Bennett's Cardiac Arrhythmias

David H. Bennett, Senior Consultant Cardiologist, Regional Cardiac Centre, University Hospital of South Manchester & Honorary Clinical Lecturer in Cardiology, University of Manchester

• Preface, viiNotes, viii1 Sinus Rhythm, 1ECG characteristics, 1Sinus bradycardia, 4Sinus tachycardia, 4Sinus arrhythmia, 52 Ectopic Beats, 6Prematurity, 6Atrial ectopic beats, 8Atrioventricular junctional ectopic beats, 9Ventricular ectopic beats, 103 Escape Beats, 15Timing, 15Origins, 164 Bundle Branch and Fascicular Blocks, 17Right bundle branch block, 17Left bundle branch block, 18Left anterior and posterior fascicular blocks, 195 The Supraventricular Tachycardias, 24Main types, 24Atrial origin versus atrioventricular re-entry, 25Effects of supraventricular tachycardias, 266 Atrial Fibrillation, 29ECG characteristics, 29Causes, 33Prevalence, 34Prognosis, 34Classification, 34Management, 35Systemic embolism, 35Rhythm management, 387 Atrial Flutter, 44Common atrial flutter, 44Causes, 49Prevalence, 49Treatment, 49Systemic embolism, 518 Atrial Tachycardia, 52ECG characteristics, 52Causes, 54Treatment, 55Multifocal atrial tachycardia, 559 Atrioventricular Junctional Re-entrant Tachycardias, 56Mechanism, 56ECG characteristics, 57Clinical features, 62Treatment, 6310 Wolff–Parkinson–White Syndrome, 67Pre-excitation, 67ECG characteristics, 68Arrhythmias, 69Treatment, 7211 Ventricular Tachyarrhythmias, 77Ventricular tachycardia, 77Ventricular fibrillation, 78Supraventricular versus ventricular tachycardia, 7812 Monomorphic Ventricular Tachycardia, 79ECG characteristics, 79Causes, 81Mechanisms of ventricular tachycardias, 81Investigations, 83Treatment, 85Coronary heart disease, 88Hypertrophic cardiomyopathy, 88Arrhythmogenic right ventricularcardiomyopathy, 89Dilated cardiomyopathy, 92Ventricular tachycardias not due to structural heart disease, 92Non-sustained ventricular tachycardia, 97Accelerated idioventricular rhythm, 9713 Polymorphic Ventricular Tachycardia and Ventricular Fibrillation, 98Polymorphic ventricular tachycardia, 98Torsade de pointes tachycardia, 99Hereditary long QT syndromes, 102Ventricular fibrillation, 10614 Tachycardias with Broad Ventricular Complexes, 115Causes of a broad complex tachycardia, 115Useless guidelines, 116Useful guidelines, 11615 Atrioventricular Block, 123Classification, 123Causes of atrioventricular block, 127Atrioventricular dissociation, 128Bilateral bundle branch disease, 128Clinical aspects of atrioventricular block, 130Treatment, 13116 Sick Sinus Syndrome, 132Causes, 132ECG characteristics, 133Clinical features, 135Diagnosis, 135Treatment, 13617 Neurally Mediated Syncope, 137Malignant vasovagal syndrome, 137Carotid sinus syndrome, 141Postural orthostatic tachycardia syndrome, 141Causes of syncope, 14218 Arrhythmias due to Myocardial Infarction, 143Ventricular fibrillation, 144Ventricular tachycardia, 146Reperfusion arrhythmias, 146Arrhythmias subsequent to recent myocardial infarction, 146Long-term significance of ventricular arrhythmias, 147Accelerated idioventricular rhythm, 147Supraventricular tachycardias, 148Sinus and junctional bradycardias, 148Atrioventricular block, 14919 Antiarrhythmic Drugs, 152Limitations, 152Choice of treatment, 153Modes of action, 153Notes on individual drugs, 154Antiarrhythmic drugs during pregnancy, 16620 Sudden Cardiac Death, 167Definition, 167Causes of arrhythmic sudden death, 168Aborted sudden cardiac death, 169Athletic activities, 16921 Cardioversion, 171Transthoracic cardioversion, 171Transvenous cardioversion, 17422 Ambulatory ECG Monitoring, 176Continuous ECG recording, 176Intermittent ECG recording, 18323 Cardiac Pacing, 187Long-term cardiac pacing, 187Common indications for long-term pacing, 187Pacing modes, 190Pacemaker hardware, 200Pacemaker implantation, 202Pacemaker clinic, 215Electromagnetic interference, 215Other precautions, 217Temporary cardiac pacing, 21824 Implantable Cardioverter Defibrillators, 221Defibrillator implantation, 223Indications for ICD implanation, 224Defibrillator function, 226Precautions, 23325 Catheter Ablation, 234Procedure, 234Wolff–Parkinson–White syndrome, 237Typical atrioventricular nodal re-entrant tachycardia, 241Atrial tachycardia, 243Atrial flutter, 244Atrial fibrillation, 244Atrioventricular nodal ablation, 245Right ventricular outflow tract tachycardia, 247Fascicular ventricular tachycardia, 248Ventricular tachycardia due to structural heart disease, 249Catheter ablation: what should the patient expect? 25026 Arrhythmias for Interpretation, 252Questions, 252Interpretations and answers, 307Index, 317

“Rich with example ECGs and designed for ease of access to information, Bennett′s Cardiac Arrhythmias is the reference you can trust to help you master arrhythmia diagnosis and provide optimal treatment of any patient under your care.”  (Kingbook73's Medical Ebook and Video Collection, 7 October 2014)"Bennett’s cardiac arrhythmias offers a comprehensive overview of the mechanisms and management of the most commonly encountered types of arrhythmia in clinical practice. A large variety of good quality examples are provided appended with concise explanatory notes......not only does the author outline and exemplify mechanisms and types of arrhythmia, but he also provides an introduction to electrophysiological principles and catheter ablation for arrhythmias.The basic principles of device functioning and programming are beautifully and clearly outlined in their respective chapters …. Chapters focusing on anti-arrhythmic agents, with details on mechanisms, indications, and recently introduced anti-arrhythmic drugs, including those allowed to be used in pregnancy, as well as arrhythmic problems encountered in athletes, add more to the comprehensive nature of this book.This all makes this book a reference for a large variety of health care professionals and a good foundation for those needing a broad and thorough approach to the diagnosis and the most appropriate management of cardiac arrhythmias.” (British Journal of Cardiology, 1 March 2014)“…contains detailed ECG tracings of almost every variation of arrhythmias, and combines with detailed descriptions and clear explanations.  It then goes further, with in-depth explanations of aspects such as antiarrhythmic drugs, cardiac pacing, implantable defibrillators, and catheter ablation. Every step of the way, this book concentrates on the practical aspects of arrhythmias by giving advice on identification and treatment, as well as “what not to do.” This book will be of use to all grades from trainee up to consultant.All in all, I found this book a pleasure to read.  It is very practical, it is very clear, and best of all, it is extremely well illustrated.”  (British Journal of Anaesthesia, 1 March 2014) “This is an excellent book for clinicians at various levels of comfort with electrocardiograms and telemetry, given that it starts with basic overviews of broad categories followed by detailed descriptions of individual arrhythmiasence.”  (Doody’s, 16 September 2013)