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Cardiac Arrhythmia Management: A Practical Guide for Nurses and Allied Professionals



Cardiac Arrhythmia Management: A Practical Guide for Nurses and Allied Professionals


Cardiac Arrhythmia Management: A Practical Guide for Nurses and Allied Professionals provides a much-needed resource for nurses and other professionals who work directly with patients being treated for cardiac arrhythmias. Comprehensive in scope, the book covers cardiac arrhythmia conditions and the issues surrounding implantable devices from implant surgery to remote monitoring and troubleshooting. Edited by a team of doctors and nurses, the book addresses key patient management issues in a practical way. Fundamentals for understanding the anatomy and physiology of cardiac arrhythmias and the technology behind cardiac devices are covered in preliminary chapters followed by more specific chapters devoted to cardiac conditions and treatments. Both novices and experienced health professionals will find the book useful and easy to use on a day-to-day basis.

Foreword by N.A. Mark Estes III xi

Foreword by Rosemary S. Bubien xiii

Preface xv

Contributors xvii

Section 1 Basics of Cardiac Anatomy and Electrophysiology 3

1.1. Cardiac Anatomy, Physiology, Electrophysiology, and Pharmacology 5
Linda K. Ottoboni, Aimee Lee, and Paul Zei

1.2. Diagnostic Testing for the Arrhythmia Patient 25
Angela Tsiperfal, Paul J. Wang, and Amin Al-Ahmad

Section 2 Supraventricular Tachycardia: Diagnosis and Management 39

2.1. AVNRT, AVRT, and Atrial Tachycardia: Diagnosis and Treatment 41
Traci Buescher and Samuel J. Asirvatham

2.2. Atrial Fibrillation and Flutter: Diagnosis and Treatment 85
Salwa Beheiry, Amin Al-Ahmad, and Andrea Natale

2.3. Ventricular Tachycardia Associated with Cardiomyopathies: Diagnosis and Treatment 101
Kelly J. Cook and Henry H. Hsia

2.4. Ventricular Tachycardia in Structurally Normal Hearts 127
Katie Morganti and Richard H. Hongo

Section 3 Implantable Device Management 139

3.1. Basics of Pacing and Defi brillation: Indications and Components 141
Kimberly Scheibly

3.2. Device Implantation and Perioperative Care 161
Melanie E. Marshall and Munther K. Homoud

3.3. Pacemaker Timing Cycles, Programming, and Troubleshooting 181
Christine C. Chiu-Man, Anders Nygren, and Laura De Souza

3.4. Cardiac Resynchronization Therapy 231
Melanie Turco Gura and William R. Lewis

3.5. ICD Follow-Up and Troubleshooting 265
Julie B. Shea and Laurence M. Epstein

3.6. Pacemaker and ICD Follow-Up 293
Laurie Racenet

3.7. Family Matters: Research and Clinical Management of Psychosocial Issues for ICD Patients and Their Partners 311
Samuel F. Sears, Kari Kirian, Melissa Matchett, Christie Benton, and Rajasekhar Nekkanti

3.8. Management of Device Recalls 327
Charles L. Witherell

3.9. Device Evaluation in Special Circumstances 335
Lynne D. Foreman and Deepak Bhakta

Section 4 Syncope and Sudden Cardiac Death 357

4.1. Diagnosis and Management of Syncope 359
Beverly L. Karabin and Blair P. Grubb

4.2. Sudden Cardiac Death 387
Steven C. Hao and Katie Morganti

Section 5 Care of the Pediatric Arrhythmia Patient 395

5.1. Care of the Pediatric Patient with a Device 397
Debra Hanisch

5.2. Care of the Pediatric Patient with SVT 411
Kelly Collardey and David J. Bradley

Section 6 Additional Topics in Cardiac Arrhythmia Management 429

6.1. EP Mapping System Technologies 431
Craig A. Swygman and D. Randolph Jones

6.2. Procedural Sedation in the Electrophysiology Lab 443
Salwa Beheiry

6.3. Ethical Issues in Cardiac Electrophysiology Practice: A Guide for Clinicians 453
Paul S. Mueller

Index 469

"This excellent, up-to-date reference will be very useful to clinical practitioners. It can serve as a very good adjunct to the material in medical-surgical textbooks for nursing students. It also could be very useful for arrhythmia management courses for more experienced nurses." (Doody's, 9 September 2011)
  • comprehensive coverage of cardiac arrhythmia conditions and the issues surrounding implantable devices
  • addresses key patient care issues
  • easy-to-use resource for healthcare professionals ranging from novice to highly experienced
  • replete with case studies throughout to illustrate key concepts