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Invasive cardiac electrophysiologic testing.

L N Horowitz

    Cardiology Clinics
    |February 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Clinical electrophysiologic studies are essential for diagnosing various heart rhythm disorders, including arrhythmias and conduction problems. This procedure offers accurate diagnosis and guides therapy with an acceptable complication rate.

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    Area of Science:

    • Cardiology
    • Electrophysiology

    Background:

    • Clinical electrophysiologic study (EPS) has evolved significantly since its inception in the 1960s.
    • Indications for EPS have expanded to encompass a wider range of cardiac conditions.

    Purpose of the Study:

    • To outline the current indications for clinical electrophysiologic study.
    • To highlight the diagnostic value and safety of EPS in managing cardiac arrhythmias and conduction disturbances.

    Main Methods:

    • Review of evolving indications for clinical electrophysiologic study.
    • Analysis of diagnostic applications including sinus node dysfunction, AV conduction, syncope, supraventricular and ventricular arrhythmias, and cardiac arrest.

    Main Results:

    • Current indications include sinus node dysfunction, AV conduction disturbances, syncope, supraventricular arrhythmias (with or without Wolff-Parkinson-White syndrome), ventricular tachycardia, and out-of-hospital cardiac arrest.

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  • The complication rate associated with EPS is considered acceptable.

    • Conclusions:

    • Clinical electrophysiologic study is a valuable diagnostic tool for a broad spectrum of cardiac rhythm disorders.
    • The benefits of accurate diagnosis and tailored therapy outweigh the procedure's risks.