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Professor Hein J.J. Wellens: 33 Years of Cardiology and Arrhythmology
The first invasive evaluation of cardiac arrhythmias in humans was performed in 1967 in Paris (Prof. P. Coumel) and Amsterdam (Prof. D. Durrer). This was the start of a rapid increase in our knowledge of the diagnosis, mechanism and treatment of cardiac arrhythmias. In that same year Prof. Hein J.J. Wellens became cardiologist in the Wilhelmina Gasthuis in Amsterdam. Initially in Amsterdam (1967-1977) and later on in Maastricht (from 1977), he was the driving force for many breakthroughs in clinical cardiac electrophysiology. With an active interplay between the knowledge derived from the 12-lead electrocardiogram and the recordings made with invasive electrophysiology, he composed new ideas...
Electrical Stimulation of the Heart in the Study and Treatment of Tachycardias
The interplay between the careful analysis of clinical electrocardiograms and results from animal experiments have in the past 60 years resulted in provo cative and brill ant concepts on the mechanisms of cardiac arrhythmias in man. Many of the animal experiments however were done on open-chested dogs with cut cardiac nerves and under the influence of pharmaca. It is doubtful, therefore whether these results can be transferred without reser vation to the human situation. The introduction of electrical stimulation of the heart in clinical cardiology has opened new ways to study some aspects of cardiac arrhythmias directly in the unaesthesized patient. This study reports observations on patien...
The ECG in Emergency Decision Making
This text explains and illustrates the importance of 12-lead electrocardiograms (ECGs) in making rapid and informed decisions in cardiac care. It covers the logical steps to the ECG recognition of the underlying mechanism of cardiac emergencies, their prognostic significance, and the best treatment
The Conduction System of the Heart
This monograph had its genesis in a workshop on the specific conduction held in the spring of 1975. The meeting was organized to discuss present knowledge on structure and function of the cardiac specialized tissues with emphasis on their clinical implications. Since much new information was presented, the participants agreed to prepare manuscripts and make their material available for publication. This has resulted in a book in which the cardiac specialized tissues are discussed by different specialists: the electron-microscopist, anatomist, pathologist, physiologist, physicist and clinician. Apart from their interest in the cardiac conduction system the participants shared the opinion that...
Practical ECG Holter
As arrhythmias may be transient in nature and not seen during the shorter recording times of the standard ECG, ECG Holter monitoring allows the physician to make better informed decisions for the cardiac patient. The devices are worn by patients on an outpatient basis for days or weeks and can also be implanted subcutaneously. ECG Holter recordings are especially useful since they can be programmed individually for activation and specific tracing analysis. Designed for rapid study, this book contains 100 illustrative cases in ECG Holter monitoring. Each case consists of a tracing followed by a brief explanation of the findings. 100 Cases in ECG Holter is the perfect resource for busy physicians looking to optimize their skills at interpreting ECG Holter readings.
Electrophysiological Foundations of Cardiac Arrhythmias, Second Edition
Now in an abridged second edition, Electrophysiological Foundations of Cardiac Arrhythmias focuses on teaching the fundamental concepts of cardiac cellular electrophysiology with an emphasis on the relationship of basic mechanisms to clinical cardiac arrhythmias. Understanding this relationship and the electrophysiological mechanisms underlying arrhythmogenesis will be invaluable to physicians entering the fields of cardiology and clinical electrophysiology, as well as those scientists and clinicians already working in these areas. These essential concepts of electrophysiology include discussion on action potentials, ion channels and currents, and mechanisms of arrhythmias, and provide the working knowledge that will enable the reader to approach a board exam confidently. Additionally, the authors build a base of understanding that will prepare the reader for more advanced texts, such as Josephson’s Clinical Cardiac Electrophysiology: Techniques and Interpretations.
The ECG in Acute Myocardial Infarction and Unstable Angina
The electrocardiogram (ECG) remains the most accessible and inexpensive diagnostic tool to evaluate the patient presenting with symptoms suggestive of acute myocardial ischemia. It plays a crucial role in decision making about the aggressiveness of therapy especially in relation to reperfusion therapy, because such therapy has resulted in a considerable reduction in mortality from acute myocardial infarction. Several factors play a role in the amount of myocardial tissue that can be salvaged by reperfusion therapy, such as the time interval between onset of coronary occlusion and reperfusion, site and size of the jeopardized area, type of reperfusion attempt (thrombolytic agent or an intraco...
Cardiovascular Medicine
This book offers the most up-to-date, user-friendly guidance on the evaluation, diagnosis and medical and surgical treatment of heart and vascular disease. The book and DVD package is designed to provide comprehensive coverage of every aspect of cardiovascular medicine. The book has consistent chapter organization relevant to modern cardiovascular practice, clear design and engaging text. The reader will have all the guidance to diagnose and manage the full range of cardiovascular conditions in one textbook resource, while also benefiting from access to additional video material from the integral DVD-ROM. This includes over 100 individual heart sounds.
Sudden Death
Over the last ten years, it has become increasingly obvious that sudden death represents the major challenge confronting cardiology in the last part of the XXth Century. Careful epidemiologic studies have established the magnitude of this overall important problem of public health. The frequent association of sudden death with coronary artery disease has been demonstrated. Some of the electrophysiologic mechanisms underlying lethal arrhythmias have been unveiled. In addition, clinical markers permitting identifica tion of high risk individuals have emerged. Finally, different studies have raised some hope as to the ability of therapeutic interventions to protect these patients against a prem...
