Medica Superspecialty Hospital

Most Advanced Cardiac Rhythm Lab of Eastern India

Cardiac Electrophysiology
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What You Need to Know About Cardiac Electrophysiology?

Nearly 5 adults per 1000 in the world suffer from some form of Abnormal Rhythm of the Heart (Arrhythmia) which requires immediate intervention. This incidence is almost double for those above 60 years. After 60 years of age heartbeat irregularity happens in more than 20% of the population and after 70 years this year nearly 30%.

In Rhythm Disorders, the Heart may not be able to pump enough Blood to the Body. This led to damage to the Brain, Heart, Kidneys and other Vital Organs. Rhythm Abnormalities affect 25 percent of those who survived Heart Attacks. Improvement of care for Coronary Heart Disease, Valvular Diseases, and Congenital Heart diseases certainly increases survival but at the same time there is a rising substrate of Cardiac Arrhythmias and many such Arrhythmias may be complex in nature.

A Closer Look at Tachyarrhythmia and Bradyarrhythmia

Heart rate more than 100 per minute is known as Tachyarrhythmia and less than 60 is known as Bradyarrhythmia. When it falls below 40 it may be dangerous, similarly above 150 beats per minute require medical attention. With more understanding and recognition of Tachyarrhythmias, Slow Heart rate or Bradyarrhythmia, this Heart disease continues to remain an intriguing challenging issue.

Persistent Fast rate may make the Heart muscle progressively weak and Heart pumping function becomes very poor. Similarly Slow heart rate below 40 may cause collapse, unconsciousness or even brain damage or head injury.

But Heart Rhythm disorders do have definitive treatment and offer total cure if properly diagnosed on time.

Addressing Various Arrhythmia Symptoms

Heartbeat with a strong pulse
in the neck

Light-headedness

Fainting

Loss of Consciousness

Seizures

Breathlessness

Treatment for Arrhythmia- 3D Mapping Technique

3D mapping is a novel technique to understand complex cardiac arrhythmias. Radiofrequency ablation guided by advanced 3 dimensional mapping technology supported with artificial intelligence (AI) offers complete remedy of some of the complex heart rhythms disorders.

Implantation had become easier and safer with the recently launched second generation MRI Compatible Pacemakers and MRI conditioned implantable defibrillators and cardiac resynchronization devices. Heart rhythm disease patients should see a cardiac electrophysiologist for proper guidance and treatment.

Risk Factors Concerning Arrhythmia

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Alcohol Consumption
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Smoking
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Diabetes
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Blood Pressure

Modifications in lifestyle and drugs could reduce the symptoms.

Enhancing Patient Outcomes: EP Study

Frequently Asked Questions

Irregular heart rhythms, known as Cardiac arrhythmias, stem from disruptions in the electrical signals governing the heartbeat. These abnormalities can arise due to factors like illness, injury, or genetic predisposition. While most arrhythmias are not immediately life-threatening, certain types may elevate the risk of heart-related complications such as heart failure, stroke, and fainting.
To identify the precise location in the heart generating abnormal electrical signals, electrophysiologists conduct sophisticated studies employing cutting-edge electrical heart mapping systems. Once the problematic heart tissue is pinpointed, physicians can address arrhythmias through medications and electrophysiological (EP) studies or target those specific cells with cardiac ablation. Ablation is a procedure involving the destruction of diseased cells using electricity, heat, or cold.
In cases where anti-arrhythmic medications or ablation prove insufficient, electrophysiologists may opt to implant a cardiac device. For example, Bradycardia, characterised by an excessively slow heartbeat, is typically managed by the placement of a pacemaker.
If you have a confirmed or suspected arrhythmia, your primary care provider or cardiologist may recommend a visit to a Cardiac Electrophysiologist. Symptoms like dizziness, chest fluttering (heart palpitations at night), or fainting (syncope) could signal an underlying heart-rhythm issue.
Contemporary Cardiac Electrophysiology tests and treatments have proven to be safe for the majority of patients, with a track record of success. Overall, cardiac procedures have become considerably safer over time, and many are now deemed minimally invasive, involving the use of catheters (thin tubes) rather than extensive incisions. Local Anaesthetics and sedation are commonly employed in most procedures, avoiding the need for general Anesthesia.
Normally, an EP study doesn't necessitate hospitalisation. Yet, if you undergo an interventional procedure, a brief hospital stay might be essential for monitoring or adjusting medications. However, in many cases, patients can be released on the same day or the following morning.
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