Overview

The electrophysiology service consists of 6 clinical cardiac electrophysiologists (one of whom is a pediatric electrophysiologist), 3 clinical cardiac electrophysiology fellows, 3 electrophysiology mid-level providers, 10 nurses and technicians working in the electrophysiology laboratory, and 4 nurses and technicians working in the pacemaker/implantable defibrillator follow-up clinic.

The clinical cardiac electrophysiology service provides expert, prompt, and comprehensive services for the gamut of arrhythmia problems ranging from in utero SVT to pacemaker implantation in the very old. Urgent outpatient referrals are generally seen within one week.  Areas of special expertise include the Atrial Fibrillation Clinic (employing multiple therapeutic modalities alone and in combination including expert antiarrhythmic drug therapy, radiofrequency catheter ablation, and device implantation), the evaluation of syncope (utilizing special diagnostic techniques when appropriate, including invasive electrophysiologic testing, head-up tilt testing, and implantable loop recorders),  evaluation of ventricular and supraventricular tachyarrhythmias including curative radiofrequency catheter ablation where indicated, prevention of sudden cardiac death e.g. in patients with left ventricular dysfunction, and management of congestive heart failure with cardiac resynchronization therapy (biventricular pacing/defibrillation).

The two electrophysiology laboratories perform about 1,200 procedures annually.