A Patient's Guide to Heart Rhythm Problems

A Patient's Guide to Heart Rhythm Problems

by Todd J. Cohen MD
A Patient's Guide to Heart Rhythm Problems

A Patient's Guide to Heart Rhythm Problems

by Todd J. Cohen MD

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Overview

A Library Journal Best Consumer Health Book of 2010

Heart rhythm problems can be a matter of life or death. In this easy-to-read guide, Dr. Todd Cohen provides comprehensive information to help people with heart rhythm problems (arrhythmias) get an accurate diagnosis and appropriate treatment. Dr. Cohen tells readers what they need to know about palpitations, rapid heart rhythms (tachycardias), slow heart rhythms (bradycardias), cardiac arrest, and other conditions related to irregular heartbeats.

With the goal of informing and empowering heart patients, Dr. Cohen describes the heart's basic function, the various conditions associated with arrhythmia, and recommended courses of treatment. He discusses such procedures as tilt table testing, electrophysiology studies, catheter ablation, and device implantation (including cardiac monitors, pacemakers, defibrillators, and biventricular devices); explains the essentials of CPR and the use of Automatic External Defibrillators (AEDs); and presents the latest guidelines from the American College of Cardiology, the American Heart Association, and the Heart Rhythm Society.

A Patient's Guide to Heart Rhythm Problems will help readers understand

• how the heart works and what can go wrong
• the tests and other diagnostic procedures they may undergo
• how their doctor reaches a diagnosis
• what their diagnosis means
• how their doctor might treat the problem
• when medication alone is sufficient treatment
• when pacemaker, defibrillator, or biventricular therapy is appropriate
• how to get the best possible medical care—in and out of the hospital

Endorsed by the Sudden Cardiac Arrest Association, this essential resource features tables highlighting key information, as well as patient narratives that provide personal insight into arrhythmia tests, treatments, and technologies.


Product Details

ISBN-13: 9780801897757
Publisher: Johns Hopkins University Press
Publication date: 11/15/2010
Series: A Johns Hopkins Press Health Book
Pages: 232
Sales rank: 864,825
Product dimensions: 5.40(w) x 8.40(h) x 0.70(d)
Age Range: 18 Years

About the Author

Todd J. Cohen, M.D., F.A.C.C., F.H.R.S., is the director of Electrophysiology, director of the Pacemaker-Arrhythmia Center, and director of Advanced EP Technology and Innovations at Winthrop-University Hospital. He is an associate professor of medicine at the State University of New York at Stony Brook, a Fellow of the American College of Cardiology, the author of Practical Electrophysiology, and the inventor of a number of medical devices.

Table of Contents

Foreword Chris Chiames ix

Preface xi

Part 1 The Basics

1 Overview 3

2 Who is Your Cardiologist" 8

3 The Pulse: Heartbeat and Rhythm 10

4 Heart Rhythms 13

5 The Pump 15

Part 2 Heart Rhythm Abnormalities

6 Slow Rhythms: Bradycardias 21

7 Fast Rhythms: Tachycardias 24

8 Ventricular Tachycardia and Ventricular Fibrillation 27

9 Supraventricular Tachycardia 30

10 Atrial Fibrillation 32

11 Atrial Flutter 37

Part 3 Sudden Cardiac Arrest

12 Sudden Cardiac Arrest 43

Part 4 Syncope

13 Syncope 53

Part 5 The Tests

14 Electrocardiogram (ECG or EKG) 59

15 Stress Test and Related Procedures 63

16 Continuous Monitoring Devices 66

17 Echocardiogram 68

18 Computerized Axial Tomography (CT) Angiogram and Cardiac Magnetic Resonance Imaging (MRI) 71

19 Cardiac Catheterization, Coronary Angiogram, Left Ventriculogram, Angioplasty, and Stenting 73

20 T-Wave Alternans (TWA) 77

21 Electrophysiology Study (EP Study) 78

22 Tilt Table Test 82

Part 6 Procedures and Medications for Treating Heart Problems

23 Catheter Ablation 87

24 Electrical Cardioversion and Defibrillation 90

25 Heart Medications 93

Part 7 Devices for Treating Heart Problems

26 Pacemakers 105

27 Implantable Cardioverter Defibrillators (ICDs) 109

28 Biventricular Devices 114

29 Implantable Cardiac Monitors 117

30 Device Implant Procedures 119

31 Device Replacement and Lead Extraction 124

32 Recalls 126

Part 8 The Diseased Heart

33 Heart Failure 131

34 Cardiomyopathy 135

35 Hereditary Conditions 142

Part 9 Prevention and Resuscitation

36 Preventing Heart Disease 153

37 Cardiopulmonary Resuscitation (CPR) 155

38 Automatic External Defibrillator (AED) 160

Part 10 Follow-up and Patient Care

39 Patient Follow-up 165

40 Support Groups 169

41 Defensive Patienting 101: A Primer on Patient Safety 171

Acknowledgments 175

Appendixes

A When an Electrophysiology Study Is Appropriate 177

B When an Implantable Permanent Pacemaker is Appropriate 178

C When an Implantable Cardioverter Defibrillator is Appropriate 179

D When Biventricular Therapy is Appropriate 181

Glossary 183

Bibliography 197

Index 201

What People are Saying About This

Nelson DeMille

Dr. Cohen's book explains in simple terms an all-too-common medical problem that afflicts many people throughout the world. This easy-to-read book will help educate people with heart rhythm problems as well as their families. It is important reading for anyone who may be in need of a pacemaker, defibrillator, or catheter ablation procedure.

Melvin Scheinman

In this book, Dr. Cohen uses his considerable talents as a physician and writer to present a clear and comprehensive guide to understanding heart rhythm disorders. The book is especially valuable for patients (and family members) who need specialized cardiac procedures.

From the Publisher

In this book, Dr. Cohen uses his considerable talents as a physician and writer to present a clear and comprehensive guide to understanding heart rhythm disorders. The book is especially valuable for patients (and family members) who need specialized cardiac procedures.
—Melvin Scheinman, M.D., University of California, San Francisco

Dr. Cohen's book explains in simple terms an all-too-common medical problem that afflicts many people throughout the world. This easy-to-read book will help educate people with heart rhythm problems as well as their families. It is important reading for anyone who may be in need of a pacemaker, defibrillator, or catheter ablation procedure.
—Nelson DeMille, author of The General's Daughter

This is the first comprehensive book I've seen intended to help patients and their families understand the important subject of heart rhythm disorders. Dr. Cohen's explanations of these problems, the tests used to diagnose them, and the devices and treatments used to manage them are straightforward and thorough. Anyone facing an invasive heart rhythm procedure must read this guide.
—Andrew Weil, M.D., New York Times bestselling author of Healthy Aging

Andrew Weil

This is the first comprehensive book I've seen intended to help patients and their families understand the important subject of heart rhythm disorders. Dr. Cohen's explanations of these problems, the tests used to diagnose them, and the devices and treatments used to manage them are straightforward and thorough. Anyone facing an invasive heart rhythm procedure must read this guide.

Andrew Weil, M.D., New York Times bestselling author of Healthy Aging

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