The paradigm for atrial fibrillation (AF) management has changed significantly in recent years. A new era has begun for the prevention of one of the most tremendous complication of AF, stroke. Prevention of ischemic stroke in AF patients with oral anticoagulants represents a huge challenge because of the narrow therapeutic change of these drugs, interindividual and intraindividual variability, and the unsatisfactory time in therapeutically range (TTR) with this type of medication.
This book provides a comprehensive overview of state-of-the-art left atrial appendage (LAA) closure, covering epidemiology of atrial fibrillation and stroke, LAA anatomy, surgical approaches, imaging for LAA closure, LAA closure procedure, and post-procedural management. LAA closure is a rapidly emerging field in stroke prevention for patients with atrial fibrillation. Several percutaneous and surgical devices are now available in many countries, including WATCHMAN, Amplatzer Cardiac Plug and A…
Atrial fibrillation is when the chambers of the heart (the atria) fibrillate (quiver). This can cause a rapid, irregular heart rhythm. This pamphlet reviews the causes and treatment of this heart problem. Catheter ablation is a non-surgical procedure that may be used when medication is not controlling your heart rhythm or symptoms. This pamphlet reviews how catheter ablation is done, risks, what to expect after your procedure, activities to avoid, and signs and symptoms to watch for.
This book provides a road map for the efficient and successful management of atrial fibrillation (AF) in the short stay unit. It describes the problem, defines the measures of successful treatment, elucidates interventions, and supplies the tools for achieving quality care. Organized in four parts, it covers the impact of AF on patient populations; the presentation and management of AF; the transition to the outpatient environment; and systems management. Topics include the economic consequence…
Digoxin is a medication used to treat heart failure and certain types of irregular heartbeats (arrhythmias). Toloxin® is the brand name of digoxin. This pamphlet explains how to take digoxin, drugs and foods to avoid, warnings, possible side effects, and symptoms that you should mention to your doctor, nurse practitioner, or pharmacist.
During a PFO/ASD closure, a puncture (small hole) is made in your groin so that the doctor can put a special catheter (tube) into your vein. A special closure device is put through the catheter and carefully moved to the right spot in your heart. The doctor watches this process on monitors. It then opens up and covers both sides of the hole in your heart. What to bring to the hospital, what to expect before, during and after the procedure are reviewed. Details are given about how to care for y…
This book considers paradigmatic clinical cases in order to cast light on key issues relating to elective or emergency stent implantation and the use of oral anticoagulation (OAC) in patients with atrial fibrillation. The topics addressed include the optimal periprocedural antithrombotic treatment (uninterrupted vs interrupted OAC, intraprocedural use of heparin and glycoprotein IIb/IIIa inhibitors, etc.), the most appropriate type of stent (bare metal vs drug eluting vs "bioactive"), the optim…
This concise practical guide is designed to facilitate the clinical decision-making process in the management of LAA occlusion procedures by reviewing a number of cases and defining the various diagnostic and management decisions open to clinicians. Clinical Cases in LAA Occlusion is well illustrated but concise, enabling the reader to obtain relevant information regarding both standard and unusual cases in a rapid, easy to digest format. Each case includes a narrative description and patient m…
This pamphlet explains some of the procedures that are carried out at the Cardiac Day Unit such as: cardiac catheterization, angioplasty (balloon), catheter ablation and ASD/PFO closure. These procedures are all defined. It provides directions to the Cardiac Day Unit and how to arrange an overnight stay at Point Pleasant Lodge. Other topics covered are: what to bring/what not to bring to the Cardiac Day Unit, when you can drive again, returning to work, services offered, and parking at the QEII…
Le présent livret explique certaines des interventions faites à l’Unité de soins cardiaques de jour comme le cathétérisme cardiaque, l’angioplastie (ballonnet), l’ablation par cathéter et la fermeture d’une communication interauriculaire (CIA) ou du foramen ovale perméable (FOP). Toutes ces interventions sont décrites. Le livret explique comment se rendre à l’Unité de soins cardiaques de jour et les dispositions à prendre pour passer une nuitée à l’hôtel Point Pleasant Lodge. Les autres sujets …
This book provides cutting-edge theories and techniques for catheter ablation of all kinds of tachyarrhythmias. Catheter ablation has been a main therapeutic method for tachyarrhythmias for more than thirty years now, and countless operations have been successfully performed. It is crucial for electrophysiologists to diagnose arrhythmia mechanisms correctly and to optimize ablation methods, especially in Japan, one of the world's fastest-aging countries and where many of this book's authors are…
This book provides up-to-date, user-friendly and comprehensive guidance on the evaluation, diagnosis, and medical and surgical treatment of cardiac arrhythmias. This ensures that that this title aids every trainee and practicising cardiologist, cardiac electrophysiologist, cardiac surgeon, vascular surgeon, diabetologist, cardiac radiologist and any physician who manages cardiac patients. Cardiovascular Medicine: Cardiac Arrhythmias, Pacing and Sudden Death covers every aspect of cardiac arrhyt…
This book focuses on the practical aspects of clinical electrophysiology of cardiac arrhythmias in the young. It represents a compilation of the clinical course, electrophysiologic studies, pharmacological management, and transcatheter ablation therapy in patients from infancy through young adulthood. Topics include the mechanism, ECG characteristics, electrophysiologic findings, treatment, and prognosis of tachyarrhythmias and bradyarrhythmias; specialized subjects including syncope, cardiac p…
The past 50 years have witnessed the growth and evolution of clinical electrophysiology from a field whose goals were simply to understand of the mechanisms of arrhythmia to one of significant therapeutic impact. The development and refinement of implantable devices and catheter ablation have made non-pharmacological therapy a treatment of choice for most arrhythmias encountered in clinical practice. Cardiac Arrhythmias: From Basic Mechanism To State-of-the-Art Management provides an electrophy…