After the test, you may be taken to the recovery room for observation or returned to your hospital room.
You will stay flat in bed for several hours after the test. A nurse will monitor your vital signs, the insertion site, and circulation or sensation in the affected leg or arm.
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Let your nurse know right away if you feel any chest pain or tightness, or any other pain, as well as any feelings of warmth, bleeding, or pain at the insertion site. In some cases, the sheath or introducer may be left in the insertion site.
If so, you will be on bed rest until the sheath is removed. After the sheath is removed, you may be given a light meal. After the specified period of bed rest, you may get out of bed. The nurse will help you the first time you get up, and may check your blood pressure while you are lying in bed, sitting, and standing.
You should move slowly when getting up from the bed to avoid any dizziness from the long period of bed rest. You may be given pain medicine for pain or discomfort related to the insertion site or having to lie flat and still for a prolonged period. You may go back to your usual diet after the test, unless your healthcare provider tells you otherwise.
When you have recovered, you may be discharged to your home unless your doctor decides otherwise. If this test was done on an outpatient basis, you must have another person drive you home. Once at home, check the insertion site for bleeding, unusual pain, swelling, and abnormal color or temperature change.
A small bruise is normal. It will be important to keep the insertion site clean and dry.
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Your doctor will give you specific bathing instructions. You may be advised not to participate in any strenuous activities for a few days after the test. Your doctor will tell you when you can return to work and go back to your normal activities. Increased pain, redness, swelling, or bleeding or other drainage where the catheter was inserted.
Your healthcare provider may give you other instructions after the test, depending on your situation. Health Home Treatments, Tests and Therapies. Why might I need an electrophysiological study? Your healthcare provider may advise an EP study for these reasons: To evaluate symptoms such as dizziness, fainting, weakness, palpitation, or others to see if they might be caused by a rhythm problem. This may be done when other tests have not been clear and your doctor strongly suspects you have a heart rhythm problem EP studies can be used to get information related to abnormally fast or slow heart rhythms To find the source of a heart rhythm problem with the intent to do ablation once the source is identified To see how well medicine s given to treat a rhythm problem are working There may be other reasons for your healthcare provider to recommend an EP study.
What are the risks of an electrophysiological study? Possible risks of an EP study include: Bleeding and bruising at the site where the catheter s is put into a vein Damage to the vessel that the catheter is put into Formation of blood clots at the end of the catheter s that break off and travel into a blood vessel Rarely, infection of the catheter site s Rarely, perforation a hole of the heart Rarely, damage to the heart's conduction system For some people, having to lie still on the procedure table for the length of the study may be uncomfortable or painful.
How do I get ready for an electrophysiological study?
If you are pregnant or think you may be, tell your healthcare provider. Tell your provider if you have any body piercing on your chest or abdomen belly. What happens during an electrophysiological study? Generally, an EP study follows this process: You will be asked to remove any jewelry or other objects that may interfere with the test. You will remove your clothing and put on a hospital gown. You will be asked to empty your bladder before the test.
What happens after an electrophysiological study? In the hospital After the test, you may be taken to the recovery room for observation or returned to your hospital room. Sterile sheets will be draped over your body. Find a comfortable position so you can remain still during the procedure. Please don't touch the sterile areas on your neck and groin. Depending on the type of study you undergo, you may be given medications intraveniously, administered in your arm, to sedate you or make you sleepy. These medications help reduce your anxiety and relieve your discomfort.
Your doctor will let you know if sedation medications are appropriate. A local anesthetic will be administered with a tiny needle to numb the area where the catheters are inserted. You will feel a pinprick and possibly a stinging sensation for a few seconds.
Why do people have electrophysiology studies?
One or more catheters, which are thin, long, flexible wires, will be inserted into a large vein in your groin or neck. The catheters will be guided to your heart.
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The positioning of catheters inside your heart will be monitored on a screen. You may feel pressure when the catheters are inserted.
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The incision site is less than a quarter of an inch. There are two parts to the EP study: Recording the heart's electrical signals to assess the electrical function Pacing the heart to bring on certain abnormal rhythms for observation under controlled conditions Medications are sometimes used to stimulate your arrhythmia. For more than thirty years, Electrophysiologic Testing has been a trusted introduction to the field of electrophysiology for anyone needing to quickly acquaint themselves with basic concepts and procedures of EP testing, especially medical students, residents, nurses and technicians.
At the same time, it also has served as a ready reference for medical practitioners wanting to brush up on aspects of electrophysiology, or to fine-tune their mastery of the field.
Updates and additions featured in the Sixth Edition of this classic guide include extensive new material on the ablation of cardiac arrhythmias, including new chapters on the ablation of atrial fibrillation, typical and atypical atrial flutters and ventricular arrhythmias. The ultimate guide to applying, performing and interpreting EP tests to optimise the treatment of patients with cardiac arrhythmias, Electrophysiologic Testing, Sixth Edition:.