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Electrophysiology

Rely on dedicated electrophysiologists for treating heart rhythm disorders, like arrhythmia and other conditions causing an irregular heartbeat.

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An arrhythmia refers to any abnormality in the rhythm or rate of the heartbeat. Normally, the heart beats in a steady, rhythmic pattern, which is crucial for pumping blood efficiently throughout the body. Sometimes this rhythm becomes irregular, either beating too fast (tachycardia), too slow (bradycardia), or erratically.

If you notice an irregular heartbeat, you should make an appointment with your primary care provider. They will evaluate your condition and, if necessary, refer you to an electrophysiologist. If you experience shortness of breath, lightheadedness or passing out related to an irregular heartbeat, you should seek immediate care at the nearest emergency room or call 911.

Electrophysiologists specialize in diagnosing and treating cardiac arrhythmias. 

  • Palpitations: fast or irregular heartbeat
  • Bradycardia: slower than normal heart rate
  • Ventricular tachycardia: fast heartbeat starting in the two lower chambers (ventricles)
  • Atrial flutter: fast heartbeat starting in the two upper chambers (atria)
  • Atrial fibrillation (AFib): faster and more irregular version of atrial flutter

Heart Rhythm Health

Whether your heart is beating unusually slow, skips beats or beats unevenly, the cause can be cardiac or noncardiac. Sometimes other unknown causes can be a factor. An electrophysiologist may run multiple tests to determine the cause of the newfound arrhythmia. The testing will help determine the diagnosis and the treatment plan for the underlying arrhythmia.

Symptoms

Don’t play around when it comes to your heart. Keep in mind that you may not even feel the abnormality. That’s why regular cardiovascular screenings with an expert are important (starting at 40 for men, and 45 for women). Symptoms for an abnormal heart rate may present as the following:

  • Racing heart sensations
  • Chest pain
  • Lightheadedness or dizziness 
  • Shortness of breath
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Treatments

If an irregular heartbeat is left untreated, you put yourself at greater risk for stroke, cardiac arrest or even death. Your electrophysiologist will work with you and your care team of highly trained staff to develop a treatment plan personalized to meet your needs that may include:

  • Medication prescribed by your doctor to regulate heart rate
  • Pacemaker: an inserted medical device, to deliver electrical current at the right rhythm to increase speed 
  • Ablation: An inserted catheter will either heat or freeze a tiny area of abnormal tissue, forming a scar to aid in redirecting currents and returning the patient to a normal rhythm.
  • Defibrillator: an implanted device to deliver an electrical shock to help a dangerously high heart rate return to normal.
  • Left atrial appendage closure device: procedure for a one-time implant (using WATCHMAN™ device) to prevent the risk of stroke and to help patients who are at high risk for bleeding and come off their anticoagulant.

Public Access Defibrillator Program

Defibrillators make it easy to help save a life in an emergency. Avera Heart Hospital is committed to helping communities stay safe by offering automated external defibrillators (AEDs) to businesses and individuals at cost. As one of the largest public access defibrillator programs in the United States, Avera has partnered with organizations, such as Sioux Falls Fire Rescue, to get more AEDs into buildings throughout our communities.

  • AEDs today prompt you every step of the way with directions. They’ll tell you if a shock is advised, help you know where to place the pads and when to not touch the victim.
  • The most important thing is to act and get the person’s heart beating again. Every passing minute without CPR and defibrillation can mean the difference between life and death for a cardiac arrest victim.
  • To see how you can purchase AEDs at cost, please request more information.
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Rural Access to Cardiology Services

Avera Heart Hospital network brings specialty cardiac care and the region’s top expertise to your community. Physicians visit outreach sites located throughout eastern South Dakota. Patients in rural and remote areas can benefit from Careflight emergency air transport and telemedicine for additional support by specialists.

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More Programs & Services

Cardiovascular Disease Screening

Know your risk factors. Avera Planet Heart screenings are available for men ages 40+ and women ages 45+ across our five-state region. Learn More

Expert Advice on Heart & Vascular Topics

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Caring for Your Heart & Vascular Health

Live a healthy, hearty life. Your doctor can help you understand risk factors for cardiovascular disease and refer you to a cardiologist if needed. Contact a location near you to request a screening with Avera Planet Heart.

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