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. Key Features: 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

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

Angela Tsiperfal, MS, RN, NP, Electrophysiology, Stanford University Medical Center, Stanford, California. Linda K. Ottoboni, RN, MS, FHRS, CCDS, Arrhythmia Nurse Coordinator, Stanford Hospital and Clinics, Stanford, California. Salwa Beheiry, RN, CCRN, Director of Electrophysiology Services, California Pacific Medical Center, San Francisco, California. Amin Al–Ahmad, MD, FACC, FHRS, Director, Cardiac Electrophysiology Laboratory and Associate Director, Arrhythmia Service, Stanford University Medical Center, Stanford, California. Andrea Natale, MD, FACC, FHRS, Executive Medical Director, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, Texas. Paul Wang, MD, FACC, FHRS, Professor of Medicine, Director of Cardiac Arrhythmia Service and Cardiac Electrophysiology Laboratory, Stanford University, Stanford, California.

"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)