Arrhythmia Management, Electrophysiology and Pacing

Rationale for test / treatment

Magnify ECG to detect "late potentials" (electrical signals) suggestive of electrical scars in heart.

For investigation of recurrent syncope.

To diagnose Brugada syndrome.

For conversion of an arrhythmia usually atrial fibrillation back to sinus rhythm.

For investigation of recurrent syncope of unknown origin or detection of arrhythmias.

Invasive study using catheters to study the electrical properties of the heart. Needed before catheter ablation can be performed.

Using radiofrequency energy to ablate the abnormal focus or pathway causing the abnormal arrhythmia.

Pacemakers are needed for treatment of slow heart beat.

For prevention of sudden cardiac death.

For prevention of sudden cardiac death using leads which are not placed inside the heart.

For treatment of patients with heart failure associated with a widened QRS complex.

For treatment of patients with slow heart beat without the use of pacing lead.

Remotely monitor patient’s cardiac device via the internet.

Removal of pacing or defibrillator leads in the body which have been infected or are malfunctioning.

Percutaneous procedure that is used to close off the LA appendage so as to reduce the risk of stroke that comes as result of atrial fibrillation.