Commentary - (2022) Volume 8, Issue 11
Received: 31-Oct-2022, Manuscript No. IPIC-22-15216; Editor assigned: 02-Nov-2022, Pre QC No. IPIC-22-15216 (PQ); Reviewed: 16-Nov-2022, QC No. IPIC-22-15216; Revised: 21-Nov-2022, Manuscript No. IPIC-22-15216 (R); Published: 28-Nov-2022, DOI: 10.21767/2471-8157.8.11.52
Clinical cardiovascular electrophysiology is a part of the clinical specialty of cardiology and is worried about the review and treatment of musicality problems of the heart. Electrophysiologists are typically used to refer to cardiologists who have expertise in this area. The heart's electrical activities are studied in detail by electrophysiologists in their training. For the purpose of assisting or directing treatment for heart rhythm disturbances (arrhythmias), electrophysiologists collaborate closely with other cardiologists and cardiac surgeons. They are educated to treat cardiac arrhythmia through surgical and interventional procedures. After medical school, the eight years of training required to become an electrophysiologist consist of three years of internal medicine residency, three years of clinical cardiology fellowship, and two years of clinical cardiac electrophysiology. This is necessary because electrophysiology is one of the most challenging subspecialties in modern medicine due to the high level of complexity of the patients it treats and the constant advancements in methods and equipment. Any of a variety of invasive (intracardiac) and noninvasive recordings of spontaneous electrical activity and cardiac responses to programmed electrical stimulation is an electrophysiology study. Assessment of arrhythmias, elucidation of symptoms, evaluation of abnormal electrocardiograms, risk of developing arrhythmias in the future, and treatment design are the goals of these studies. Electrophysiologists are educated in the therapeutic and surgical approaches that can be utilized to treat numerous heart rhythm disturbances in addition to performing diagnostic tests of the heart's electrical properties. Antiarrhythmic drug therapy and the surgical implantation of pacemakers and implantable cardioverter-defibrillators are two of the therapeutic modalities utilized in this field. Holter and event monitor recording and interpretation as part of ambulatory electrocardiographic monitoring; In electrophysiology (EPS), pacing and recording electrodes are inserted either into the esophagus (intra-esophageal EPS) or directly into the heart chambers (intra-cardiac EPS) through blood vessels in an effort to measure the electrical properties of the heart and, in the case of intra-cardiac EPS, to electrically stimulate it in an effort to induce arrhythmias for the purpose of diagnosing the patient. Catheter-based ablation of heart lesions using radiofrequency, cryotherapy (destructive freezing), microwave, or ultrasound energy to treat or control arrhythmias is known as ablation therapy. The electrophysiology study, in which arrhythmias are attempted to be induced and the mechanism of the arrhythmia for which ablation therapy is sought, typically takes place simultaneously with ablation. Among the "non-complex" ablations are those for arrhythmias like: CTI-dependent atrial flutter, accessory pathway-mediated tachycardia, and AV nodal reentrant tachycardia.
Additionally, the majority of our current electro-anatomic mapping systems can incorporate cardiac CT or MR images to superimpose electrical activity on anatomic structures. In electrophysiology (EPS), pacing and recording electrodes are inserted either into the esophagus (intra-esophageal EPS) or directly into the heart chambers (intra-cardiac EPS) through blood vessels in an effort to measure the electrical properties of the heart and, in the case of intra-cardiac EPS, to electrically stimulate it in an effort to induce arrhythmias for the purpose of diagnosing the patient.
The author is grateful to the journal editor and the anonymous reviewers for their helpful comments and suggestions.
The author declared no potential conflicts of interest for the research, authorship, and/or publication of this article.
Citation: Carey J (2022) Electrophysiologists are Typically used to Refer to Cardiologists who have Expertise in this Area. Interv Cardiol J. 11:52.
Copyright: © 2022 Carey J. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
