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Additional Description
Editors
Edward P Walsh, M.D.
Chief
Electrophysiology Division
Department of Cardiology
Children's Hospital
Associate Professor
Department of Pediatrics
Harvard Medical School
Boston, Massachusetts
J. Philip Saul, M.D.
Chief
Department of Pediatric Cardiology
Professor
Department of Pediatrics
Medical University of South Carolina
Charleston, South Carolina
John K. Triedman, M.D.
Associate
Department of Cardiology
Children's Hospital
Assistant Professor
Department of Pediatrics
Harvard Medical School
Boston, Massachusetts
Contents
Contributing Authors ix
Preface xi
Part I: Basic Principles
Introductory Concepts
1 Development and Anatomy of the Cardiac
Conducting System 3
Mary P. Mullen, Richard Van Praagh, and Edward P.
Walsh
2 Genetic Basis of Disturbances of Cardiac Rhythm
and Conduction 23
D. Woodrow Benson
3 Transesophageal Atrial Recording and Pacing 33
J. Philip Saul
4 Intracardiac Electrophysiologic Testing in Pediatric
Patients 57
Robert H. Pass and Edward P. Walsh
5 Clinical Approach to Diagnosis and Acute
Management of Tachycardias in Children 95
Edward P. Walsh
Specific Tachycardias
6 Automatic Atrial and Junctional Tachycardias 115
Edward P. Walsh
7 Atrial Reentrant Tachycardias 137
John K. Triedman
8 Atrioventricular Node Reentry Tachycardia 161
Frank J . Zimmerman
9 Accessory-Pathway-Mediated Tachycardias 173
Andrew D. Blaufox and J. Philip Saul
10 Ventricular Arrhythmias in Children and Young
Adults 201
Mark E. Alexander
11 Long QT Syndrome 235
Jeffrey A. Towbin and Richard A. Friedman
Bradyeardias
12 Sinus Node Dysfunction 271
Steven B. Fishberger
13 Atrioventricular Conduction Disturbances 285
Steven N. Weindling
Part II: Catheter and Device Therapy
14 Unique Aspects of Pacemaker Implantation in
Pediatric Patients 303
Charles L Berul and Kathleen S. Barrett
15 Implantable Cardioverter-Defibrillators in Pediatric
Patients 321
Charles L Berul, Kathleen S. Barrett, and Edward P.
Walsh
16 Advanced Concepts and Techniques of Cardiac
Mapping 335
John K. Triedman
17 Catheter Ablation of Ectopic Atria] Tachycardia 355
Edward P. Walsh
18 Technical Aspects of Intraatrial Reentrant
Tachycardia Ablation 371
John K. Triedman
19 Ablation of Accessory Pathways 393
J. Philip Saul
20 Catheter Ablation for Atrioventricular Node Reentry
427
Frank.]. Zimmerman
Part III: Evolving Issues
21 Indications for Catheter Ablation in Infants and
Children 445
John D. Kugler
22 Management of Vasovagal Syncope: Pharmacologic,
Nonpharmacologic, or Pacing 461
Bertrand A. Ross and J. Philip Saul
23 Management of Fetal Tachycardia 473
Lindsey D. Allan
24 Management of Late Postoperative Atrial Flutter 481
John K. Triedman and George F. Van Hare
25 Tachycardia-Induced Cardiomyopathy 497
Barbara J. Deal
Appendix: Antiarrhythmic Drug Doses for Pediatric Patients
505
Edward P. Walsh
Subject Index 509
Contributing Authors
Mark E. Alexander, M.D. Assistant, Department of
Cardiology, Children's Hospital; and, Instructor
Department of Pediatrics, Harvard Medical School,
Boston, Massachusetts
Lindsey D. Allan, M.D., F R.C.P, F A.C.C. Attending,
Department of Pediatric Cardiology, Babies
Hospital, New York, New York
Kathleen S. Barrett, R.N., PN.P Nurse Practitioner,
Electrophysiology Division, Department of
Cardiology, Children's Hospital, Boston,
Massachusetts
D. Woodrow Benson, M.D., Ph.D. Director Cardiovascular
Genetics, Department of Pediatric Cardiology,
