We have made an effort to make sure that every aspect of patient care flows effectively and includes all needed components.

We perform everything from simple electrophysiology studies, device implantations including biventricular implants, to simple and complex ablation procedures. We see a mix of some of the most complex cases in the state and from neighboring states as we are a tertiary care referral center.

We perform over 600 procedures each year. This includes over:

• 150 ablation procedures
• 100 ICD implantations
• 100 pacemaker implants

Our ablations include:

• Accessory pathways
• AVNRTs
• Atrial tachycardias
• Idiopathic VT and VT in structural heart disease (for those who are resistant to medications)
• Focal pulmonary vein atrial fibrillation ablations

Most of the complex congenital heart disease ablations are for atrial arrhythmias and are performed by Ian Law MD

Our nursing and radiographer staff perform the following:

• Start IV line
• Place catheters
• Close device (pacemakers, ICDs) pockets
• Remove lines
• Run the stimulator
• Run our ablation equipment
• Operate complex mapping equipment including CARTO and ESI

Alternative therapies

Generally alternative therapies are used for patients with benign palpitations, syncope, and risk reduction. An energy healer has been used with young patients with "POTS" and those with neurocardiogenic syncope. Several herbal therapies have also been employed for these patients.

Ongoing study with the Maharishi University in Fairfield, Iowa, is being conducted to evaluate the use of an Ayurvedic medicine approach to reversal of arteriosclerosis, in combination with meditation.

In terms of innovative alternative technological therapies, we have a cautious approach to new technology, taking the approach that more is not always better with ablations. Successful ablations can often be accomplished with standard recording systems and routine ablation equipment.