© 2016

The Arrhythmic Patient in the Emergency Department

A Practical Guide for Cardiologists and Emergency Physicians

  • Massimo Zecchin
  • Gianfranco Sinagra

Table of contents

  1. Front Matter
    Pages i-x
  2. Luca Salvatore, Silvia Magnani, Gerardina Lardieri, Elena Zambon
    Pages 29-41
  3. Elisabetta Bianco, Marco Bobbo, Davide Stolfo
    Pages 43-60
  4. Ermanno Dametto, Martino Cinquetti, Federica Del Bianco, Matteo Cassin
    Pages 61-87
  5. Giuseppe Oreto, Francesco Luzza, Gaetano Satullo, Antonino Donato, Vincenzo Carbone, Maria Pia Calabrò
    Pages 89-108
  6. Francesca Bianchi, Stefano Grossi
    Pages 117-128
  7. Laura Vitali-Serdoz, Francesco Furlanello, Ilaria Puggia
    Pages 151-162
  8. Roberto Verlato, Maria Stella Baccillieri, Pietro Turrini
    Pages 163-175
  9. Daniele Muser, Domenico Facchin, Luca Rebellato, Alessandro Proclemer
    Pages 177-193
  10. Massimo Zecchin, Luigi Rivetti, Gianfranco Sinagra, Marco Merlo, Aneta Aleksova
    Pages 195-208

About this book


This book is a practical guide to the differential diagnosis and treatment of patients presenting in the Emergency Department with syncope or arrhythmias, including bradyarrhythmias, atrial fibrillation, narrow and wide QRS tachycardias. In addition, clear advice is provided on the management of patients with cardiac devices and possible dysfunction, electrical storm, or a requirement for urgent surgery. For each topic, a literature review of epidemiology, physiopathology, differential diagnosis, and treatment is conducted. Furthermore, practical suggestions are offered for short-term management, e.g., regarding the decision on when and where to hospitalize the patient; these proposals do not replace but rather summarize or integrate the current guidelines.The book is designed both for emergency physicians and cardiologists, who will be the first to evaluate and treat patients with arrhythmias or potentially arrhythmic problems in the emergency setting. It will also be a useful textbook for students and residents in Cardiology and Emergency Medicine.


Arrhythmias and drug abuse Arrhythmias with congenital heart disease Arrhythmic storm Atrial fibrillation in emergency Bradyarrhythmias in emergency Emergency Department Ion disturbances Pacemaker malfunction Supraventricular arrhythmias Syncope Ventricular arrhythmias Pacemaker and emergency surgery ICD and emergency surgery

Editors and affiliations

  • Massimo Zecchin
    • 1
  • Gianfranco Sinagra
    • 2
  1. 1.Cardiovascular DepartmentCattinara University HospitalTriesteItaly
  2. 2.Cardiovascular DepartmentCattinara University Hospital Cardiovascular DepartmentTriesteItaly

About the editors

Massimo Zecchin got his degree in Medicine in 1991 and has been working in the Cardiovascular Department of Cardiology of Trieste (Italy) since 1995. Since 2002 he has been Chief of Electrophysiology at the same hospital. From 2012 to 2014 he was Secretary of the Italian Arrhythmologic Association (Associazione Italiana di Aritmologia e Cardiostimolazione). At present he is member of the “Area Aritmie” of the National Cardiology Society (Associazione Nazionale Medici Cardiologi Ospedalieri) and co-chairman of the Italian Registry of Pacemakers, Defibrillators and Loop Recorders. His clinical activities and fields of research mainly focus on clinical arrhythmology and electrophysiology and sudden death prevention; he is author of more than 150 publications and reviewer of several national and international journals. 

Gianfranco Sinagra, Full Professor of Cardiology at University of Trieste,  is Director of the Cardiovascular Department of the University Hospital Ospedali Riuniti in Trieste, Italy, since 1999. He attended courses at the St George’s Hospital of London (1989), and the Wallenberg Laboratory for Cardiovascular Research of the Sahlgrenska Hospital, Gothenburg University, Sweden (1991 and 1993). He is author of more than 400 publications as articles, chapters, and books. Beside the intense clinical activity, the research avenues he pursues are mainly focused on the study of hea

rt failure, cardiomyopathies, histology and morphology of endomyocardial biopsy, and molecular cardiology. He is component of the End Point Clinical Event Committee of the ValHeFT Trial (N:Engl J Med 2001; 345:1667), coordinated by the Veterans Affairs- USA web, ANMCO and Mario Negri Pharmacological Research Institute of Milan. He is fellow of the European Society of Cardiology. He is main researcher since 2003 of the project COMIRB // 99-177 14.05.2003 “Identification of a Gene for Autosomal Dominant Dilated Cardiomyopathy on Chromosome 9”, granted by the National Institute of Health-USA, in cooperation with the Health Science Centre, University of Colorado, Denver. With Springer he published “Genetic Cardiomyopathies” (2013) and “Clinical Echocardiography and Other Imaging Techniques in Cardiomyopathies” (2014).

Bibliographic information

  • Book Title The Arrhythmic Patient in the Emergency Department
  • Book Subtitle A Practical Guide for Cardiologists and Emergency Physicians
  • Editors Massimo Zecchin
    Gianfranco Sinagra
  • DOI
  • Copyright Information Springer International Publishing Switzerland 2016
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-24326-9
  • Softcover ISBN 978-3-319-79602-4
  • eBook ISBN 978-3-319-24328-3
  • Edition Number 1
  • Number of Pages X, 208
  • Number of Illustrations 20 b/w illustrations, 32 illustrations in colour
  • Topics Cardiology
    Emergency Medicine
    Cardiac Surgery
  • Buy this book on publisher's site
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