julie Welter, Marion Giannipatrani, Franoise Furstenberger, and Valrie Luttenauer, whose dedication and implication in the patients care made a significant difference. Without their effort, this project would have never been possible. Thank you!

Lucian Muresan
Mulhouse, France
June 2022
Abbreviations
AF

Atrial fibrillation

AP

Antero-posterior

ASD

Atrial septal defect

AT

Atrial tachycardia

AV

Atrio-ventricular

AVN

Atrio-ventricular node

AVNRT

Atrio-ventricular node reentry tachycardia

AVRT

Atrio-ventricular reentry tachycardia

BMI

Body mass index

BP

Blood pressure

BUN

Blood urea nitrogen

CABG

Coronary artery by-pass graft

CFAE

Complex fractionated atrial electrograms

COPD

Chronic obstructive pulmonary disease

cTnI

Cardiac troponin I

CX

Circumflex (coronary artery)

EDD

End diastolic diameter

EF

Ejection fraction

EP

Electrophysiology

EPS

Electrophysiological study

ESD

End systolic diameter

Hb

Hemoglobin

Hct

Hematocrit

HFpEF

Heart failure with preserved ejection fraction

HFrEF

Heart failure with reduced ejection fraction

HR

Heart rate

ICD

Implantable cardioverter defibrillator

ISV

Internal saphenous vein

IVC

Inferior vena cava

IVS

Interventricular septum

LA

Left atrium

LAD

Left anterior descending (coronary artery)

LAO

Left anterior oblique

LBBB

Left bundle branch block

LIMA

Left internal mammary artery

LIPV

Left inferior pulmonary vein

LL

Left lateral

LPSV

Left superior pulmonary vein

LV

Left ventricle

MI

Myocardial infarction

NT-pro BNP

N-terminal pro-Brain Natriuretic Peptide

ORT

Orthodromic reciprocating tachycardia

PA

Postero-anterior

PAC

Premature atrial contraction

PAF

Paroxysmal atrial fibrillation

PFO

Patent foramen ovale

PV

Pulmonary vein

PVC

Premature ventricular contraction

RA

Right atrium

RAO

Right anterior oblique

RBBB

Right bundle branch block

RCA

Right coronary artery

RIMA

Right internal mammary artery

RIPV

Right inferior pulmonary vein

RL

Right lateral

RSPV

Right superior pulmonary vein

RV

Right ventricle

SCD

Sudden cardiac death

sPAP

Systolic pulmonary artery pressure

SVC

Superior vena cava

TAPSE

Tricuspid annulus plane systolic excursion

TSH

Thyroid-stimulating hormone

VT

Ventricular tachycardia

WPW

Wolf-Parkinson-White

Contents
Frdric Halbwachs , Serban Schiau , Aubrietia Lawson , Mihaela Calcaianu and Didier Bresson
Ronan Le Bouar , Frdric Halbwachs , Charline Daval and Gabriel Cismaru
Frdric Halbwachs , Ronan Le Bouar , Jean-Yves Wiedemann , Jacques Levy and Laurent Jacquemin
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