Cardiac electrophysiology

Cardiac Electrophysiology is a subspecialty of cardiology focused on diagnosing and treating electrical activities of the heart, or heart rhythm disorders, known as arrhythmias.

Overview

The field of Cardiac Electrophysiology is concerned with understanding the electrical properties and conduction system of the heart. Electrophysiologists are involved in the assessment and management of complex arrhythmias, implantation and management of pacemakers and defibrillators, and ablation of arrhythmias.

Cardiac Electrophysiology Tests

Cardiac Electrophysiology studies (EPS) are performed to assess the heart's electrical system and to diagnose abnormal heartbeats or arrhythmia. The most common test is the EP study, which is invasive and involves the insertion of catheters and wire electrodes through blood vessels into the heart chambers. This allows physicians to measure electrical activity and identify any disturbances in the heart's rhythm.

Clinical Cardiac Electrophysiologist

A clinical cardiac electrophysiologist, often referred to as a cardiac EP, is a physician who has received extensive training in the management of heart rhythm disorders. They are cardiologists who have pursued additional specialization in electrophysiology and are skilled in procedures such as catheter ablation and the implantation of cardiac rhythm management devices.

Procedures and Treatments

Cardiac electrophysiologists perform various procedures, including:

• Catheter ablation: A minimally invasive procedure to treat arrhythmias.
• Pacemaker implantation: A device implanted to regulate slow heart rhythms.
• Implantable Cardioverter Defibrillator (ICD): A device designed to prevent sudden death from cardiac arrest due to life-threatening arrhythmias.
• Cardiac Resynchronization Therapy (CRT): A treatment for heart failure that helps the ventricles contract more normally.

Training and Certification

Cardiac electrophysiologists undergo extensive training, including medical school, residency in internal medicine, fellowship in cardiology, and additional fellowship in electrophysiology. They are certified by boards such as the American Board of Internal Medicine (ABIM) with a subspecialty certification in Clinical Cardiac Electrophysiology.

List of Cardiac electrophysiologists (USA)

• Alabama
• Alaska
• Arizona
• Arkansas
• California
• Colorado
• Connecticut
• Delaware
• Florida
• Georgia
• Hawaii
• Idaho
• Illinois
• Indiana
• Iowa
• Kansas
• Kentucky
• Louisiana
• Maine
• Maryland
• Massachusetts
• Michigan
• Minnesota
• Mississippi
• Missouri
• Montana
• Nebraska
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• New York
• North Carolina
• North Dakota
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• Rhode Island
• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Vermont
• Virginia
• Washington
• West Virginia
• Wisconsin
• Wyoming

US territories

• American Samoa
• Guam
• Northern Mariana Islands
• Puerto Rico
• U.S. Virgin Islands
• District of Columbia

See also

• Arrhythmia
• Heart Failure
• Sudden Cardiac Arrest
• Electrocardiogram (ECG)
• Electrophysiology study
• Radiofrequency ablation