Cardiac electrophysiology

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Cardiac electrophysiology
Drawing of the EKG, with labels of intervals

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Overview

Cardiac electrophysiology is the science of the mechanisms, functions, and performance of the electrical activities of specific regions of the heart. This term is usually used in describing studies of such phenomena by invasive (intracardiac) recording of spontaneous activity as well as of cardiac responses to programmed electrical stimulation. These studies are performed to assess complex arrhythmias, elucidate symptoms, evaluate abnormal electrocardiograms, assess risk of developing arrhythmias in the future, and design treatment. These procedures increasingly include therapeutic methods (typically radiofrequency ablation) in addition to diagnostic and prognostic procedures. Other therapeutic modalities employed in this field include antiarrhythmic drug therapy and implantation of pacemakers and implantable cardioverter-defibrillators.

A specialist in cardiac electrophysiology is known as a cardiac electrophysiologist, or (more commonly) simply an electrophysiologist. Cardiac electrophysiology is considered a subspecialty of cardiology, and in most countries requires two or more years of fellowship training beyond a general cardiology fellowship. They are trained to perform interventional cardiac EP procedures as well as surgical device implantations.

Normal Cardiac Action Potential

Mechanism of Arrhythmias

Antiarrhythmic Medications

EP study basics

Diseases of the Conduction System and Bradyarrhythmias

Narrow Complex Tachycardias

Atrial Flutter

Atrial Fibrillation

Atrial Tachycardia

AV Nodal Reentrant Tachycardia

Circus Movement Tachycardia

Wide Complex Tachycardias

WPW Syndrome

Ventricular Tachycardia

Ventricular Tachyarrhythmias in Structurally Normal Hearts

Brugada Syndrome

Long QT Syndrome

Ventricular Tachyarrhythmias, Cardiac Arrest and Sudden Cardiac Death

Syncope

Indications for Pacemakers

Indications for an ICD

Cardiac Resynchronization Therapy

Arrhythmias in Pregnancy

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