Cardiac electrophysiology: Difference between revisions - Wikipedia
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Line 9: The cardiac electrophysiology study (EPS) typically measures the response of the injured or cardiomyopathic myocardium to PES on specific pharmacological regimens in order to assess the likelihood that the regimen will successfully prevent potentially fatal sustained [[ventricular tachycardia|ventricular tachycardia (VT)]] or [[ventricular fibrillation|ventricular fibrillation VF]] (VF) in the future. Sometimes a ''series'' of EPS drug trials must be conducted to enable the cardiologist to select the one regimen for long-term treatment that best prevents or slows the development of VT or VF following PES. Such studies may also be conducted in the presence of a newly implanted or newly replaced cardiac pacemaker or AICD.<ref name=Fauci /> ==Specialist ( A specialist in cardiac electrophysiology is known as a cardiac electrophysiologist, or (more commonly) simply an electrophysiologist. Cardiac electrophysiology is considered a subspecialty of [[cardiology]] in most countries and usually requires two or more years of [[fellowship (medicine)|fellowship]] training beyond a general cardiology fellowship. In early 2011, the [[Centers for Medicare and Medicaid Services]] (CMS) promoted cardiac electrophysiology to its own specialty category in the United States. Cardiac electrophysiologists are trained to perform interventional cardiac electrophysiology studies (EPS) as well as surgical device implantations.<ref name=Fauci /> ==Mapping Mapping specialists are typically educated up to the Bachelor's or Master's level and are employed by either a cardiac electrophysiology company or the clinic. Often a certification by the International Board of Heart Rhythm Examiners (IBHRE) as a Certified Electrophysiology Specialist (CEPS) is necessary. ==Research Cardiac electrophysiologists specialize in a sub-area of [[electrophysiology]], which in turn is a sub-area of [[physiology]]. This specialization usually requires education at the doctoral (PhD, DSc, or MD) level to become a principal investigator for research projects. The area of research is often multi-disciplinary involving chemistry, bioelectrics, biology, and biomedical engineering. The flagship tools used by cardiac electrophysiologsts overlap with the toolbox of the neuroscientist including [[patch clamp]] and optical mapping.<ref>{{citejournal|last1=Jaimes|first1=R|title=Lights, camera, path splitter: a new approach for truly simultaneous dual optical mapping of the heart|url=https://bmcbiomedeng.biomedcentral.com/articles/10.1186/s42490-019-0024-x}}</ref> | |||