Electrophysiology (EP) Department

Structure of the Electrophysiology Department
Electrophysiologists: Cardiologists with specialized training in heart rhythm disorders.
EP Lab Technicians: Assist with diagnostic tests and procedures.
Nurses: Provide pre- and post-procedure care and patient education. Device Specialists Manage and program pacemakers and defibrillators. Support Staff Assist with scheduling, patient follow-up, and administrative tasks.
Services Provided
Diagnostic Testing:
Electrocardiogram (ECG or EKG): Measures the electrical activity of the heart to detect arrhythmias.
Holter Monitor: A portable device worn for 24-48 hours to continuously record heart rhythms.
Event Monitor: Similar to a Holter monitor but worn for a longer period, activated by the patient when symptoms occur.
Electrophysiological Study (EPS): Invasive test where catheters are inserted into the heart to map its electrical activity and identify arrhythmias.

Interventional Procedures:
Catheter Ablation: A procedure to destroy small areas of heart tissue that are causing abnormal electrical signals. Types of ablation include radiofrequency ablation and cryoablation.
Pacemaker Implantation: A device implanted under the skin that sends electrical impulses to regulate heartbeats.
Implantable Cardioverter-Defibrillator (ICD): A device that can detect and stop dangerous arrhythmias by delivering an electric shock to restore normal rhythm.
Cardioversion: A procedure using electric shocks to restore normal heart rhythm in patients with arrhythmias like atrial fibrillation.



Advanced Therapies:
Biventricular Pacing (Cardiac Resynchronization Therapy): A type of pacemaker used for patients with heart failure to improve the timing of the heart's contractions.
Lead Extraction: Removing or replacing old or infected leads (wires) from implanted devices.

Long-term Management:
Arrhythmia Clinics: Regular follow-up clinics to monitor and manage patients with chronic arrhythmias.
Device Clinics: Regular check-ups for patients with pacemakers, ICDs, or other implantable devices to ensure they are functioning correctly and to make necessary adjustments.
Medication Management: Prescribing and monitoring medications to control heart rhythms.

Technological Advancements
3D Mapping Systems: Advanced imaging systems that create detailed maps of the heart’s electrical activity, improving the precision of ablation procedures.
Robotic Navigation: Use of robotic systems to enhance the precision and safety of catheter-based procedures.
Wearable Monitors: Devices like smartwatches and patches that continuously monitor heart rhythms and detect arrhythmias in real-time.