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Sinus Rhythm
Ecg Characteristics
P Wave
PR Interval
QRS Complex
Sinus Bradycardia
Sinus Tachycardia
SINUS ARRHYTHMIA
Chapter 2
Ectopic Beats
Comment re appreciation of Ecg morphology relevant to distinguishing SVT from VT
Prematurity
Atrial Ectopic Beats
P Wave
Atrioventricular And Intraventricular Conduction
Significance
Atrioventricular Junctional Ectopic Beats
Ecg Appearance
Ventricular Ectopic Beats
Ecg Appearance
Causes And Significance Of Ventricular Ectopic Beats
Chapter 3
Escape Beats
Timing
ORIGINS
Chapter 4
Bundle Branch Blocks
Right Bundle Branch Block
Ecg Appearance
Causes And Significance
Left Bundle Branch Block
Ecg Appearance
Causes And Significance
Left Anterior And Posterior Fascicular Blocks
Hexaxial Reference System
Left Anterior Fascicular Block
LEFT POSTERIOR FASCICULAR BLOCK
DISCUSSION RE SIGNIFICANCE OF AXIS DEVIATION IN CONNECTION WITH AV BLOCK, VENTRICULAR PACING AND CERTAIN VENTRICULAR TACHYCARDIAS
CHAPTER 5
The Supraventricular Tachycardias
Main Types
Atrial Origin Versus Atrioventricular Re-Entry
Effects Of Supraventricular Tachycardias
Chapter 6
Atrial Fibrillation
Ecg Characteristics
Atrial Activity
Atrioventricular Conduction
Intraventricular Conduction
Initiation
Causes
Prognosis
Prevalence
Classification
Lone Atrial Fibrillation
Paroxysmal Lone Atrial Fibrillation
Management Of Atrial Fibrillation
Systemic Embolism
Risk
Prevention
Rhythm Management
Rate Control
Rhythm Control including ablation
Atrial fibtillation post cardiac surgery
Chapter 7
Atrial Flutter
Ecg Characteristics
Atrial Activity
Atrioventricular Conduction
Intraventricular Conduction
Causes
Prevalence
Treatment
Cardioversion
Antiarrhythmic Drugs
Rapid Atrial Pacing
Catheter Ablation
Control of Ventricular Response
Systemic Embolism
Chapter 8
Atrial Tachycardia
Ecg Characteristics
Causes
Treatment
Chapter 9
Atrioventricular Junctional Re-Entrant Tachycardias
Mechanism
Accessory Atrioventricular Pathway
Dual Atrioventricular Nodal Pathways
Ecg Characteristics
Timing Of Atrial Activity During Tachycardia
Clinical Features
Treatment
Vagal Stimulation
Intravenous Drugs
Electrical Methods
Prevention
Drugs
Catheter Ablation
Chapter 10
Wolff–Parkinson–White Syndrome
Ecg Characteristics
Location Of Accessory Pathway
Arrhythmias
Atrial Fibrillation
Atrioventricular Junctional Re-Entrant Tachycardia
Treatment
Atrioventricular Re-Entrant Tachycardia
Atrial Fibrillation
Chapter 11
Ventricular Tachyarrhythmias
Significance, monomorphic v polymorphic
Chapter 12
Monomorphic Ventricular Tachycardia
Ecg Characteristics
Atrial Activity During Ventricular Tachycardia
Causes
Coronary Heart Disease
Dilated Cardiomyopathy
Hypertrophic Cardiomyopathy
Arrhythmogenic Right Ventricular Dysplasia
Mechanisms Of Ventricular Tachycardias
Re-Entry
Enhanced Automaticity
Initiation Of Tachycardia
Accelerated Idioventricular Rhythm
Non-Sustained Ventricular Tachycardia
Ventricular Tachycardias Not Due To Structural Heart Disease
Right Ventricular Outflow Tract Tachycardia
Fascicular Tachycardia
Investigations
Twelve-Lead Ecg
Imaging
Ambulatory Electrocardiography
Exercise Testing
Ventricular Stimulation Study
