Electrophysiology and Electrostimulation
For the pathologies of arrhythmias, the Operating Unit of Electrophysiology and Electrostimulation actively perform both outpatient procedures (in particular for the evaluation of arrhythmia in individuals who practice competitive sports activities and / or young individuals around school age) and inpatient procedures.
The Unit is able to face any arrhythmia problems through a first phase diagnostic evaluation, which may be followed by radiofrequency catheter ablation in the same session, for treatment of the identified disease.
Catheter ablation may be subjected in patients with different forms of supraventricular arrhythmia and /or ventricular arrhythmia. In particularly complex cases or cases in which earlier ablations have proved ineffective, it is possible to use advanced diagnostic systems (mapping) with the aid of a computer for the reconstruction of three-dimensional images (EnSite systems or CARTO).
In cases of long-lasting atrial fibrillation or internal and external cardioversion, electrical intracavitary cardioversion is also performed.
In patients with symptomatic syncope, electrophysiology and the head-up tilt test are performed, and in cases of unexplained syncope, an implantable loop recorder may be used.
In cases of malignant ventricular arrhythmias not subjected to ablation , previous cardiac arrest or patients at high risk of sudden death, proceeding with an implantable cardioverter defibrillator (unicameral or bicameral pacemakers) may be necessary. Beyond that, dealing with hypokinetic arrhythmias may be done through implantation of permanent pacemakers (unicameral or bicameral).
As for patients with heart failure non-responsive to medical therapy, there are available pacemakers and defibrillators that allow atrio-biventricular pacing to help improve function of the left ventricle in ischemic dilated cardiomyopathy.