Eugene Braunwald md

Brigham and Women's Hospital Partners Health Care System, and Harvard Medical School, Boston, MA

Humana Press

Totowa, New Jersey

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Cover design by Patricia F. Cleary.

Cover illustration: Shown are four surface ECG leads ( I, III, aVL, and V2) and an intracardiac recording (proximal coronary sinus) in a patient with recurrent supraventricular tachycardia due to a manifest right posteroseptal accessory pathway (Wolff-Parkinson-White Syndrome). Sinus rhythm is present. A delta wave and short PR interval are due to ventricular pre-excitation; the atrial and ventricular electrograms in the proximal coronary sinus are continuous. At the left of the figure, radiofrequency energy is applied to a catheter positioned at the site of the accessory pathway in the posteroseptal tricuspid annulus. After three beats, the delta wave disappears, the PR interval normalizes, and the atrial and ventricular electrograms separate, signifying successful ablation of the accessory pathway. Wolff-Parkinson-White Syndrome, supraventricular tachycardia, and radiofrequency catheter ablation are discussed in detail in Chapters 3 and 4.

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Library of Congress Cataloging-in-Publication Data Management of cardiac arrhythmias/edited by Leonard I. Ganz. p. ; cm. - (Contemporary cardiology) Includes bibliographical references and index. ISBN 0-89603-846-7 (alk. paper)

1. Arrhythmia-Treatment. 2. Electric countershock. I. Ganz, Leonard I. II. Contemporary cardiology (Totowa, N.J. : unnumbered) [DNLM: 1. Arrhythmia-therapy. 2. Electrophysiology. WG 330M266 2002] RC685.A65 M337 2002

616.1'2806-dc21

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