Electrophysiology of Heart In Delhi, India

Electrophysiology Mapping and Ablation



Electrophysiology Mapping

Electrophysiology mapping is a test that helps to map and understand the electrical activities happening within your heart. An electrophysiology mapping may be recommended to the people who have cardiac arrhythmia and other heart-related problems. It helps your doctor to understand the exact cause and helps your doctor to decide the treatment which is most effective for you. In certain cases the doctors also perform this test to predict the risk of sudden cardiac death. In electrophysiology mapping, the doctor places a diagnostic catheter in your heart and run some specialized tests to map the electrical signals or currents. This test is performed in the hospitals and it may carry a small risk of serious complications.

Your doctor may recommend you an electrophysiology mapping test if you have an abnormal heartbeat (cardiac arrhythmia), or undergoing ablation, or have the risk of sudden cardiac death, or undergoing heart surgery, or syncope.



Risks associated with Electrophysiology Mapping:

  1. Bleeding or infection
  2. Damage to your blood vessels or heart valves
  3. Puncture of your heart
  4. It may worsen your arrhythmia by damaging your heart’s electrical system
  5. Blood clots
  6. Stroke
  7. Heart attack
  8. Death in rare cases

Cardiac Ablation

Ablation is also known as cardiac ablation. Cardiac ablation is a test that can correct abnormal heart rhythm problems (cardiac arrhythmia). It scars or destroys the tissue in your heart that initiates an abnormal heart rhythm. In some of the cases, the cardiac ablation stops the abnormal electrical signals to reach your heart and, thus it stops cardiac arrhythmias. The doctor uses a catheter that is inserted through a vein or artery in your groin region and directed towards your heart, then it delivers energy in the form of heat (radiofrequency) or extreme cold (cryoablation) to modify the tissues that cause abnormal heartbeat rhythm. Cardiac ablation is a treatment for the people who have tried medications for heart arrhythmia or had side effects with the medications, or either has a certain types of arrhythmia or high-risk complications such as sudden heart attack.

The cardiac ablations are of 4 types atrial flutter ablation, pulmonary vein isolation, SVT ablation, and ventricular tachycardia ablation.


Risks associated with Cardiac Ablation:

  1. Bleeding or infection at the catheter insertion area
  2. Damage to your blood vessels or heart valves
  3. Puncture of your heart
  4. It may worsen your arrhythmia by damaging your heart’s electrical system
  5. Blood clotting in your legs or lungs
  6. Stroke
  7. Heart attack
  8. Pulmonary vein stenosis
  9. The dye used during the procedure may damage your kidneys
  10. Death in rare cases



Dr. Mahesh Wadhwani

Chief of Cardiac Surgery & HOD
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Opinion based on American heart association guidelines


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