By Shih-Ann Chen, Michel Haïssaguerre, Douglas Zipes
In 1998 Professor Haissaguerre and his colleagues made the preliminary commentary in sufferers that triggering foci in or round the pulmonary veins start up a few varieties of atrial traumatic inflammation. on the grounds that then it has develop into transparent that atrial traumatic inflammation and different atrial tachyarrhythmias should be initiated (and probably maintained) by way of triggering foci in any of the thoracic veins. this idea is now probably the most present issues in electrophysiology, and whereas it's a subject of common dialogue within the significant cardiology and electrophysiology journals, Thoracic Vein Arrhythmias: Mechanisms and Treatment is the 1st state-of-the artwork multi-authored textbook that integrates the advances made during this speedily constructing new sector of cardiac arrhythmias for the worldwide group.
Edited by way of Drs. Shih-Ann Chen, Michel Haissaguerre, and Douglas P. Zipes, who're on the vanguard of advances during this box of cardiology, and with contributions from authors representing a world array of experts of their person fields, this article is going to be a useful connection with scholars, uncomplicated scientists, and clinicians with an curiosity in any element of cardiac arrhythmia.
- First textbook to supply accomplished, severe and insightful evaluation through prime specialists within the intriguing box of thoracic vein arrhythmias.
- Contains evaluate of the present prestige of thoracic vein arrhythmias, and hypothesis on how the hot findings will impression on remedy of cardiac arrhythmias.
- The chapters define how growth is being made on numerous fronts starting from easy mechanisms to invasive remedy for thoracic vein arrhythmias.
Chapter 1 heritage of Thoracic Vein Arrhythmias: Pulmonary Veins and Venae Cavae (pages 1–10): Mithilesh ok. Das and Douglas P. Zipes
Chapter 2 The Ligament of Marshall (pages 11–20): Benjamin J. Scherlag, Eugene Patterson, William S. Yamanashi, Warren M. Jackman and Ralph Lazzara
Chapter three Coronary Sinus Electrophysiology and Arrhythmogenesis: ancient advancements (pages 21–32): Andrew L. Wit
Chapter four Anatomy of the Pulmonary Veins (pages 33–41): Anton E. Becker
Chapter five Anatomy of the Pulmonary Vein?Atrium Junction (pages 42–53): Siew Yen Ho, Jose Angel Cabrera and Damian Sanchez?Quintana
Chapter 6 Anatomy of the Vena Cava: An Electrophysiological viewpoint (pages 54–65): Samuel J. Asirvatham
Chapter 7 Anatomy of the Coronary Sinus (pages 66–76): Michel Chauvin
Chapter eight Imaging of the Cardiac and Thoracic Veins (pages 77–98): Douglas L. Packer, Samuel Asirvatham, James B. Seward, Jerome F. Breen and Richard A. Robb
Chapter nine Immunohistology of the Thoracic Veins (pages 99–110): Hung?I Yeh
Chapter 10 Ionic Currents and Mechanisms of Ectopy from the Thoracic Veins (pages 111–120): Yi?Jen Chen, Yao?Chang Chen, Cheng?I Lin and Shih?Ann Chen
Chapter eleven Stretch?Related Atrial home improvement: position within the Genesis of Atrial traumatic inflammation (pages 121–134): Prashanthan Sanders, Joseph B. Morton and Jonathan M. Kalman
Chapter 12 High?Density Mapping of Thoracic Vein Arrhythmias (pages 135–147): Tsu?Juey Wu, Shengmei Zhou and Peng?Sheng Chen
Chapter thirteen Optical Mapping of Thoracic Vein Arrhythmias (pages 148–156): Jeffrey E. Olgin
Chapter 14 results of electric Stimulation of Autonomic Ganglia on the Thoracic Veins (pages 157–166): Benjamin J. Scherlag, William S. Yamanashi, Archana Gautam, Eugene Patterson, Warren M. Jackman and Ralph Lazzara
Chapter 15 upkeep of Atrial traumatic inflammation: Thoracic Vein or Atrial Substrate? (pages 167–184): Prabal ok. Guha, Justus M. B. Anumonwo and Jose Jalife
Chapter sixteen Electrocardiographic features of Atrial traumatic inflammation Initiators from the Thoracic Veins (pages 185–195): Dipen Shah
Chapter 17 Mapping of Atrial traumatic inflammation Initiators from the Thoracic Veins (pages 196–210): Edward P. Gerstenfeld and Francis E. Marchlinski
