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Health Quest cardiac electrophysiologists diagnose and treat irregular heartbeats. 

At Vassar Brothers Medical Center, cardiac electrophysiology specialists diagnose and treat cardiac arrhythmias (irregular heartbeats) and other cardiac diseases using the latest technology.

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EP Study for Diagnosis and Planning Treatmen

The most valuable diagnostic tool for cardiology is an electrophysiology (EP) study, which records the electrical activity and electrical pathways of the heart. 

An EP study can: 

  • Allow physicians to map the spread of electrical impulses during each beat in order to locate the source of an arrhythmia 
  • Help identify patients who may be at risk of having a future cardiac event or even sudden cardiac death 
  • Help determine the cause of a heart rhythm disturbance and the best course of treatment, such as implanting a defibrillator or pacemaker, prescribing medications, or other treatments such as ablation 

Leadless Pacemaker Offers Advantages for Certain Patients 

A pacemaker is an implanted device that is designed to help keep the heart beating at a proper rate. Typically, a pacemaker is implanted in the chest, with wires, or leads, running to the chambers of the heart. Health Quest is the only health system in the Mid-Hudson Valley that offers a leadless pacemaker for patients with certain specific medical conditions. The leadless pacemaker is designed to help patients who have a slow heart rhythm (bradycardia) and need stimulation of just one chamber of the heart. This technology is only available at Vassar Brothers Medical Center. 

The leadless pacemaker: 

  • Is implanted directly into the right ventricle of the heart through a vein in the leg, which means there is no chest incision or scar 
  • Is self-contained within the heart, eliminating any potential medical complications that can arise from the wires running from a conventional pacemaker into the heart 
  • Is 93 percent smaller than a conventional pacemaker, about the size of a large vitamin capsule, which means there is no bump in the chest  
  • Permits you to safely undergo magnetic resonance imaging (MRI) 
  • Adjusts your heart rate automatically by sensing changes in your body related to your activity level 
  • May last up to 12 years, while a conventional pacemaker may last anywhere from two to eight years 

Advanced, Wireless Defibrillator Can Monitor and Treat Heart Conditions 

A defibrillator is an implanted device capable of delivering an electric shock to the heart if it detects a life-threatening disturbance in heart rhythm. A defibrillator is designed to keep the heart beating at a steady pace.  Vassar Brothers Medical Center was the first healthcare facility in the Mid-Hudson Valley to use the S-ICD System™, which is a defibrillator implant for patients with heart conditions.  

The S-ICD System: 

  • Is implanted with a minimally invasive procedure 
  • Does not require a wire connected to the heart, but rather operates using electrodes 
  • Picks up broader heart rhythms rather than reading individual heartbeats, allowing for discrimination between major cardiac events and more minor, treatable episodes 

Catheter Ablation With Robotic Magnetic Navigation 

In many cases, cardiac irregularities can be corrected by performing a catheter ablation. This procedure uses radio waves or freezing to fix an abnormal area in the heart's electrical system, which is usually found during an EP study. 

Conventional EP studies use rigid probes guided by the physician's hands to explore and treat the heart. At Health Quest, physicians use more flexible catheters guided by robotic magnetic navigation to assist with catheter ablation. 

Robotic magnetic navigation can: 

  • Provide safer, shorter procedure times 
  • Result in better patient outcomes 
  • Decrease the use of radiation in the delicate cardiovascular system 

Stereotaxis EPOCH Robotic Navigation System Redefines Surgical Precision 

Electrophysiologists proudly use EPOCH robotic navigation technology and 3D imaging to access hard-to-reach regions of the heart. EPOCH is used to diagnose and treat atrial fibrillation and other forms of cardiac arrhythmias. In some cases, this tool can even relieve atrial fibrillation, which can't be cured with medication alone. 

Other Cardiac Electrophysiology Procedures 

The EP team also performs: 

  • Laser lead extraction, which is used to remove a pacemaker or defibrillator due to infection or a faulty device.
  • Cardiac resynchronization therapy (CRT), which sends electrical, pulses to the ventricles — the two lower chambers of the heart — to help them beat as they should. CRT is used to treat heart failure and has been shown to reduce mortality and improve quality of life.

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45 Reade Place
Poughkeepsie, NY  12601
(845) 437-3180