1 24.1 Introduction
Clinical cardiac electrophysiology (EP) techniques, involving intracardiac recording and electrical stimulation, have been of major importance in elucidating the mechanisms of cardiac arrhythmias. They not only have led to improved interpretation of the surface electrocardiogram (ECG) but have evolved to play a major role in the therapy of tachycardias. This role has changed in recent years, with a decline in EP-guided therapy for ventricular tachyarrhythmias but an increase in diagnostic use prior to curative catheter ablation.
2 24.2 History of Clinical Electrophysiology
Direct recording of intracavitary electrograms was first reported in 1945 by Lenègre and Maurice [1]. Developments in recording techniques subsequently permitted the registration of these potentials from all the cardiac chambers [2–5]. Although the integration of the atrioventricular (AV) conducting system had been described in 1906 by Tawara [6], the His-bundle electrogram was not recorded until...
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Rankin, A.C., Quinn, F.R., Rae, A.P. (2010). Clinical Cardiac Electrophysiology. In: Macfarlane, P.W., van Oosterom, A., Pahlm, O., Kligfield, P., Janse, M., Camm, J. (eds) Comprehensive Electrocardiology. Springer, London. https://doi.org/10.1007/978-1-84882-046-3_24
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