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Arrhythmia & Electrophysiology Review

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https://www.readbyqxmd.com/read/28630709/mark-e-josephson-a-tribute-to-his-work-on-ventricular-arrhythmias
#1
Francis Marchlinski
Dr Josephson was passionate about the study of ventricular arrhythmias and bold in his pioneering approach to their evaluation and management. Programmed right ventricular stimulation to test for antiarrhythmic drug efficacy was already pushing the risk limits for the invasive management of cardiac arrhythmias in the 1970s.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28603620/shared-moments
#2
Douglas P Zipes
No abstract text is available yet for this article.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28603619/a-brilliant-pioneer-and-leader
#3
Hein J Wellens
No abstract text is available yet for this article.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28603618/a-gifted-teacher
#4
Edward Rowland
No abstract text is available yet for this article.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28603617/a-brash-politically-incorrect-opinionated-and-brilliant-friend
#5
Fred Morady
No abstract text is available yet for this article.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28603616/to-know-mark-was-to-love-him
#6
Philippa Hill
No abstract text is available yet for this article.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28603615/getting-to-the-heart-of-the-matter
#7
Hugh Calkins
No abstract text is available yet for this article.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28507744/mahaim-accessory-pathways
#8
Demosthenes G Katritsis, Hein J Wellens, Mark E Josephson
The term Mahaim conduction is conventionally used to describe decrementally conducting connections between the right atrium or the AV node and the right ventricle in or close to the right bundle branch. Although such pathways are rare, their unique properties make their diagnosis and treatment cumbersome. In this article we review the published evidence, and discuss the electrocardiographic and electrophysiological characteristics as well as the anatomy and origin of these fibres.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28507743/electrophysiological-testing-for-the-investigation-of-bradycardias
#9
Demosthenes G Katritsis, Mark E Josephson
In this article we review the role of electrophysiological testing in patients presenting with bradycardia due to sinus node or atrioventricular node disease. In sinus bradycardia the role of electrophysiology studies is not established. In AV conduction disturbances, an electrophysiology study may be necessary both for the establishment of atrioventricular block as the main cause of symptoms, and for identification of the anatomic site of block that may dictate the potential need of permanent pacing.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28507742/mark-e-josephson-the-boston-years
#10
Peter Zimetbaum
Mark Josephson came to Beth Israel Hospital from the University of Pennsylvania in 1992, having firmly established a reputation as a master clinician, scientist and educator. He had built one of the premier electrophysiology (EP) services in the world in Pennsylvania and had become Chief of Cardiology there by the age of 35. In those days, Beth Israel was well known for its interventional cardiology and cardiac imaging but had not yet committed to the development of a modern EP section. The buzz surrounding Mark's arrival predicted an outspoken, larger than life and irreverent character who would profoundly change the place...
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28507741/mark-josephson-and-the-icd-a-personal-perspective
#11
Charles D Swerdlow
Mark Josephson dedicated his career to the prevention of premature sudden cardiac death (SCD). Toward that goal, he was an early adopter of the implantable cardioverter defibrillator (ICD) and indefatigable advocate for better ICD technology,[1] both as a clinical tool and as living laboratory to study SCD in ambulatory patients. With characteristic intellectual integrity and analytical rigour, he sought an honest and balanced appraisal of the life-saving benefits and serious complications of this unique therapy...
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28507740/mark-josephson-pioneer-educator-and-mentor-to-a-generation-of-cardiac-electrophysiologists
#12
William G Stevenson
In January 2017 we lost a giant in cardiac electrophysiology, whose work and teachings touched all of us working in the field. Mark Josephson's early work, building on the work of Hein Wellens in using programmed stimulation and catheter mapping to understand scar-related ventricular tachycardias, led the way to surgical and then catheter ablation as a viable therapy for that arrhythmia. His seminal observations are many and catalogued in 'The Josephson School' a wonderful book with 59 Chapters and extensive commentary devoted to his research...
