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Electrophysiology

The heart’s electrical system controls its rhythm. When it doesn’t work right, the heartbeat can be too fast, too slow or irregular. We use advanced electrophysiology tests and treatments to identify the underlying issue and restore your heart’s normal rhythm.

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Helping hearts stay in rhythm with electrophysiology

Electrophysiology is the study of the heart’s electrical system. Tiny signals tell the heart when to beat and pump blood. If these signals are off, the heart can beat too fast, too slow or irregularly.

Electrophysiology helps us find and treat arrhythmias and other electrical issues like fainting or conduction delays. To find the cause, we perform an electrophysiology study. Thin, flexible catheters are guided through blood vessels into the heart to record signals and pinpoint irregular beats. Using this information, we guide the right care for each heart.

Once the cause is known, we create a personalized plan. Some rhythm problems can be treated with catheter ablation. Others may require a pacemaker or defibrillator to support a steady heartbeat. Using the latest technology, we help guide heart rhythm care so you can feel informed and confident about your heart health.

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Conditions

Some arrhythmias are mild, but others can lead to serious health issues like stroke or heart failure. Some people may have rhythm problems even without noticeable symptoms. With the right care, many heart rhythm conditions can be managed. We treat a range of issues, including:

  • Atrial fibrillation (AFib): An irregular and often fast heartbeat that increases the risk of stroke, reduces the heart’s pumping ability and can lead to heart failure or dementia
  • Bradycardia: A very slow heartbeat that can cause tiredness, dizziness or fainting
  • Heart block: A delay or stop in the heart’s electrical signals
  • Premature ventricular contractions (PVCs): Extra heartbeats that start in the lower chambers of the heart
  • Supraventricular tachycardia (SVT): A very fast heartbeat that starts in the upper chambers of the heart
  • Unexplained fainting (syncope): Sudden dizziness or fainting caused by a heart rhythm problem
  • Ventricular tachycardia: A dangerously fast heartbeat from the lower chambers of the heart

With the right approach, we work to manage heart rhythm issues and support your overall heart health.

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Testing

To understand heart rhythm problems, we use advanced tests that show how the heart’s electrical system is working. Our electrophysiology experts carefully review these tests to find the source of any irregular heartbeat and guide the best treatment plan.

  • Electrophysiology study: Maps the heart’s electrical signals to find problem areas
  • Holter and event monitors: Wearable devices that track the heartbeat over time
  • Implantable loop recorder: A small device under the skin that monitors heart rhythms for months or years
  • Tilt table test: Shows how the heart reacts when you change positions

Our team uses these tests to understand your heart’s rhythm and guide the right care for you.

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Treatments

Once we find the cause of a heart rhythm problem, we work with you to create a treatment plan. Our goal is to restore a steady heartbeat and support your overall heart health. Using our expertise and the latest technology, we offer treatments that may include:

  • Catheter ablation: A minimally invasive procedure that carefully fixes the abnormal electrical signals in the heart
  • Lifestyle guidance: Tips on exercise, diet and daily habits that support heart health
  • Medication management: Medicines that control heart rate and rhythm
  • Pacemakers and defibrillators: Small devices that help regulate or restore a normal heartbeat

We’re here to guide you, answer your questions and support your heart health every step of the way.

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FAQs

How do I know if I have a heart rhythm issue?

You might notice your heart racing, skipping beats or beating too slowly. You could also feel dizzy, lightheaded, short of breath, unusually tired or faint. Some heart rhythm problems happen without obvious symptoms, which is why testing can be important.

Is electrophysiology testing safe?

Electrophysiology is the study of the heart’s electrical system. It helps us see how the heart’s signals control its rhythm. Using this information, we can identify irregular heartbeats and guide care to support a steady heartbeat.

How is arrhythmia diagnosed?

We use tests like EKGs, Holter monitors, wearable devices, implantable loop recorders and electrophysiology studies (EPS) to track the heart’s signals over time. These tests show when and where irregular rhythms happen so we can recommend the best approach for each heart.

Who performs electrophysiology studies and ablations?

Electrophysiologists are heart rhythm specialists who perform these tests and procedures. They conduct catheter ablation and implant pacemakers or defibrillators using their expertise to guide safe and effective treatment.

What happens during an electrophysiology study (EPS)?

We carefully guide thin tubes called catheters through a vein to the heart. These catheters map the heart’s electrical signals to identify the source of any irregular heartbeat. The test helps us understand the type and location of the rhythm problem so we can plan care.

Is an EPS or ablation painful?

Most people feel only mild pressure or slight discomfort. We use numbing medicine and sedation to make sure you are comfortable. Most procedures are minimally invasive and recovery is quick.

Will I need surgery to fix my heart rhythm?

Not always. Many rhythm issues can be managed with medicines or minimally invasive procedures like catheter ablation. Surgery is usually only needed in rare or complex cases.

What treatments do electrophysiologists perform?

Electrophysiologists can correct electrical signals in the heart with procedures, implant devices to regulate heart rhythm and prescribe medicines to control heart rate and rhythm. Each treatment plan is personalized to the needs of each heart.

Can I continue normal activities during treatment?

Most people can return to usual activities soon after tests or procedures. Your care team will give clear guidance about activity levels during recovery and any precautions to take.

How do I prepare for an electrophysiology study?

We provide instructions ahead of time, including guidance about medicines, fasting or other preparations. Following these instructions helps the study go smoothly and safely. Call your doctor's office if you have questions or have not received these instructions.

Is electrophysiology testing safe?

Yes. Electrophysiology tests are performed by experts using advanced technology. They are generally low risk even for older adults or people with other health conditions and most tests have little to no downtime.

Do I need a referral to see an electrophysiologist?

It depends on your insurance. Some plans require a referral from a primary care doctor or cardiologist. Our team can help you check your coverage and schedule an appointment.

How do I know if I need to see an electrophysiologist?

If you notice a fast, slow or irregular heartbeat, dizziness, fainting or shortness of breath, an electrophysiologist can help identify the cause and guide next steps. Even if symptoms seem mild or intermittent, early evaluation can provide peace of mind and guide care.

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