The Department deals with the diagnosis and treatment of rhythm and conduction disorders of the heart. Disorders of the cardiac rhythm and conduction are common both in people with structural heart disease (for example Ischemic Heart Disease, valvular defects, etc.) and in people without established structural cardiac affect.
Establishing a rhythm or conduction disorder can be done using the common instrumentation methods – electrocardiogram or Holter ECG. Determining an accurate diagnosis, however, often requires invasive electrophysiological study. Most arrhythmias can be treated with anti-arrhythmic medications. Unfortunately, this treatment is not highly effective and the symptoms (complains) continue despite the treatment. In these cases, catheter ablation is the treatment method with a very high efficiency and a chance for a radical cure.
Heart conduction disturbances are expressed with slow pulse. Established and routine method of its severe forms is the implantation of electro-cardiac stimulator (a.k.a. pacemaker). It is an electronic device that is implanted subcutaneously in the left or right subclavicular area, and using one or several electrodes introduced into the cardiac cavity through the subclavian vein, it sends electrical impulses to the heart. Some forms of cardiac conduction abnormalities occur in patients with disturbed function of the left [cardiac] ventricle and require implantation of special types of pacemakers – the so called re-synchronization therapy systems. This method of treatment is proven to be effective in terms of improving the quality and longevity.