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28507739/-what-would-he-do-next
#13
Alfred Buxton
No abstract text is available yet for this article.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28507738/mark-e-josephson-clinical-investigator
#14
EDITORIAL
John M Miller
Mark E Josephson entered the world of clinical cardiac electrophysiology (EP) almost at its inception (1972); with so much to learn and so many directions one could take, he dived into the field with unbridled enthusiasm and an uncommon - perhaps almost unique - aptitude for asking questions and finding ways to answer them. Few aspects of EP escaped his indelible influence. In this short paper, I will attempt to touch on some of the high points of his astounding career as a clinical investigator.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28507737/mark-e-josephson-characteristics-of-leadership
#15
EDITORIAL
David J Callans
Mark Josephson is without a doubt the most fascinating person I have ever met. I am proud to have had a close friendship with him and I miss him immensely. I have written in the past about his amazing academic contributions, but in a way I am relieved that this is not my topic today. I will instead talk about the unique aspects of his personality that allowed him to be a great leader in the field of electrophysiology and a powerful influence on the personal development of those of us who had the great good fortune of interacting with him closely...
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/28507736/mark-e-josephson-the-elegance-of-genius
#16
EDITORIAL
Demosthenes G Katritsis
No abstract text is available yet for this article.
April 2017: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/27617095/anatomical-substrates-and-ablation-of-reentrant-atrial-and-ventricular-tachycardias-in-repaired-congenital-heart-disease
#17
Charlotte Brouwer, Mark G Hazekamp, Katja Zeppenfeld
Advances in surgical repair techniques for various types of congenital heart disease have improved survival into adulthood over the past decades, thus exposing these patients to a high risk of atrial and ventricular arrhythmias later in life. These arrhythmias arise from complex arrhythmogenic substrates. Substrate formation may depend on both pathological myocardial remodelling and variable anatomical boundaries, determined by the type and timing of prior corrective surgery. Accordingly, arrhythmogenic substrates after repair have changed as a result of evolving surgical techniques...
August 2016: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/27617094/reduction-of-fluoroscopy-time-and-radiation-dosage-during-catheter-ablation-for-atrial-fibrillation
#18
Kenichiro Yamagata, Bashar Aldhoon, Josef Kautzner
Radiofrequency catheter ablation has become the treatment of choice for atrial fibrillation (AF) that does not respond to antiarrhythmic drug therapy. During the procedure, fluoroscopy imaging is still considered essential to visualise catheters in real-time. However, radiation is often ignored by physicians since it is invisible and the long-term risks are underestimated. In this respect, it must be emphasised that radiation exposure has various potentially harmful effects, such as acute skin injury, malignancies and genetic disease, both to patients and physicians...
August 2016: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/27617093/holter-monitoring-and-loop-recorders-from-research-to-clinical-practice
#19
Alessio Galli, Francesco Ambrosini, Federico Lombardi
Holter monitors are tools of proven efficacy in diagnosing and monitoring cardiac arrhythmias. Despite the fact their use is widely prescribed by general practitioners, little is known about their evolving role in the management of patients with cryptogenic stroke, paroxysmal atrial fibrillation, unexplained recurrent syncope and risk stratification in implantable cardioverter defibrillator or pacemaker candidates. New Holter monitoring technologies and loop recorders allow prolonged monitoring of heart rhythm for periods from a few days to several months, making it possible to detect infrequent arrhythmias in patients of all ages...
August 2016: Arrhythmia & Electrophysiology Review
https://www.readbyqxmd.com/read/27617092/classification-electrophysiological-features-and-therapy-of-atrioventricular-nodal-reentrant-tachycardia
#20
Demosthenes G Katritsis, Mark E Josephson
Atrioventricular nodal reentrant tachycardia (AVNRT) should be classified as typical or atypical. The term 'fast-slow AVNRT' is rather misleading. Retrograde atrial activation during tachycardia should not be relied upon as a diagnostic criterion. Both typical and atypical atrioventricular nodal reentrant tachycardia are compatible with varying retrograde atrial activation patterns. Attempts at establishing the presence of a 'lower common pathway' are probably of no practical significance. When the diagnosis of AVNRT is established, ablation should be only directed towards the anatomic position of the slow pathway...
August 2016: Arrhythmia & Electrophysiology Review
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