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Scope and Practice of Clinical Cardiac Electrophysiology

Sowmya Guvvala*

Master of Pharmacy, Chalapathi College of Pharmaceutical Sciences, Guntur, India

*Corresponding author: Sowmya Guvvala
Master of Pharmacy
Chalapathi College of Pharmaceutical Sciences
Guntur, India
Tel: +91 7386325335
E-mail: [email protected]

Received: April 05, 2021; Accepted: April 19, 2021; Published: April 26, 2021

Citation: Guvvala S (2021) Scope and Practice of Clinical Cardiac Electrophysiology. Interv Cardiol J Vol.7 No.4:124 doi: 10.36648/2471-8157.7.4.124

Visit for more related articles at Interventional Cardiology Journal


Clinical cardiac electrophysiology also called to as cardiac electrophysiology, arrhythmia assistances or electrophysiology is a branch of the medical specialty of cardiology and is concerned with the study and treatment of rhythm disorders of the heart. Cardiologists with scope in this area are usually mentioned to as electrophysiologists. Electrophysiologists are educated in the mechanism, function, and production of the electrical activities of the cardiac. Electrophysiologists work closely with other cardiologists and cardiac specialists to assist or guide therapy for heart rhythm contractions those are called arrhythmias. They are educated to execute interventional and surgical procedures to treat cardiac arrhythmia.


The training required to embolism an electrophysiologist is extensive and essentials seven to eight years after medical school (US), demanding three years of internal medicine residency, 2 years of clinical cardiology fellowship and one to two in most occurrence years of clinical cardiac electrophysiology. This is need due to the significant complexity of the patients that electrophysiologists usually treat the constant advances in methods and equipment utilizes in their daily practice, making the field of electrophysiology one of the most exhausting subspecialties of modern medicine.

An electrophysiology study is any of various interfering i.e., intracardiac and non-invasive recording of impulsive electrical activity, as well as of cardiac reacts to programmed electrical stimulation. These studies are accomplished to the assess arrhythmias, elucidate symptoms, evaluate abnormal electrocardiograms, assess risk of developing arrhythmias in the future.

In addition to diagnostic testing of the electrical variants of heart muscles, electrophysiologists are instructed in therapeutic and surgical procedures to treat many of cardiac rhythm inconvenience of the heart. Therapeutic modalities employed in this field incorporate antiarrhythmic drug therapy need and surgical conjugation of the pacemakers and implantable cardioverter-defibrillators involved.

There are four primary roles in the Electrophysiology Cardiovascular Professional performs: Scrub Assistant, Operation of Imaging Equipment, Circulating During the Procedure, Patient Monitoring and Procedure Documentation. The clinical responsibilities for each resident are based on PGY-level, patient safety, inhabitant education, severity and complexity of patient sickness or condition and available support services. The role of each resident varies with their clinical rotation, experience, duration of clinical training, the patient's sickness and the clinical demands placed on the team. The guidance to the specific patient care responsibilities is done by year of clinical training. Residents must have complied with the specific supervision standards of service on which they are rotating unless otherwise specified by their program director. Congestive heart failure is a common cause of cardiogenic pulmonary enema; in this condition, the left ventricle cannot pump out enough blood to meet the needs of the body. This causes a build-up of pressure levels in other parts of the cardiac circulatory system, forcing fluid into the air sacs of the lungs and other parts of human body.


Ambulatory electrocardiographic monitoring - Holter and event monitor recording and the interpretation levels. Tilt table testing, T-wave alternans testing are the tests which are used to measure heart rate. Signal-averaged electrocardiogram interpretation is also referred to as "late potentials" reading. Electrophysiology study consists of the insertion of pacing and recording electrodes either in the esophagus or through blood vessels are directly into the heart chambers to measure electrical properties of the heart and in the case of intra-cardiac EPS to electrically they stimulate it in the attempt to induce arrhythmias for diagnostic purposes.

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