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An electrophysiology (EP) study is a test that examines how electrical signals travel through the pathways in your heart. When these pathways function normally, your heartbeat remains regular. However, if the signals are abnormal, your heartbeat becomes irregular, a condition known as an arrhythmia.

Radiofrequency ablation (RFA) is a procedure used to treat certain types of arrhythmias. Often, it can be performed simultaneously with an EP study. Your doctor will inform you whether you are scheduled for an EP study, an RFA procedure, or both.

EPS and RFA are employed to diagnose and manage arrhythmias ranging from ventricular tachycardia and supraventricular tachycardia (SVT) to atrial fibrillation and atrial flutter. The aim is to stop the cause of the arrhythmia, relieve symptoms such as palpitations or dizziness, prevent a stroke, and improve heart health and overall quality of life.

You should see a doctor if you experience persistent palpitations, fainting (syncope), chest discomfort, shortness of breath, fatigue, or if you have been diagnosed with a heart rhythm disorder. Early diagnosis and treatment reduce complications and improve prognosis.

ECG, echocardiography, Holter monitoring, blood test, and sometimes cardiac MRI or CT are all part of the preparation. In preparation for treatment, you may be asked to fast for six to eight hours, discontinue some medications, and arrange recuperation services and transportation afterwards.

EPS (Electrophysiology Study): Tiny catheters are inserted to the heart after being inserted into a vein, usually in the neck or groin. Electrical signals are recorded to map the heart's conduction system and identify the site of the arrhythmia.
RFA (Radiofrequency Ablation): Once the abnormal area has been located, the catheter sends radiofrequency energy, or heat, to kill the faulty tissue and terminate the abnormal rhythm. The procedure is minimally invasive and takes place under local anaesthesia and sedation.

The entire procedure may take two to four hours. Although some patients are discharged the same day, most stay overnight in the hospital for observation.

Bleeding or bruising
Infection
Blood clots or a stroke
Heart perforation
Arrhythmia recurrence

In some instances, EPS-RFA can reduce stroke risk, enhance signs and quality of life, reduce or eliminate the necessity of long-term medications, and cure permanently several arrhythmias.

After EPS RFA, patients typically must stay overnight in the hospital for observation. Most can resume their normal activities within a few days to a week, but they should avoid strenuous activities for several weeks.

Radiofrequency ablation (RFA) and electrophysiology studies (EPS) vary in their success rates depending on the specific heart rhythm condition being addressed, as well as other factors such as the patient's age and overall health.The majority of supraventricular reentrant tachycardias have a success rate of >95%, though this varies depending on the type of arrhythmia. The success rate for idiopathic ventricular arrhythmias is 80–90%.

Top Selling Packages for EPS & RFA

EPS / RFA

Batra Hospital, Delhi, India

USD 4550 USD 5550

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EPS with Stretched Ablation

Medipol Bahçelievler Hospital, Istanbul, Turkey

USD 14000 USD 16800

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EPS / RFA

Aakash Healthcare Super Speciality Hospital, Delhi, India

USD 3500 USD 4200

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NMC Chronic Care Specialized Hospital

Jeddah, Saudi Arabia

NMC Chronic Care Specialized Hospital is a 200-bed long-term acute care (LTAC) facility located in Jeddah, Saudi Arabia. The hospital specializes in providing high-quality inpatient medical and critical care for pediatric, adult, and geriatric patients with long-term and acute healthcare needs. In addition to its inpatient services, NMC Chronic Care operates a stand-alone outpatient dialysis unit, offering specialized care for patients with kidney conditions. The hospital is also known for its comprehensive home healthcare program, delivering essential medical services directly to patients' homes. This includes a range of services such as nursing care, wound care, IV therapy, hemodialysis, physiotherapy, and respiratory care, all tailored to improve the quality of life and promote recovery in the comfort of the patient's environment. With its patient-centered approach and dedicated team of healthcare professionals, NMC Chronic Care Hospital ensures continuous, compassionate care across a variety of medical needs.

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Author

Nimra Haseeb

MSc Biochemistry

4 Years of Experience

Miss Nimra Haseeb is a medical researcher and a scientific content writer. She holds a Bachelor’s degree in Biotechnology and a Master’s in Biochemistry from Integral University, Lucknow.With strong experience in healthcare research, she specializes in secondary research, clinical data analysis, and evidence-based medical writing. Her work focuses on transforming complex scientific and medical information into clear, accurate, and reliable healthcare content for patients and healthcare audiences. She is also experienced in interpreting medical studies and healthcare trends to deliver well-researched and informative content that supports better health awareness and decision-making.. View More

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Dr. Naresh Kumar Goyal

Cardiologist

21 Years of Experience

Dr. Naresh Kumar Goyal is highly trained as a cardiologist with exposure in virtually all aspects of cardiology. He qualified with an MD in internal medicine in 1999 from SMS Medical College, Jaipur, and served in the Cardiology Department as an honorary resident. From this stage, he also started with training in the temporary pacing of the pacemaker as well as interventional services. View More

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