Fundamental Concepts in Electrophysiology in Cases and Reviews

Abstract

Assimilating the increasing body of knowledge required for the treatment of patients with cardiac arrhythmias is a substantial task. The trainee is bombarded with chapters and reviews that are important for providing the frame work from which to develop a detailed and nuanced knowledge acquired from clinical experience and ongoing education. Images and Case Reports provide succinct observations of not only a novel or unusual finding, but often of the fundamentals that must be appreciated to place novel findings in context. The Teaching Points series in Circulation Arrhythmia and Electrophysiology provides a more in-depth synthesis of case-based learning building on common and uncommon clinical findings. The purpose of this Case-based Curriculum in Clinical Electrophysiology is to provide the clinician and trainee with an easily accessible body of current reviews, cases and Teaching Points that cover a broad range of the field. Links to the individual articles are provided to facilitate using this article as a spring board for review. > Emergence of complex behavior: An interactive model of cardiac excitation provides a powerful tool for understanding electric propagation. Spector PS, et al.1 To facilitate an understanding of the relations between electrophysiologic properties and geometry that govern conduction, block and reentry, Spector and colleagues have developed an interactive model that allows the student to study the effects of varying parameters on conduction, block, reentry and even entrainment (http://circep.ahajournals.org/cgi/content/full/CIRCEP.110.961524/DC1).1 > Arrhythmogenic implications of fibroblast-myocyte interactions. Rohr S.2 Myocardial fibrosis has major roles in creating the substrate for atrial and ventricular arrhythmias and is reviewed by Rohr.2 > Teaching points with 3-dimensional mapping of cardiac arrhythmias: Taking points: Activation mapping. Del Carpio Munoz F et al.3 > > Teaching points with 3-dimensional mapping of cardiac arrhythmias: Teaching point 3: When early is not early. Del Carpio Munoz F, et al.4 > > Teaching …