Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Electrophysiologic Studies in Octogenarians.

Ahed Nahhas1, Samer Salka, Donald D. Tresch

  • 1Medical College of Wisconsin, Milwaukee, WI.

The American Journal of Geriatric Cardiology
|October 1, 1994
PubMed
Summary

Electrophysiologic studies (EPS) are safe and beneficial for very elderly patients, leading to therapy changes in many cases. This cardiac procedure helps guide treatment for older individuals with heart rhythm issues.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Hospitalization costs for acute myocardial infarction patients treated with percutaneous coronary intervention in the United States are substantially higher than Medicare payments.

Clinical cardiology·2014
Same author

In-hospital mortality among patients with takotsubo cardiomyopathy: a study of the National Inpatient Sample 2008 to 2009.

American heart journal·2012
Same author

Demographic and co-morbid predictors of stress (takotsubo) cardiomyopathy.

The American journal of cardiology·2012
Same author

Proximal right coronary artery diverticulum resulting in recurrent distal embolization.

The Journal of invasive cardiology·2011
Same author

Soft mold-dry etch: a novel hydrogel patterning technique for biomedical applications.

Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference·2007
Same author

A hydrogel-actuated microvalve for smart flow control.

Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference·2007

Area of Science:

  • Cardiology
  • Electrophysiology
  • Geriatric Medicine

Background:

  • Very elderly patients often present with complex cardiac conditions.
  • Electrophysiologic studies (EPS) are crucial for diagnosing arrhythmias but their utility in the very elderly is debated.

Purpose of the Study:

  • To evaluate the safety and efficacy of electrophysiologic studies (EPS) in patients aged 80 and older.
  • To determine the impact of EPS findings on therapeutic management in this population.

Main Methods:

  • A prospective study of 104 consecutive patients aged 80+ undergoing EPS.
  • Analysis of patient demographics, cardiac history, indications for EPS, EPS findings, and subsequent therapeutic changes.
  • Assessment of procedural complications and outcomes.

Related Experiment Videos

Main Results:

  • The most common indication for EPS was unexplained syncope (62 patients).
  • EPS identified responsible findings in 37% of patients, leading to a change in therapy for 60% overall.
  • Therapy modification was particularly high for patients with sustained ventricular tachycardia (75%) or cardiac arrest (75%).
  • Complications were rare (3 patients), with no mortality or neurological sequelae.

Conclusions:

  • Electrophysiologic studies (EPS) can be safely performed in very elderly patients.
  • EPS findings significantly influence therapeutic decisions and improve patient management.
  • The risk-benefit profile favors the use of EPS in selected very elderly patients.