Electrophysiology

The Electrophysiology Service at UConn Health and St. Francis Hospital and Medical Center are staff by attending who are very dedicated to fellows’ education.  Both sites have state of the art EP labs capable of performing a full range of electrophysiology procedures (including pulmonary vein isolation for the treatment of atrial fibrillation, ablation of superventricular tachycardia, atrial flutter and ventricular tachycardia, implantation of cardiac rhythm devices including pacemakers, biventricular pacemakers, leadless pacemakers, His-bundle pacemakers, and defibrillators, as well as laser lead extractions)

First year fellows spend one month on the inpatient arrhythmia consult service at St Francis Medical Center, staffed by attending EP physicians. The primary cardiologist generally requests inpatient EP consults. The fellow is responsible for assessing these patients, recommending an appropriate diagnostic and treatment plan as well as following them during their hospital stay. The goals of the first year rotation include understanding the approach to a patient with an arrhythmia, knowing the indications for various EP procedures and becoming familiar with antiarrhythmic drug therapy.

Second year fellows spend one month rotating through a mixture of inpatient and outpatient electrophysiology service at UConn Health.  In addition to the goals outlined in the previous paragraph, fellows should become increasingly competent with device interrogation through spending at least one day a week in device clinic.  They are encouraged to scrub into electrophysiology procedures.

Third year fellows interested in electrophysiology can spend up to six months of elective in EP. They engage in all aspects of EP patient care including participating in procedures at UConn Health.

We hold twice-monthly case based ECG conferences supervised by attendings.  Fellows are expected to become facile in interpreting 12 lead ECGs, single lead ECGs from telemetry and ambulatory ECG monitors as well as recording obtained from implanted cardiac rhythm devices.