Table of Contents

Preface vii

Acknowledgments ix

About the companion website xi

Part I: Third‐person omniscient (how we would see EP if we could see EP)

1 Ion channels 3

2 Action potentials 9

3 Propagation 19

4 Arrhythmia mechanisms 25

5 Anatomy for electrophysiologists 37

Part II: Doctor’s‐eye view (dealing with incomplete knowledge)

6 Deducing anatomy 49

7 Electrical activity, electrodes, and electrograms 59

8 Electrogram analysis: understanding electrogram morphology 69

9 Differential diagnostic pacing maneuvers 79

10 Electro‐anatomic mapping 99

Appendix: What we measure when we record an electrogram 109

Afterword: Your heart is a computer: from army ants to atrial fibrillation 115

Suggested reading 117

Index 119

About the Author

PETER SPECTOR, MD PROFESSOR OF MEDICINE, Director, Cardiac Electrophysiology and Cardiac Electrophysiology Laboratory, University of Vermont Medical Center, University of Vermont College of Medicine, Burlington, VT, USA