Signal-Averaged Electrocardiography
Treatment
Termination Of Tachycardia
Prevention Of Recurrence Of Ventricular Tachycardia
Assessment Of Efficacy
Chapter 13
Polymorphic Ventricular Tachycardia And Ventricular Fibrillation
Polymorphic Ventricular Tachycardia
Torsade De Pointes Tachycardia
Qt Interval
Management Of Torsade De Pointes Tachycardia
Hereditary Long Qt Syndromes
Hereditary Short Qt Syndrome
Ventricular Fibrillation
Ecg Characteristics
Causes including psychotropic drugs etc
Primary And Secondary Ventricular Fibrillation
Treatment
Brugada Syndrome
Bidirectional Ventricular Tachycardia
Catecholaminergic Polymorphic Ventricular Tachycardia
Chapter 14
Tachycardias With Broad Ventricular Complexes
Causes Of A Broad Complex Tachycardia
Useless Guidelines
Useful Guidelines
Clinical Circumstances
Independent Atrial Activity
Carotid Sinus Massage
Configuration Of Ventricular Complex
Ectopic Beats
Adenosine
Chapter 15
Atrioventricular Block
Classification
First-Degree Atrioventricular Block
Second-Degree Atrioventricular Block
Third-Degree Atrioventricular Block
Causes Of Atrioventricular Block
Atrioventricular Dissociation
Bilateral Bundle Branch Disease
Bifascicular Block
Trifascicular Block
Clinical Features Of Atrioventricular Block
Stokes–Adams Attacks (syncope may be due to torsade)
Near-Syncope
Congenital Heart Block
Acquired Heart Block
Treatment
Chapter 16
Sick Sinus Syndrome
Causes
Ecg Characteristics
Sinus Bradycardia
Sinus Arrest
Sinoatrial Block
Escape Beats And Rhythms
Atrial Ectopic Beats
Bradycardia–Tachycardia Syndrome
Atrioventricular Block
Clinical Features
Chronotropic Incompetence
Diagnosis
Treatment
Sinus Bradycardia Or Arrest
Bradycardia–Tachycardia Syndrome
Chapter 17
Neurally Mediated Syncope
Carotid Sinus Syndrome
Malignant Vasovagal Syndrome
Simple Faint
Causes of Syncope
Chapter 18
Arrhythmias Due To Myocardial Infarction
Ventricular Fibrillation
Primary And Secondary Ventricular Fibrillation
Treatment
Ventricular Flutter
Prevention Of Ventricular Fibrillation In Acute Infarction
Ventricular Tachycardia
Reperfusion Arrhythmias
Long-Term Significance Of Ventricular Arrhythmias
Assessment Of Efficacy Of Long-Term Antiarrhythmic Therapy
Accelerated Idioventricular Rhythm
Supraventricular Tachycardias
Atrial Fibrillation
Sinus And Junctional Bradycardias
Atrioventricular Block
Inferior Infarction
Anterior Infarction
Atrioventricular Dissociation
Treatments To Improve Prognosis
Chapter 19
Antiarrhythmic Drugs
Limitations
Proarrhythmic Effect
Choice Of Treatment
Modes Of Action
Clinical Classification
Action Potential Classification
Notes On Individual Drugs
Lignocaine
Mexiletine
Quinidine
Disopyramide
Procainamide
Flecainide
Propafenone
Amiodarone
Dronedarone
Dofetilide
Adenosine
Verapamil
Diltiazem
Beta-Adrenoceptor Antagonists
Sotalol
Digoxin
Grapefruit
Antiarrhythmic Drugs During Pregnancy
Chapter 20
Sudden Cardiac Death
Definition
Causes
Commotio Cordis
Exertion
Aborted Sudden Cardiac Death
Impaired Ventricular Function
Athlete screening
Chapter 21
Cardioversion
Transthoracic Cardioversion
Procedure
Anaesthesia
Delivery Of Shock
Biphasic Waveform
Implanted Pacemakers And Defibrillators
Indications
