Panama Medical Vacations

Cardiac Electrophysiology

Cardiac Electrophysiology

Cardiac electrophysiology is the science dealing with the mechanisms, functions, and performance of the electrical responses of different regions of the heart. This term is typically used to describe studies of such phenomena by invasive recording of activity in addition to cardiac responses to programmed electrical stimulation. These studies are performed to evaluate complex arrhythmias, study abnormal electrocardiograms, quantify risk of developing arrhythmias in the future, and design treatment. More and more these procedures include therapeutic methods in addition to diagnostic and prognostic procedures. Other therapeutic methods employed in this field of study include anti-arrhythmic drug therapy and insertion of pacemakers and implantable cardioverter-defibrillators.

A specialist in cardiac electrophysiology is known as a cardiac electrophysiologist. Cardiac electrophysiology is a subspecialty of cardiology and in most countries requires one or more years of fellowship training beyond a general cardiology fellowship.

World-class Cardiac Electrophysiology Specialists in Panama

The Cardiac Electrophysiology team is a subspecialty of the Cardiology group. Dr. Temistocles Díaz, Dr. Norberto J. Calzada, Dr. Antonio J. Rodríguez , and Dr. José Pinto serve as HPP's active doctors and the HPP courtesy doctors are Dr. Sergio Solís Díaz, Dr. Percy Núñez, Dr. Alberto Arrocha, Dr. Daniel R. Pichel, Dr. Miguel De La Rosa, Dr. Jorge Motta, Dr. Gabriel Frago, Dr. Alberto Sáenz and Dr. José Jiménez.

This Cardiac Electrophysiology team specializes in both invasive and noninvasive procedures including:

Invasive Procedures & Tests:

  • Electrophysiology (EP) Study and the mapping of the heart - An EP Study is conducted in order to measure exactly how the electrical impulses flow through your heart during a heart beat. A small catheter is placed inside your heart to record electrical impulses and to determine areas of abnormal electrical conduction information.
  • Radiofrequency Arrhythmia Ablation - This is a non-surgical procedure used to treat certain types of rapid heart irregularities or cardiac arrhythmias.
  • Permanent Pacemaker Implantation - This procedure is recommended to correct some types of bradycardia (slower than normal heart beat) or heart blocks. A pulse generator is implanted under the skin in the upper chest area and lead wires are also attached.
  • Implantable Cardioverter Defibrillator (ICD) - This is a small device implanted into the upper chest area to accurately analyze and treat cardiac rhythm and arythmias. The ICD monitor senses the abnormal rhythm and sends one or more electrical impulses or shocks to the heart restoring normal rhythm.

Non-Invasive Tests:

  • Tilt table test - Determines the appropriate treatment for patients who experience fainting or near fainting (syncope or presyncope) symptoms.
  • NIPS (Non-Invasive Programmed Stimulation) - Tests the implanted defibrillator and/or treats certain types of cardiac arrhythmias such as atrial fibrillation or atrial flutter.