08/29/2021
Cardiac Electrophysiology: the only job in the world that you go to work to give someone heartburn.
It's true! We give people heartburn; on purpose!
Why, you might ask?
Well, the heart can develop abnormal pathways of electrical conduction or islands of rebel cells that would like to carry out a coup against the Sinoatrial Node; the true ruler of the heart rhythm. These rouge cells and their network of aberrant rebels must be eliminated.
Enter on the scene our heroes: the cardiac electrophysiologist (physician) and the registered cardiac electrophysiology specialist (RCES tech), the cardiac nurse, and cath lab x-ray tech . Their mission, because they chose to accept it, is to search out those rebellious cardiac cells and destroy them and their network of aberrant colleagues. Once found, the team, using the latest technologies, deploy radiofrequency waves to cease the reign of terror caused by the rebellion.
So, the RCES staff member works in a team environment to assist in the diagnosis and treatment of cardiac arrhythmias. The physician, RCES tech, nurses, and x-ray techs all work together. Often, a 3D mapping specialist assists the physician in displaying/creating the 3D map of the heart chamber. They look at the conduction activity and determine where to create a small burn of the cells so they can no longer conduct the wrong signals to the heart cells (cardiomyocytes).
RF energy is used to create heat and burn the area beneath the tip of the catheter. Cryogenic cooling is also used in certain cases to freeze the cells.
Another job of the RCES staff member is to stimulate the heart to beat at certain rhythms/rates. By doing this, we can pinpoint where the troublesome area is for interventional treatment described above.
Yup, RCES staff have rhythm!
Yet another role of the RCES staff member is to assist in the implantation of cardiac devices (pacemaker/ICD).
So, it also can be said that we help our patients to have rhythm, too!
So, putting that all together: We give people heart burn, or the cold treatment, we have rhythm, and we share our rhythm to others!
Interested yet? Let's talk. (I am a program director for an accredited cardiac EP program).