Electrophysiology
Modern diagnosis and treatment of heart rhythm disorders.
Department Overview
The Department of Electrophysiology provides modern diagnosis and treatment of heart rhythm disorders. The department performs electrophysiological studies, arrhythmia ablation, implantation of pacemakers, cardiac resynchronization devices, implantable cardioverter defibrillators, and loop recorder devices.
The goal is to precisely identify the cause of an irregular heart rhythm and select the most appropriate treatment, using an individualized approach for each patient.
Diseases and Conditions
The department diagnoses and treats:
Atrial fibrillation
Atrial flutter
Supraventricular tachycardia
Ventricular tachycardia
Bradycardia and conduction system disorders
Syncope, loss of consciousness, and dizziness of unknown origin
Palpitations and irregular heartbeat
Cardiac arrhythmias that cannot be diagnosed with non-invasive methods
Heart failure requiring cardiac resynchronization therapy
Life-threatening arrhythmias and risk of sudden cardiac death
Diagnostics and Treatments
The department performs the following procedures:
An invasive examination in which special electrode catheters are used to analyze the electrical system of the heart in order to identify and locate the cause of the arrhythmia. The catheters are inserted through veins in the groin, arm, shoulder, or neck and enable recording of intracardiac ECG.
Electrophysiological studies are used in patients whose symptoms cannot be explained by standard ECG or Holter monitoring.
During the study, it can be determined whether drug therapy is sufficient or whether an additional intervention is needed.
A minimally invasive treatment in which heat, radiofrequency, or cryoenergy is applied through a catheter to interrupt the abnormal electrical pathway causing the arrhythmia. This method is used for atrial fibrillation, atrial flutter, supraventricular tachycardias, and ventricular tachycardias.
Advanced technology that enables a three-dimensional display of the electrical activity of the heart and precise localization of the site where the arrhythmia originates. This allows for more precise and safer ablation, especially in complex arrhythmias and atrial fibrillation.
Subcutaneous placement of a small device for long-term monitoring of the heart rhythm in patients who have symptoms but in whom no arrhythmia has been detected on standard ECG or Holter monitoring. The device continuously records and stores ECG signals.
Implantation of a device that sends electrical impulses and regulates the heart rhythm in patients with bradycardia or other conduction system disorders.
Implantation of a biventricular pacemaker in patients with heart failure and impaired synchronization of the heart chambers. This therapy enables more effective cardiac function and improvement of symptoms. CRT-D devices also provide protection against dangerous arrhythmias.
Implantation of a device that continuously monitors the heart rhythm and automatically delivers an electrical impulse or shock if a life-threatening arrhythmia occurs, such as ventricular tachycardia or ventricular fibrillation.
Technology and Equipment
The department is equipped with state-of-the-art technology for the diagnosis and treatment of arrhythmias:
Electrophysiology study system
enables highly precise recording and analysis of intracardiac electrical signals.3D mapping system
three-dimensional mapping of cardiac arrhythmias for more precise ablation and treatment of complex cases.Radiofrequency and cryoablation technology
enables safe and effective treatment of abnormal electrical pathways.Advanced angiography and fluoroscopy equipment
enables precise guidance of catheters during procedures.Equipment for implantation and programming of pacemakers, CRT, and ICD devices
allows complete monitoring and adjustment of device function after implantation.Continuous monitoring and post-procedural care
patients are monitored with advanced monitoring equipment for maximum safety.
Patient Journey
Initial Consultation
Cardiology examination, ECG, and assessment of symptoms.
Additional Diagnostics
Holter ECG, echocardiography, laboratory analyses, and, if needed, an electrophysiological study.
Treatment Plan
Selection between medication therapy, ablation, or implantation of a device.
Intervention
Performance of an electrophysiological study, ablation, or device implantation.
Follow-Up
Regular check-ups, device programming, and long-term monitoring of heart rhythm.