Caring for patients having difficulty with the heart's rhythm and electrical signaling, our experts in Cardiac Electrophysiology & Pacing are the leaders in the diagnosis and care of patients with atrial fibrillation, ventricular tachycardia, Wolfe Parkinson White syndrome, flutter and other abnormal heart rhythms. The Cardiac Electrophysiology & Pacing section has five state-of-the-art laboratories that offer a wide range of electrophysiology and mapping and ablation procedures to patients with suspected rhythm abnormalities. Other services include an Atrial Fibrillation Clinic, remote monitoring devices, genetic testing, a full range of pacemaker and cardioverter defibrillator (ICD) devices, biventricular pacemakers, removal of leads, advanced mapping and ablation therapy, Syncope Clinic and Device Clinic.
In the Cardiac Electrophysiology & Pacing section, we offer a variety of highly specialized approaches to heart-rhythm problems. The procedures may be used to diagnose a heart problem or to treat it. Arrhythmia treatment depends on the type and severity of the arrhythmia. In some cases of arrhythmia, no treatment is necessary. These include:
- Center for Atrial Fibrillation, comprised of electrophysiologists, cardiologists, cardiac surgeons, imaging specialists and specially trained nurses and researchers, specializes in the diagnosis and treatment of atrial fibrillation using the newest medications, cardioversion, ablation (PVAI) and surgical procedures.
- Sophisticated remote monitoring devices to help diagnose arrhythmias that come and go. New implantable devices are also available to help physicians monitor volume changes in the heart for those with heart failure and provide ongoing monitoring for those with complex arrhythmias or devices.
- Physicians and nurses in our Device Clinic perform about 14,000 device checks each year to monitor the function of implanted devices.
- Genetic testing to determine the presence of inherited arrhythmia disorders.
- Medical management and follow-up of patients with arrhythmias, using the most current medical regimens available.
- A full range of the newest pacemaker and cardioverter defibrillator (ICD) devices to provide individualized treatment for many irregular heart rhythms.
- Biventricular pacemakers, to improve left ventricular function, in patients with heart failure. This treatment complements pacemaker and ICD therapy used to treat arrhythmias associated with heart failure.
- Removal of leads from damaged and infected pacemakers or defibrillators.
- Advanced mapping and ablation therapy in state-of-the art electrophysiology labs, for atrial and ventricular tachycardia.
- Syncope Clinic uses a full range of diagnostic tests including the head upright tilt test and hemodynamic, blood volume and autonomic reflex testing to evaluate patients with syncope (fainting) or other neurogenic disorders.
Electrophysiologists (doctors who specialize in heart rhythms) are also experts in the treatment and long-term management of many types of abnormal heart beats (arrhythmias). These include:
Cleveland Clinic Electrophysiologists use specialized approaches to diagnose and treat arrhythmias, such as:
Why choose Cleveland Clinic for your care?
Our outcomes speak for themselves. Please review our facts and figures and if you have any questions don’t hesitate to ask.
The 2011 Cardiac Rhythm Disorders outcomes data includes information on volume of electrophysiology laboratory procedures and success rates for a variety of procedures.
A view of the Electrophysiology Laboratory
The Electrophysiology Laboratory at Cleveland Clinic is an 8 room procedure suite designed to perform diagnostic, therapeutic and interventional electrophysiology based procedures.
Advanced technology along with vast knowledge and skill of Cardiac Electrophysiology & Pacing physicians allow for many complex procedures and device implants, such as:
- internal cardiac defibrillators
- loop recorder devices
- biventricular pacemaker and ICD devices
- mapping of complex arrhythmias
- catheter ablation for atrial fibrillation/ flutter, supraventricular tachycardias, ventricular arrhythmias, complex arrhythmias and for those who have previously failed ablations.
- transseptal puncture and epicardial ablations
- external or internal cardioversion
- device lead extraction
- use of intracardiac echocardiography
- magnetically driven procedures including ablations and coronary sinus lead placements
The Syncope Center, located near the electrophysiology laboratories performs approximately 2,000 diagnostic studies including tilt table testing, blood volume studies and other hemodynamic and/or autonomic nervous system evaluations.
For more information about Cleveland Clinic Electrophysiology Lab,
see this Spotlight Interview, EP Lab Digest, August 2011.
What to Expect
Whether you are coming from around the corner or around the world, you want to know what to expect before, during and after your visit with us. If you have any questions while reviewing this information, please contact us. We are happy to answer any questions you may have.
Locally 216.444.6697 or toll-free 800.659.7822 or 800.223.2273, ext. 46697
Go to Desk J2 - 2, 9500 Euclid Avenue, Cleveland, Ohio.
Use our secure online form to submit an appointment request 24/7. We will receive it and follow-up with you as soon as possible.
Mon. - Fri., 8 a.m. - 5 p.m. (ET):
Please call our scheduling offices at
216.444.6697 locally or toll-free 800.223.2273, ext. 46697 (outside of the Cleveland area)
Call the Referring Physician Hotline 24 hours/day at 855.REFER.123 (855.733.3712).
Cleveland Clinic Heart and Vascular Institute physicians, surgeons, and researchers continue to research into new treatments and therapies with the goal of improving patient care and outcomes into the future.