Ventricular Fibrillation
Ventricular Tachycardia
Atrial Fibrillation
Transvenous Cardioversion
Atrial Flutter
Atrioventricular Re-Entrant Tachycardia
Chapter 22
Ambulatory Ecg Monitoring
Continuous Ecg Recording
Artefacts
Clinical Applications
‘Normal’ Findings
Intermittent Ecg Recording
Event Recorders
Implantable Loop Recorder
Chapter 23
Temporary Cardiac Pacing
Indications
Myocardial Infarction
Chronic Conduction Tissue Disease
Tachycardias
Methods
Temporary Transvenous Pacing
Atrioventricular Sequential Pacing
Temporary Transcutaneous And Oesophageal Pacing
Chapter 24
Long-Term Cardiac Pacing For Bradycardias
Indications For Long-Term Cardiac Pacing
Complete Atrioventricular Block
Second-Degree Atrioventricular Block
First-Degree Atrioventricular Block
Bundle Branch And Fascicular Blocks
Sick Sinus Syndrome
Hypersensitive Carotid Sinus And Malignant Vasovagal Syndromes
Hypertrophic Obstructive Cardiomyopathy
Resynchronization Therapy
Pacing Modes
Pacing System Code
Single Chamber Pacing
Dual Chamber Pacing
‘Physiological Pacing’
Pacemaker Hardware
Pulse Generator
Pacemaker Leads
Costs
Pacemaker Implantation
Subclavian Approach
Positioning Of A Ventricular Lead
Positioning Of An Atrial Lead
Measurement Of Stimulation And Sensing Thresholds
Fashioning A Pacemaker Pocket
Complications Of Pacemaker Implantation
Complications Related To Pulse Generator
Complications Related To Pacing Lead
Pacemaker Programmability
Telemetry Data
Pacemaker Clinic
Follow-Up
Battery Depletion
Electromagnetic Interference
Electronic Article Surveillance Systems (EAS) And Metal Detectors
Magnets
Diathermy
Radiation
Magnetic Resonance Imaging
Other Precautions
Cardioversion And Defibrillation
Lithotripsy
Electroconvulsive Therapy
Transcutaneous Electrical Nerve Stimulation (Tens)
Cellular Phones
Driving
Dental scaling
CHAPTER 25
Automatic Implantable Cardiovertor Defibrillator
Defibrillator Implantation
Indications
Secondary Prevention
Primary Prevention
Further Indications For Primary Prevention
Reservations Concerning Defibrillator Implantation For Primary Prevention
Defibrillator Function
Device Counters
Electrogram Recording
Tiered Therapy
Pacing Mode
Audible Alert Alarms
Transtelephonic ICD monitoring (Carelink etc)
Deactivation Of Device
Defibrillator Clinic
Limitations
Drug Therapy In Patients With Defibrillators
Prognosis
Arrhythmia Reduction
Atrial Arrhythmias
Defibrillation Threshold
Electrical Storms
Hardware Costs
Precautions
Driving
Chapter 26
Catheter Ablation
Introduction
Procedure
Normal Sinus Rhythm
High Right Atrial Electrogram
His Bundle Electrogram
Coronary Sinus Electrograms
Wolff–Parkinson–White Syndrome
Concealed Accessory Pathways
Atrioventricular Nodal Tachycardia
Atypical Atrioventricular Re-Entrant Tachycardia
Atrial Tachycardia
Atrial Flutter
Atrial Fibrillation
Atrioventricular Nodal Ablation
Cardiac Pacing
Right Ventricular Outflow Tract Tachycardia
Fascicular Ventricular Tachycardia
Ventricular Tachycardia Due To Structural Heart Disease
Bundle Branch Re-Entry
Catheter Ablation: What Should The Patient Expect?
Chapter 27
Arrhythmias For Interpretation and Multiple Choice Questions
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