Children's Hospital Medical Center and, Professor
Department of Pediatrics, University of Cincinnati,
Cincinnati, Ohio
Charles I. Berul, M.D. Associate, Department of Cardiology,
Children's Hospital; and, Assistant Professor,
Department of Pediatrics, Harvard Medical School,
Boston, Massachusetts
Andrew D. Blaufox, M.D. Assistant Professor Department
of Pediatrics, Medical University of South Carolina,
Charleston, South Carolina
Barbara J. Deal, M.D. Director, Electrophysiology Services,
Division of Cardiology, Children's Memorial
Hospital; and, Professor Department of Pediatrics,
Northwestern University Medical School, Chicago,
Illinois
Steven B. Fishberger, M.D. Director, Pediatric Cardiac
Electrophysiology, St. Joseph's Hospital, Paterson,
New Jersey; and, Associate Clinical Professor,
Department of Pediatrics, Mount Sinai School of
Medicine, Mount Sinai Medical
Center New York, New York
Richard A. Friedman, M.D. Associate Professor of
Pediatrics, Section of Cardiology, Baylor College of
Medicine, Texas Children's Hospital, Houston,
Texas
John D. Kugler, M.D. Chief, Joint Division of Pediatric
Cardiology, Creighton University School of
Medicine, Children's Hospital; and, Professor,
Department of Pediatrics, University of Nebraska
College of Medicine, Omaha, Nebraska
Mary P Mullen, M.D., Ph.D. Assistant, Department of
Cardiology, Children's Hospital; and, Instructor
Department of Pediatrics, Harvard Medical School,
Boston, Massachusetts
Robert H. Pass, M.D. Assistant Attending, Department of
Pediatrics, New York Presbyterian Hospital,
Children 's Hospital of New York; and, Assistant
Professor, Department of Pediatrics, Columbia
University, New York, New York
Bertrand A. Ross, M.D. Director, Department of Pediatric
Cardiology, Children 's Hospital of the Kings
Daughters; and, Associate Professor, Department of
Pediatrics, Eastern Virginia Medical School,
Norfolk, Virginia
J. Philip Saul, M.D. Chief, Department of Pediatric
Cardiology, and, Professor, Department of
Pediatrics, Medical University of South Carolina,
Charleston, South Carolina
Jeffrey A. Towbin, M.D. Department of Pediatric
Cardiology, and Molecular and Human Genetics,
Texas Children's Hospital; and, Professor,
Department of Pediatrics, Baylor College of
Medicine, Houston, Texas
John K. Triedman, M.D. Associate, Department of
Cardiology, Children 's Hospital; and, Assistant
Professor, Department of Pediatrics, Harvard
Medical School, Boston, Massachusetts
George F Van Hare, M.D. Director Pediatric Arrhythmia
Center at UCSF and Stanford; and, Associate
Professor, Department of Pediatrics, Stanford
University School of Medicine, Palo Alto, California
Richard Van Praagh, M.D. Director, Cardiac Registry,
Department of Pathology, Children's Hospital; and,
Professor, Department of Pathology, Harvard
Medical School, Boston, Massachusetts
Edward P Walsh, M.D. Chief, Electrophysiology Division,
Department of Cardiology, Children's Hospital; and,
Associate Professor Department of Pediatrics,
Harvard Medical School, Boston, Massachusetts
Steven N. Weindling, M.D. Pediatric Cardiology, Children's
Hospital at Dartmouth, Dartmouth-Hitchcock
Medical Center and, Associate Professor Department
of Pediatrics, Dartmouth Medical School, Lebanon,
New Hampshire
Frank J. Zimmerman, M.D. University of Chicago
Children's Hospital; and, Assistant Professor,
Department of Pediatrics, University of Chicago,
Chicago, Illinois
