Common "Electrophysiological Study" queries answered by top doctors | iCliniq

Electrophysiological Study

The electrophysiological study is a minimally invasive cardiac procedure done to record the electrical activity of the heart from within. Here, catheters are introduced through the heart's artery or vein, and then the electrical impulses are recorded. This test is done to know the cause, origin, and treatment of various heart arrhythmias (rhythm problems).

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Can my cardiac issues cause sudden cardiac death?

Query: Hello doctor, I have a long, complicated cardiac history and currently seeing a cardiologist. It started with chest pains, and I ended up having an episode of NSVT last year. I am now on Bisoprolol and Amlodipine. The cardiologist thinks my condition is coronary artery spasm and just an ectopic focu...  Read Full »


Dr. Pramod Bhanudas Narkhede

Answer: Hi, Welcome to icliniq.com. An excellent narrative history. I think you had only one episode of tachycardia of ventricular origin, which was nonsustained. Other reports of few years are not justified with the ventricular tachycardia. You might be having an idiopathic origin of ventricular t...  Read Full »

Is surgery necessary for irregular heartbeat?

Query: Hello doctor, I am a 30 year old male, and I have a heart condition from when I was three years old. My heartbeats get very fast all of a sudden. What is the name of my heart problem? The ECG report was not normal. I am taking ayurvedic medicines for this problem. A doctor told me to get a surgery d...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Your heart condition is a cardiac arrhythmia, which is called PSVT (paroxysmal supraventricular tachycardia), in which heart rate suddenly goes up and also suddenly decreases. The blood pressure falls during these episodes, and one has dizziness, fainting, blacko...  Read Full »

Is my father’s low heart rate linked to hypothyroidism?

Query: Hello doctor, My father was diagnosed with thyroid gland disorder wherein T3 and T4 levels come as normal in results while TSH is pretty much high. Sometimes, the TSH value rises to 100. He has been on Levothyroxine or Eltroxin 100 mcg for the last 17 to 18 years now. Lately, he was hospitalized for...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to icliniq.com. Firstly, from the reports (attachment removed to protect patient identity) it appears that he is having bradycardia and sinus arrhythmia, but no tachycardia. So, according to me, electrophysiology (EP) studies may be helpful, but not necessary. It could be due to thyroid...  Read Full »

My anion gap remains around 20 mmol/L. Is this bad?

Query: Hello doctor, I am a 32 year old female, and I went to the ER four days back for SVT. Apparently, my anion gap was 20 mmol/L. Is this bad? The BUN was less than 3, ionized calcium was 1.11 and low creatinine. I am freaking out as no one went over the results with me. I have had four cases of SVT ...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Firstly, low BUN (blood urea nitrogen) and creatinine levels are not a matter of worry. Normal BUN range is from 2.5 to 7.1 mmol/L. Also, ionized calcium is a bit lower but still normal. Anion gap is high, but it has got significance if you have acidosis as well low...  Read Full »

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