Electrophysiology problems

An electrophysiology procedure is a series of tests that doctors utilize to assess the electrical movement of your heart. It's often the primary step in diagnosing an arrhythmia or determining if there's another reason for a change in your heart's rhythm.

An arrhythmia may cause symptoms that make your doctor to order an electrophysiology procedure.

Symptoms of a possible arrhythmia include:

1. dizziness
2. episodes of fainting
3. heart palpitations or other noticeable changes in your heart rate
4. weakness

Pacemaker implantations temporary and permanent

Pacemakers are devices that can be placed in your body, usually by surgery, to support the electrical system in your heart. They can stabilize abnormal heart rhythms and prevent issues that can disturb or imperil your life.

Temporary pacemaker

Temporary cardiac pacing includes electrical cardiac stimulation to treat a bradyarrhythmia or tachyarrhythmia until it resolves or until long-term treatment can be started. The purpose of temporary pacing is to re-establish normal hemodynamic that are acutely compromised by a slow or fast heart rate

Who needs temporary pacemaker?

Temporary pacemakers (TP) are utilized during the emergency treatment of patients with serious bradyarrhythmia. They are used in emergency conditions and for older patients in poor general condition who are hemodynamically unstable and uncooperative.

Permanent pace maker Implantation

Permanent pacemaker implantation is a medical procedure in which a small electronic device, called a pacemaker, is implanted in a patient's chest to control the heart's rhythm. Pacemakers are commonly utilized to treat different heart rhythm disorders, such as bradycardia (slow heart rate) or certain types of heart block.

Indications for pacemaker implantation procedure:

1. Bradycardia: When the heart beats too slowly, which can result in symptoms such as weakness, dizziness, or fainting.
2. Heart Block: A condition where the electrical signals between the heart's upper and lower chambers are deferred or blocked.

EPS+ RFA

EPS or electrophysiology study is a test procedure conducted to see how the electric impulses conducts through the pathways of your heart. In case the conduction pathway is normal it indicates your heart rates are normal. In case when abnormal signals are recognized it indicates arrhythmia or irregular heartbeats.

RFA or radiofrequency ablation is a type of invasive surgical procedure conducted to treat certain types of arrhythmias especially those caused by abnormal electrical pathways or extra electrical tissue within the heart. A catheter, equipped with an electrode at its tip, is guided to the site of the abnormal electrical pathway identified during the EPS.

Radiofrequency energy is delivered through the electrode to form localized heat. The heat destroys or ablates the abnormal tissue that is responsible for the arrhythmia, hindering the faulty electrical pathway.

Both EPS and RF can be conducted at the same time. Usually your specialist assigns both the procedures together. EPS is conducted in diagnosing the presence of arrhythmia. Based on the nature and sort of arrhythmia RFA is conducted as a treatment procedure.

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