Services

Pulsed Field Ablation for Atrial Fibrillation

Farapulse ablation is a medical procedure used to treat atrial fibrillation (AF), a common heart rhythm disorder characterized by irregular and often rapid heartbeats. During farapulse ablation, a catheter-based approach is used to deliver targeted energy to the areas of the heart responsible for causing the abnormal electrical signals that trigger AF.

The farapulse system utilizes pulsed field ablation (PFA), a relatively new technology in the field of cardiac ablation. PFA differs from traditional radiofrequency ablation (RFA) or cryoablation by delivering pulsed electric fields to create lesions or scar tissue in the heart, thereby interrupting the abnormal electrical pathways that lead to AF.

The advantage of farapulse ablation lies in its potential to achieve durable lesion formation while minimizing damage to surrounding tissues such as the esophagus and nearby nerves. This reduced risk of collateral damage may lead to improved outcomes and fewer complications for patients undergoing AF ablation procedures.
To learn more, click here

Cryoablation for Atrial Fibrillation

Cryoablation for atrial fibrillation (AFib) is a minimally invasive procedure aimed at restoring normal heart rhythm. During cryoablation, a catheter is guided into the heart, specifically targeting areas responsible for irregular electrical signals. The catheter releases extremely cold temperatures to freeze and destroy the abnormal heart tissue, effectively interrupting the erratic electrical pathways causing AFib. This procedure offers a lower-risk alternative to traditional surgical methods and can often be performed with less downtime for the patient. Cryoablation has shown promising results in reducing AFib symptoms and improving the quality of life for individuals suffering from this condition.
To learn more, click here

Radiofrenquency Ablation for Atrial Fibrillation

Radiofrequency ablation for atrial fibrillation (AFib) is a medical procedure used to treat abnormal heart rhythms. AFib is a condition where the heart’s upper chambers (atria) beat irregularly and often rapidly, leading to symptoms like palpitations, shortness of breath, and fatigue.

During radiofrequency ablation, a catheter with a small electrode at its tip is inserted into a blood vessel, usually in the groin, and guided to the heart. The electrode emits radiofrequency energy, which heats and destroys small areas of heart tissue responsible for generating the abnormal electrical signals that cause AFib. These areas are typically located in the pulmonary veins, which carry blood from the lungs to the heart.

By creating scars or lesions in these areas, the procedure disrupts the abnormal electrical pathways, restoring a more regular heart rhythm. Radiofrequency ablation is often recommended for patients with symptomatic AFib who have not responded well to medication or other treatments.

Leadless Pacemakers

A leadless pacemaker is a type of cardiac pacemaker that doesn’t require leads, which are thin wires traditionally used to deliver electrical impulses from the pacemaker to the heart. Instead, leadless pacemakers are small, self-contained devices that are directly implanted into the heart. They are typically placed in the right ventricle of the heart and deliver electrical impulses to regulate the heart’s rhythm, just like traditional pacemakers.

Leadless pacemakers offer several potential advantages over traditional pacemakers with leads. These advantages include a lower risk of lead-related complications such as lead fracture or dislodgement, reduced infection risk, and potentially simpler implantation procedures. Additionally, leadless pacemakers are usually smaller in size, which may lead to greater patient comfort.

Left Atrial Appendage Occluders - Watchman and Amulet

The left atrial appendage (LAA) is a small pouch in the left atrium of the heart where blood can pool and potentially form clots, which can then travel to the brain and cause strokes.

LAA occluders are designed to seal off this pouch to prevent blood clots from forming and reduce the risk of stroke in patients with AFib who cannot tolerate or do not respond well to long-term anticoagulant medications. These devices are typically implanted through minimally invasive procedures.

Both the Watchman and Amulet devices serve the same function, which is to block off the left atrial appendage (LAA) to reduce the risk of stroke in patients with atrial fibrillation (AFib). They prevent blood clots from forming in the LAA and subsequently traveling to the brain, causing strokes.

The implantation procedure for both the Watchman and Amulet devices typically involves passing a catheter through a vein in the groin up to the heart, where the device is deployed in the LAA. The procedure is minimally invasive.

Size and Shape: LAA occluders may vary in size and shape to accommodate differences in patient anatomy. The choice of device may depend on factors such as the size and shape of the LAA, as well as the preference and experience of the treating physician.

Pacemakers and Implantable Cardioverter Defibrillators (ICDs)

Pacemakers and Implantable Cardioverter Defibrillators (ICDs) are sophisticated medical devices implanted in the chest to regulate heart rhythm. Pacemakers deliver electrical impulses to the heart to maintain a steady heartbeat in individuals with slow heart rates or irregular rhythms, while ICDs continuously monitor the heart’s rhythm and deliver shocks or pacing as needed to terminate dangerous arrhythmias and prevent sudden cardiac arrest. These devices significantly improve the quality of life for patients with various cardiac conditions, providing both symptom relief and life-saving interventions.