Chapter 18 Autonomic Modulation of Thoracic Vein Atrial traumatic inflammation (pages 211–216): Ching?Tai Tai and Shih?Ann Chen
Chapter 19 medical Electrophysiology of the Pulmonary Veins (pages 217–228): Hakan Oral and Fred Morady
Chapter 20 Catheter Ablation of Pulmonary Vein Atrial traumatic inflammation: Circumferential Ablation (pages 229–247): Carlo Pappone, Giuseppe Augello and Salvatore Rosanio
Chapter 21 Catheter Ablation of Pulmonary Vein Atrial traumatic inflammation: Segmental and constrained Linear Ablation (pages 248–262): Li?Fern Hsu, Pierre Jais, Prashanthan Sanders, Meleze Hocini, Christophe Scavee, Rukshen Weerasooriya, Stephane Garrigue, Jacques Clementy and Michel Haissaguerre
Chapter 22 scientific Electrophysiology and Catheter Ablation of Atrial traumatic inflammation from some of the best Vena Cava (pages 263–275): Chin?Feng Tsai, Kwo?Chang Ueng, Chung?Sheng Lin and Shih?Ann Chen
Chapter 23 scientific Electrophysiology and Catheter Ablation of Atrial traumatic inflammation from the Ligament of Marshall (pages 276–284): Chun Hwang and Peng?Sheng Chen
Chapter 24 scientific Electrophysiology and Catheter Ablation of the Coronary Sinus sufferers with Atrial traumatic inflammation (pages 285–294): Hakan Oral and Fred Morady
Chapter 25 Pulmonary Vein Isolation for remedy of Atrial traumatic inflammation in sufferers Structural center ailment (pages 295–308): Yaariv Khaykin, Michael S. Chen, Nassir F. Marrouche, Walid Saliba, Robert Schweikert, Dianna Bash, Michelle Williams?Andrews, Eduardo Saad, David J. Burkhardt, Mandeep Bhargava, George Joseph, Antonio Rossillo, Demet Erciyes, David O. Martin and Andrea Natale
Chapter 26 position of Linear Ablation in Thoracic Vein Atrial traumatic inflammation (pages 309–323): Javier E. Sanchez and G. Neal Kay
Chapter 27 New applied sciences for Catheter Isolation of the Pulmonary Veins (pages 324–343): David Keane
Chapter 28 Surgical Ablation of Atrial traumatic inflammation: Pulmonary Vein Isolation (pages 336–343): Taijiro Sueda
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Extra info for Thoracic Vein Arrhythmias: Mechanisms and Treatment
These muscular extensions from the left atrium are discussed in Chapter 4. 7–9 Concomitant with improvements in eletrophysiological mapping, a whole gamut of transcatheter techniques, ranging from creating a focal ablation lesion to the construction of multiple lines, has been deployed. 4,13–17 Some of these are reminiscent of lines created at surgery. They also reduce the critical mass of atrial tissue, preventing the potential for macroreentry. 13,17 Placement of ablation lines at the venoatrial junction or in the adjacent atrial wall requires a better understanding of the anatomic arrangement of these areas.
Note the multilayered appearance of the sleeve, with groups of myocardial cells coursing in different directions, separated by strands of connective tissue. 2 mm. 6 Peripheral extensions of myocardial sleeves. The left-hand panel shows the gross appearance of a peripheral finger-like extension of a myocardial sleeve. The right-hand panel shows the microscopic appearance of an apparently isolated cluster of myocardial cells representing such a finger-like extension. 2 mm. 6). This could well represent the anatomic substrate for isolated tracts within pulmonary veins, occasionally identified electrophysiologically.
4C), these lines of evidence suggest specialized electrophysiological properties of the cells constituting the LAT. 6,7 To underscore the electrophysiological differences between the LAT and atrium, we compared transmembrane action potentials from atrium and LAT cells. 6B) in a superfused in vitro preparation of the posterior left atrium of the dog heart. 6C). A preliminary comparison of the cellular electrophysiology of the LAT and adjacent atrium was reported more than 30 years ago. Significant differences were found between upstroke velocities of phase 0 between LAT cells (300–450 V/s) versus atrial cells (150–250 V/s) and also a 20–30% faster conduction velocity in the LAT than atrium.