Heart Failure Evaluation and Management Deborah’s electrophysiology services are devoted to the evaluation, consultation and treatment of complex cardiac arrhythmias including atrial fibrillation and flutter, supraventricular tachycardia including Wolff-Parkinson-White-Syndrome and ventricular tachycardia.
Electrophysiology studies assist Deborah’s doctors in determining where rhythm disturbances originate and to identify the specific type of arrhythmias involved.
Comprehensive device therapy is also included in the EPS service. Pacemaker and defibrillator implants as well as lead extractions are offered for standard indications. Biventricular devices are available for emerging indications including congestive heart failure. Deborah has an outpatient service dedicated to both pacemaker and defibrillator evaluation and complex programming.
The section offers a complete work-up for neurogenic syncope including tilt table testing. Electrophysiologists read and interpret Holter monitors and report these findings to referring physicians.
Increased Patient Safety
Deborah offers the “Stereotaxis Gentle Touch Magnetic System,” allowing our specialist to navigate catheters by a robotic system gently and precisely through delicate areas of the heart, preventing any potential damage during an ablation.
Deborah’s electrophysiologists specialize in the implantation of sophisticated programmable pacemakers and defibrillators to treat a variety of rhythm disturbances. The major diagnoses are brady and tachy arrhythmias. Pacemakers are implanted in a patient with a slow heart rate, while an Implantable Cardioverter Defibrillator is a treatment option for patients who suffer with ventricular tachycardia and ventricular fibrillation. The electrophysiologists are also performing lead extractions on patients when indicated. This service treats ambulatory care patients as well as inpatients.
Deborah’s electrophysiologists specialize in the evaluation and treatment of complex cardiac arrhythmias. The physicians also specialize in the implantation of sophisticated programmable pacemaker, defibrillator and biventricular devices.
The reading and interpretation of Holter monitor reports are another service provided by the electrophysiologists.
The Section also offers a work-up for neurogenic shock including tilt table testing. All of the electrophysiology services are available to patients on an inpatient and outpatient basis. Deborah offers a full spectrum of electrophysiologic services to its patient population.
Tilt Table Testing
This test is used to evaluate neurally mediated syncopal syndromes. The test helps to distinguish between a vasodepressor response and cardioinhibitory response, thereby establishing the most appropriate treatment program for the patient.
Arrhythmia Evaluation and Treatment
Deborah’s electrophysiologists perform a comprehensive diagnostic evaluation using EKG, electrophysiology studies, tilt table testing and Holter monitoring. These tools assist the physician in identifying the arrhythmia and appropriate
treatment for any basic or complex arrhythmia. The treatment may be as simple as medication, or more complex, such as pacemaker/AICD therapy, or radiofrequency ablation. This evaluation is done on an inpatient as well as outpatient basis.
Deborah performs radiofrequency ablation, a procedure used to treat adults and children with complex cardiac arrhythmias. Included in these services are atrial and supraventricular tachycardia, Wolff-Parkinson-White Syndrome, atrial fibrillation and flutter.
The Holter monitor section performs 24-hour Holters, ambulatory event monitoring, and signal average ECG testing. Cardiologists and/or electrophysiologists read and interpret the tapes, and report the findings to the referring physician.
Is software technology which will allow pacemaker patients to receive a “tune-up” check-up in less than 2 minutes when they come to Deborah’s Pacer Clinic for routine follow-up visits. The technology – QuickOpt – was pioneered by Dr. Raffaele Corbisiero, Director of Deborah’s Electromechanical Therapy Institute, and came to the market after more than two years of clinical research trials. It replaces a traditional echocardiogram, which is time-consuming and costly, and offers greater flexibility for Deborah doctors to quickly optimize devices (make sure they are working up to full potential) as often as necessary.
“Many patients may not have their devices optimized,” said Dr. Corbisiero, “meaning that they recognize some of the benefits, but may not realize all of the benefits these sophisticated devices can deliver. It’s like running an air conditioner on a hot day with the windows open.” Dr. Corbisiero’s ground-breaking research has now brought the new software program to a national market.
Stereotaxis Gentle Touch Magnetic System
Deborah’s Electrophysiology suite includes one of the region’s first Stereotaxis GentleTouch Magnetic System, as well as new enhanced imaging equipment and a specifically-designed mapping system. The Stereotaxis GentleTouch Magnetic System allows doctors the ability to view the inside of the heart, both anatomically and electrically. This new machine also enables them to perform remote-controlled, image-guided computerized heart procedures, combining robotics, and 3D mapping system to create a map of the heart.
The Stereotaxis system allows doctors to use magnets to steer catheters gently and precisely through delicate areas of the heart. Because the catheters are driven by a magnetic steering system, they exert an even and steady pressure, which removes the potential for damage to the heart. The Stereotaxis system is able to navigate into the most remote areas of the heart, uncovering hidden damage and problems to provide the most comprehensive look at the heart’s electrical anatomy. These benefits are accomplished in a much shorter time, which means that patients spend less time involved in a procedure.