Implantable Loop Recorders

Implantable Loop Recorders (ILRs) are small devices implanted beneath the skin to continuously monitor the heart’s electrical activity. They are particularly useful for diagnosing intermittent or rare arrhythmias that may not be captured during shorter monitoring periods. ILRs provide clinicians with valuable data to evaluate symptoms, guide treatment decisions, and improve patient outcomes, especially in cases where traditional monitoring methods may not suffice.

EKG

An electrocardiogram (EKG or ECG) is a non-invasive medical test that records the electrical activity of the heart over a period of time. It is commonly used to detect and diagnose heart conditions such as arrhythmias. By analyzing the patterns and signals captured by electrodes placed on the skin, healthcare professionals can assess the heart’s health and functionality.

Holter Monitoring

Holter monitoring is a diagnostic tool used to assess heart rhythm irregularities over an extended period, typically 24 to 48 hours. It involves the use of a portable device worn by the patient, which continuously records their electrocardiogram (ECG) activity during daily activities. Holter monitoring aids in identifying intermittent or sporadic arrhythmias that may not be detected during a standard ECG, providing valuable information for diagnosing and managing cardiac conditions.

Cardiac Event Monitoring

Cardiac event monitoring is a method used to capture sporadic symptoms of heart rhythm abnormalities that occur infrequently over an extended period, typically up to 30 days. Patients wear a portable device equipped with electrodes, which they activate when they experience symptoms such as palpitations or dizziness. This monitoring technique helps healthcare professionals correlate symptoms with heart rhythm disturbances, aiding in the diagnosis and treatment of cardiac conditions.

Pacemaker and Defibrillator Clinic

Our pacemaker and defibrillator clinic is a staffed by experienced electrophysiologists, and trained nurses. We provide personalized consultations, device programming, and follow-up care to optimize patient outcomes. Our clinic offers state-of-the-art diagnostic tools, including remote monitoring capabilities, ensuring timely detection of device malfunctions or changes in cardiac status. We prioritize patient education, empowering individuals with the knowledge and skills needed to manage their device effectively . With a focus on patient comfort and satisfaction, our clinic strives to deliver compassionate and expert care tailored to the unique needs of each individual.

Cardiac (Heart) Arrhythmias

Heart arrhythmias are irregular heartbeats that can manifest as palpitations, fluttering sensations, or dizziness, often due to disruptions in the heart’s electrical signaling. While some arrhythmias are harmless, others can be life-threatening, highlighting the importance of timely diagnosis and appropriate management to prevent complications such as stroke or sudden cardiac arrest.

Cardiac (Heart) Palpitations

Heart palpitations are sensations of rapid, fluttering, or pounding heartbeats that may occur due to stress, anxiety, caffeine intake, or underlying heart conditions. While often harmless, persistent or severe palpitations should prompt evaluation by a healthcare professional to rule out potential underlying cardiac issues.

Cardiac (Heart) Palpitations

Heart palpitations are sensations of rapid, fluttering, or pounding heartbeats that may occur due to stress, anxiety, caffeine intake, or underlying heart conditions. While often harmless, persistent or severe palpitations should prompt evaluation by a healthcare professional to rule out potential underlying cardiac issues.

Heart Failure

Heart failure is a chronic condition characterized by the heart’s inability to pump blood effectively, leading to symptoms such as shortness of breath, fatigue, and fluid retention. It can result from various causes, including coronary artery disease, hypertension, or previous heart damage. Management typically involves medications, lifestyle modifications, and in some cases, medical devices or surgical interventions to improve heart function and quality of life.

Cardiac Electric Conduction System Problems

The Cardiac Electric Conduction System refers to the network of specialized cells within the heart that coordinate its electrical activity, ensuring proper rhythm and function. This system includes the sinoatrial (SA) node, atrioventricular (AV) node, bundle of His, and Purkinje fibers. Electrical impulses generated by the SA node travel through the conduction system, triggering muscle contractions that facilitate the heart’s pumping action, ultimately regulating blood flow throughout the body. Dysfunction within this system can lead to various cardiac arrhythmias and may require medical intervention to restore normal function.

Hybrid (Convergent) Procedure for the treatment of atrial fibrillation

The Hybrid (Convergent) Procedure is an innovative approach for treating atrial fibrillation that combines minimally invasive surgical and catheter-based techniques. During the procedure, a cardiac surgeon and an electrophysiologist work together to address both the inside and outside of the heart, targeting abnormal electrical pathways and creating scar tissue to restore normal rhythm. This collaborative approach offers a comprehensive solution for patients with persistent or difficult-to-treat atrial fibrillation, potentially improving long-term outcomes and reducing the need for ongoing medication.

Electrophysiologic Study & Catheter Ablations for: SVTs, Atrial Flutter & Atrial Fibrillation, Idiopathic & Ischemic VT and VF

Electrophysiologic studies and catheter ablations are highly effective treatments for a range of cardiac arrhythmias, including supraventricular tachycardias (SVTs), atrial flutter, and atrial fibrillation, aiming to restore normal heart rhythm. These procedures involve mapping the heart’s electrical pathways and selectively ablating or destroying abnormal tissue responsible for the arrhythmias, offering patients long-term relief and improved quality of life. Additionally, for more serious arrhythmias like idiopathic and ischemic ventricular tachycardia (VT) and ventricular fibrillation (VF), catheter ablation can play a crucial role in preventing life-threatening episodes by targeting specific regions of abnormal electrical activity within the heart.

