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It takes a certain hubris to come forth with a This book emerges from the clinical book entitled Clinical Cardiac Electrophys- practice and research of the pediatric cardiac iology in the Young. There are a number electrophysiology group in the Division of of excellent texts, monographs, and reviews Pediatric Cardiology at the C. S. Mott Ch- on cardiac arrhythmias in both adults and dren's Hospital, the University of Michigan children-Josephson's and also Zipes and in Ann Arbor, and the former pediatric elec- Jalife's comprehensive texts come to mind, as trophysiology fellows from Michigan, now well as a number of others, including Deal, established electrophysiologists in their own Wolff, and Gelband's, the several volumes right. It represents a compilation of the cli- from Gillette, and the recent text from Walsh, cal course, electrocardiograms, electrophysi- Saul, and Triedman, the latter three texts fo- ologic studies, pharmacological management, cusing on children. and transcatheter ablation therapy in patients Nonetheless the past three decades have from infancy through young adulthood seen in witnessed enormous advances in the under- Ann Arbor and at the current clinical sites of standing and management of human cardiac the former Michigan fellows. Thus, while the arrhythmias. This development represents the product may be idiosyncratic, it is not prov- fruits of both basic and clinical investigations cial. We are interested in "how it is done" but in cardiac impulse formation and propagation not to the exclusion of other approaches.
Table des matières
Background.- Development and Structure of the Cardiac Conduction System.- Physiology of the Cardiac Conduction System.- Clinical Electrophysiology of the Cardiac Conduction System.- Clinical Electrophysiology in Infants and Children.- Atrioventricular Reentry Tachycardia.- Atrioventricular Nodal Reentrant Tachycardia.- Persistent Junctional Reciprocating Tachycardia.- Sinoatrial Reentrant Tachycardia.- Intra-atrial Reentrant Tachycardia-Atrial Flutter.- Atrial Fibrillation.- Atrial Ectopic Tachycardias/Atrial Automatic Tachycardia.- Multifocal Atrial Tachycardia.- Ventricular Tachycardia.- Sick Sinus Syndrome.- First- and Second-Degree Atrioventricular Block.- Complete Heart Block-Third-Degree Heart Block.- Syncope.- Cardiac Pacemakers and Implantable Cardioverter-Defibrillators.- Genetic Disorders of the Cardiac Impulse.- Fetal Arrhythmia.- Sudden Cardiac Death in the Young.- Pharmacology of Antiarrhythmic Agents.- Transcatheter Ablation of Cardiac Arrhythmias in the Young.- Nursing Management of Arrhythmias in the Young.
Résumé
This volume focuses on the practical aspects of clinical electrophysiology of cardiac arrhythmias in the young as practiced by current and former faculty and fellows in the Department of Pediatric Cardiology at the University of Michigan. Cardiac arrhythmias in children are often symptomatic as well as frightening to the child patient and parent. This volume is intended as a practical guide for the novice or seasoned physician presented with a child with a cardiac arrhythmia.
Macdonald Dick II, M.D. is a Professor of Pediatrics at the University of Michigan, C.S. Mott Children's Hospital, Ann Arbor, Michigan.
