Electrophysiology & Arrhythmia

About

Electrophysiology has rapidly transformed from diagnostic cardiac studies to direct therapeutic interventions. Many cardiac arrhythmias that formerly required the use of drugs or surgery can now be routinely cured in the electrophysiology laboratory by means of transcatheter ablation techniques.

Clinical electrophysiological techniques have evolved for the assessment of sinus nodal, AV nodal and His-Purkinje system function. The evaluation of tachyarrhythmias has progressed rapidly, and pharmacological, device and surgical therapy can now be guided by electrophysiology of heart and arrhythmias studies.

Supraventricular arrhythmias can exacerbate the heart failure symptoms by decreasing the effective cardiac output and control requires pharmacological, electrical or catheter-based intervention.

In patients with atrial flutter or atrial fibrillation, anticoagulation is paramount to prevent systemic or cerebral embolism. People with heart failure are also prone to develop ventricular arrhythmias that can present a challenge to the clinician. The management strategy depends on the type of arrhythmia, the underlying structural heart disease and the severity of heart failure.

Related Articles

Articles

A Risk Score to Predict the Absence of Left Ventricular Reverse…

Jordi Perez-Rodon, Enrique Galve, Carmen Pérez-Bocanegra,

Citation: European Cardiology Review 2017;12(2):99.

External 30 Days Holter Usefulness in Unexplained Syncope, Palpitations…

Miriam García Bermúdez, Antonia Ortega Diaz, Ana Bonet Basiero,

Citation: European Cardiology Review 2017;12(2):101.

Secondary Prevention in Patients with Non Valvular Atrial Fibrillation and…

Mario DiazNuila-Alcazar, Daniel Valcárcel-Paz, Marcel Santaló-Corcoy,

Citation: European Cardiology Review 2017;12(2):103.

Consensus is Possible: Initiation and Exchange of Oral Anticoagulants in…

Kristian Rivera, Cristina Marzo, Nuria Sans,

Citation: European Cardiology Review 2017;12(2):104.