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Heart and Vascular Care

Electrophysiology

Treatment of conditions affecting the heart’s electrical systems

About Electrophysiology

The heart moves blood throughout the body — and electricity is what moves the heart. A complex electrical system keeps the heart’s various movements steady and in-sync.

Electrophysiologists are specialized type of cardiologist that focus entirely on conditions affecting this electrical system, causing the heart to beat irregularly. They often work with other cardiologists when creating and executing treatment plans.


Who Should See an Electrophysiologist?

Patients with heartbeats that are too fast, too slow, or irregular/out of sync often visit electrophysiologists both to identify the cause and to receive treatment. However, consultations aren’t typically scheduled directly. Instead, they’re referred by a cardiologist or primary care provider. Reasons a patient may be referred include:

  • Arrythmia (irregular heartbeat).
  • Dizziness, fainting, or heart fluttering (palpitations).
  • Risk of heart disease that can cause sudden cardiac death.

Electrophysiology (EP) Studies

Electrophysiologists don’t just treat heart conditions — they test for them too. In fact, this is a large part of an electrophysiologist’s role.

An EP study is a surgical procedure, used to examine the electrical activity of your heart and to diagnose arrhythmias. Your electrophysiologist inserts thin electrical wires into a blood vessel through tiny pricks in the skin. These wires are then positioned in various parts of the heart, where they can gather data about the heart’s electrical system and detect any problems. This helps your doctors decide on the best treatment of your heart rhythm problems.

Other preliminary non-invasive tests are often performed prior to an EP study. Electrocardiogram (commonly known as an EKG) uses electrodes stuck to the patient’s chest that can measure the heart’s electrical activity from outside the body. An echocardiogram uses sound waves to produce an image of the heart, allowing the specialist to visually detect any abnormalities in its structure.

Afib is an irregular and sometimes rapid heart rhythm. ChristianaCare is highly skilled at treatments such as traditional surgical ablation and the latest minimally invasive techniques.
Treatment for abnormal heart rhythm, or arrhythmia, is available from ChristianaCare, including several implantable devices (collectively known as pacemakers).

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