EPS or electrophysiology study is a test method directed to perceive how the electric driving forces leads through the pathways of your heart. In the event that the conduction pathway is typical, it shows your pulses are ordinary. On the off chance that if anomalous signs are recognized it shows arrhythmia or unpredictable heart thumps. 

RFA or Radiofrequency Ablation  is a kind of intrusive surgery directed to treat particular sorts of arrhythmias. 

Both EPS and RFA can be directed simultaneously. Typically a specialist relegates both the methods together. EPS is directed to analyze the nearness of arrhythmia. In view of the nature and sort of arrhythmia RFA is led as a treatment method. 

Symptoms of patients experiencing EPS and RFA 

  • Indications for arrhythmia differ from individual to individual. 
  • Beating or fast heartbeat 
  • Heart rippling 
  • Tipsiness 
  • Feeling woozy 
  • Brevity of breath 
  • Chest uneasiness 
  • Exhaustion 
  • Palpitation 

Some risk factors likewise pop when working with arrhythmia: 

  • Arrhythmia 
  • Heart failure 
  • Low circulatory strain 
  • Injury or damage in the vein 
  • Odds of optional disease 
  • Dangers of heart tamponade 
  • Embolisms 
  • Blood coagulating at the tip of the catheter which can break and square other veins too 
  • Extreme draining particularly in patients with thickening issue 

Factors affecting the expense of the system 

In spite of the way that India has the absolute best cardiovascular master and cutting edge super claim to fame care the expense of treatment is around 1/tenth of UK or USA. 

The expense of the method relies upon the nature and sort of arrhythmia anyway the complete expense incorporates 

  • Cost of medical procedure 
  • Cardiologist and specialist groups charges 
  • Cost of medications 
  • Charges for the working room dwelling ward and other emergency clinic related charges 
  • Different incidental expense
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Radiofrequency ablation (RFA) is a surgical procedure in which heat generated from medium frequency alternating current is used to ablate a tumour, a part of the electrical conduction system of the heart, or any other dysfunctional areas. The ablation therapy requires local anaesthesia and is done in an outpatient setting.

RFA is a popular treatment for the correction of any abnormality in the electrical system of the heart, which is confirmed during electrophysiology studies (EPS). During this test, the electrophysiology of heart is studied and any abnormalities are noted. The procedure used to correct the identified abnormalities associated with electrophysiology of heart is known as the cardiac ablation procedure.

The steps in the RFA procedure depends of the type of disorder that needs to be treated or the part of the body targeted.

Radiofrequency Ablation For Cardiac Treatment

Abnormal electrophysiology of heart that cause cardiac arrhythmias can be destroyed by radiofrequency energy. During cardiac ablation procedure, radiofrequency energy is used in atrial flutter, supraventricular tachycardia, multifocal atrial tachycardia and ventricular arrhythmia. The electrode at the tip of a catheter is placed into the heart through a vein. This type of catheter is called ablator. The physician first maps the specific area that is abnormal before starting the cardiac ablation surgery.

Radiofrequency Ablation for Tumours

RFA is used to treat tumours of kidneys, liver, lung and bone. After tumour diagnosis is confirmed, a needle-like RFA probe is placed inside the tumour. Through this probe, the radiofrequency wave passes and increases the temperature of the tumour tissue. The increase in temperature destroys the tumour during ablation procedure.

Radiofrequency Ablation For Aesthetics Dermatology

Radiofrequency ablation therapy can also be used in dermatological conditions by using different forms of alternating current. The radiofrequency ablation can also be used to treat skin lesions with few side effects and complications.

Radiofrequency Ablation For Varicose veins

Radiofrequency ablation is used in the treatment of varicose veins. Under ultrasound control, a radiofrequency catheter is inserted into the abnormal vein and the vessel treated with radio-energy and closes the involved vein. Radiofrequency ablation is used to treat the saphenous vein, the saphenous vein, and the perforator veins.

Immediately after cardiac ablation procedure, the patient is shifted to a recovery room for a few hours. There may be some level of numbness or weakness for a while, which goes away in a few hours. You will be asked to lie quietly for at least three to four hours.

During the first 48 hours, you may feel sore because of excessive lying down or experience a heart-beat which is strange. Bruises may appear at the site of catheter insertion, however, it goes away within two days. You will be instructed to avoid vigorous activities and weight lifting and advised to remove any bandages at bed time. You must avoid the catheter insertion site from getting wet.

You will be given an appointment after RFA to have a repeat scan. The scan helps to know how well the treatment is done. You must avoid bending of squatting and watch out for swelling or bleeding at the site of catheter insertion. It is important to take short walks every day. You can return back to work after 48 hours or whenever your doctor gives a go ahead.

Advantages of radiofrequency ablation (RFA)

  • Radiofrequency catheter ablation does not require general anaesthetic as it does not stimulate the nerve and heart muscle directly.
  • Radiofrequency catheter ablation treats specifically the desired tissue without much collateral damage.

Frequently Asked Questions

Singapore is generally known for its well-managed health care infrastructure and has an efficient and widespread system of healthcare. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000. Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. Three main healthcare groups exist in Singapore:
  • National Healthcare Group
  • National University Health System
  • SingHealth
The 10 public hospitals in Singapore comprise 8 general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). The private healthcare infrastructure in Singapore is also well established. The payment methods include private payment gateways or private insurance companies. You can expect better technology to be used in private hospitals in Singapore. Various procedures like stem cell therapy and cancer research are conducted in Singapore.
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are some of the JCI certified hospitals in Singapore :
  • Mount Elizabeth Hospital
  • Singapore National Eye Centre
  • National Dental Centre
  • Raffles Hospital
  • National University Hospital
  • Gleneagles Hospital
  • Singapore General Hospital
  • National Heart Centre Singapore
  • Changi General Hospital
  • National Cancer Centre
  • National Skin Centre
  • Johns Hopkins Singapore International Medical Centre
  • Tan Tock Seng Hospital
Since Singapore is known all over the world for some of the best medical treatments all across the globe, you can surely expect the best quality of doctors and surgeons here. This country has a very high quality of life and hence the health of people is of high priority.
People who wish to go to Singapore as a tourist for social purposes or seeking medical treatment, and require a longer period of stay beyond the Visit Pass granted on entry into Singapore, may submit an application for extension of stay (not more than 89 days from date of entry) online using the e-Service of ICA. All extension applications must be submitted online using the e-service at least seven days prior to the expiry of the visit pass to avoid overstaying. Extension of visit will not be accepted over the counter. Every visit pass issued to any person as a tourist or for the purpose of a social visit or medical treatment shall be subjected to the condition that the holder shall not engage in any form of employment (paid or unpaid) or in any business, profession or occupation in Singapore during the validity of that pass unless he is a holder of a valid work pass issued under the Employment of Foreign Manpower Act. Do visit the ICA website for further information.
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