Chapter

Indications for Invasive and Noninvasive Electrophysiologic Testing

Barry A. Boilson and Peter A. Brady

in Mayo Clinic Cardiology

Fourth edition

Published on behalf of © Mayo Foundation for Medical Education and Research

Published in print November 2012 | ISBN: 9780199915712
Published online May 2013 | e-ISBN: 9780199322824 | DOI: http://dx.doi.org/10.1093/med/9780199915712.003.0493

Series: Mayo Clinic Scientific Press

Indications for Invasive and Noninvasive Electrophysiologic Testing

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Electrophysiologic testing can be used with the following goals: accurate diagnosis of an arrhythmia and its mechanisms; establishment of the etiologic factors of syncope; determination of prognosis in the clinical setting of arrhythmia; risk stratification for sudden cardiac death; acquisition of data regarding indications for ICD or pacemaker implantation; and guidance of antiarrhythmic therapy with drugs, ablation, or surgery. The maneuvers performed during an EP study vary depending on the indication. The decision to proceed with invasive EP testing should include consideration of risks to the patient versus potential yield, and informed consent is essential.

Chapter.  3766 words.  Illustrated.

Subjects: Cardiovascular Medicine

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