Electrical Device Therapy for Heart Failure Management (biventricular pacing)

Electrical Device Therapy for Heart Failure Management, such as biventricular pacing, involves the implantation of a specialized pacemaker or defibrillator to improve heart function in patients with heart failure. Biventricular pacing synchronizes the contractions of the heart’s left and right ventricles, enhancing cardiac output and reducing symptoms like shortness of breath and fatigue. This therapy can significantly improve the quality of life and survival rates for individuals with heart failure, especially those with impaired ventricular function and electrical dyssynchrony.

Pharmacotherapy for Cardiac Arrhythmias

Pharmacotherapy for cardiac arrhythmias involves the use of medications to manage irregular heart rhythms and prevent associated complications. These medications work by either slowing down or stabilizing the heart’s electrical activity, helping to restore a normal rhythm and reduce the risk of adverse events such as stroke or sudden cardiac arrest.

Clinical Research in Electrophysiology

We are at the forefront of clinical research in electrophysiology, pioneering innovative approaches to diagnose and treat cardiac arrhythmias. Our commitment to advancing the field through cutting-edge trials and collaborations with leading experts ensures that we deliver the most effective and personalized care to our patients. With a focus on translating research findings into tangible improvements in patient outcomes, we continue to lead the way in shaping the future of electrophysiology.

Cardioversion

Atrial fibrillation (AFib) is the most common type of cardiac arrhythmia characterized by rapid and irregular electrical activity in the upper chambers (atria) of the heart. This irregular rhythm can lead to ineffective pumping of blood, increasing the risk of complications such as stroke, heart failure, and other cardiovascular events. Atrial fibrillation can present with symptoms like palpitations, shortness of breath, fatigue, or it can be asymptomatic. Management strategies for atrial fibrillation include medications to control heart rate and rhythm, blood thinners to prevent stroke, and lifestyle modifications. Additionally, procedures like catheter ablation or electrical cardioversion may be recommended for restoring normal heart rhythm in some cases. Early diagnosis and appropriate management are essential in minimizing the risk of complications and improving quality of life for individuals with atrial fibrillation.

Atrial Flutter

Atrial flutter is a type of abnormal heart rhythm characterized by rapid and regular electrical activity in the atria, leading to a fast and often irregular heartbeat. It shares similarities with atrial fibrillation but typically presents with a more organized and regular pattern of electrical impulses.

Ventricular/Supraventricular Tachycardia

Ventricular tachycardia is a rapid heart rhythm originating in the lower chambers (ventricles) of the heart, often associated with structural heart disease or previous heart attacks. It can lead to symptoms such as palpitations, dizziness, and even loss of consciousness if sustained. Supraventricular tachycardia, on the other hand, arises from abnormal electrical circuits in the upper chambers (atria) of the heart and can cause similar symptoms but is typically less severe and less likely to be life-threatening.

Fainting (Syncope)

Syncope, a transient loss of consciousness, can result from inadequate blood flow to the brain due to cardiac-related factors such as arrhythmias, structural heart disease, or vasovagal reactions. Cardiac evaluation, including thorough assessment of rhythm disturbances and structural abnormalities, is essential for determining the cause of syncope and implementing appropriate management strategies to prevent recurrence.

Bradycardia (Slow Heart Rate)

Bradycardia, characterized by a heart rate slower than the typical range, can result from various factors such as age, medication use, or underlying heart conditions like atrioventricular block. Symptoms of bradycardia may include dizziness, fatigue, and fainting, particularly during physical activity or periods of low blood pressure. Treatment options for bradycardia depend on its severity and underlying cause, ranging from medications to implantation of a pacemaker to regulate the heart rate.

Tachycardia (Rapid Heart Rate)

Tachycardia, marked by a heart rate faster than normal, can occur due to factors such as stress, caffeine intake, or underlying cardiac conditions like atrial fibrillation. Individuals with tachycardia may experience palpitations, chest discomfort, or shortness of breath, especially during physical exertion or emotional stress. Treatment for tachycardia aims to address underlying causes and may involve medication, lifestyle changes, or procedures such as catheter ablation to restore a normal heart rhythm.

Cardiomyopathies

Cardiomyopathies are a group of diseases that affect the heart muscle, leading to structural and functional abnormalities. They can be classified into various types, including dilated, hypertrophic, and restrictive cardiomyopathy, each with distinct features and causes. Symptoms of cardiomyopathies may include shortness of breath, fatigue, swelling of the legs, and an increased risk of arrhythmias, heart failure, and sudden cardiac death, highlighting the importance of early diagnosis and management to prevent complications.

Is your heart skipping a beat?

Our goal is to ensure that all his patients feels that they are participants in there medical care. We aim to create a collaborative approach in the decision making process, thiis encourage patients to follow through with the treatment recommendation.

561-303-3491 Call or text today to make an appointment

Scroll to Top
Scroll to Top