Cardiovascular Medicine
Arrhythmia/Electrophysiology Section
We are proud to be in the forefront of delivery of advanced care for patients with arrhythmias. Services provided include consultations, noninvasive evaluation of arrhythmias, diagnostic electrophysiologic studies, catheter ablation, pacemaker implantation and follow-up, implantation, programming and follow-up of implantable cardioverter-defibrillators and biventricular devices. By having access to the latest state-of-the-art technology, as well as our dedication to research and teaching, our electrophysiologists are able to offer a wide range of electrophysiology procedures. Some of these advanced procedures include implantation of devices in patient’s with complex anatomy (i.e. adult congenital heart disease patients), electro-anatonomical mapping, and ablation for atrial fibrillation and ventricular tachycardia.
Furthermore, a strong collaboration with the Cardiothoracic Surgery Section has allowed us to offer other advanced procedures as well, such as lead extractions or arrhythmia surgery, i.e. the minimally-invasive maze procedure.
Clinical Cardiac Electrophysiology continues to be the fastest growing sub-specialty in Cardiovascular Medicine. By remaining dedicated to the training of the next generation of electrophysiologists, we ensure that we will be able to continue to provide the most advanced care to our patients.
Diagnostic services for arrhythmias include:
Outpatient and inpatient consultation
- Pacemaker follow-up, programming, and troubleshooting
- Implantable cardioverter-defibrillator follow-up, programming and trouble-shooting
- Biventricular device follow-up, programming and trouble shooting
Noninvasive evaluation
- Electrocardiography
- Ambulatory electrocardiography
- Event monitoring
- Tilt table testing
- Evaluation of defibrillator function and reprogramming
- Transtelephonic pacemaker monitoring
- Carelink (remote monitoring for devices)
- Testing for microvolt T wave alternans
Invasive electrophysiologic studies
Heart Failure device implantation (monitoring and therapeutic)
Implantable loop recorders
Therapeutic services for arrhythmias include:
- Radiofrequency ablation for supraventricular tachycardia, atrial flutter, atrial fibrillation, accessory pathways (Wolff-Parkinson-White syndrome), and ventricular tachycardia.
- Cryoablation
- Implantation of cardioverter-defibrillators
- Biventricular device implantation
- Permanent pacemaker implantation
- Lead extraction
Arrhythmia surgery
- Curative for WPW and other SVT when not ablatable
- Subendocardial resection for ventricular tachycardia
- Maze procedure for atrial fibrillation at the time of mitral valve surgery
- Minimally-invasive surgical approach to the ablation of atrial fibrillation
The above services are currently provided at both Shands Hospital and the Malcom Randall VAMC.
Training Program
We offer a subspecialty Clinical Cardiac Electrophysiology Fellowship Program as well as electrophysiology training of the general cardiovascular diseases fellow trainees. The subspecialty training is has an accredited 1 year electrophysiology fellowship program for 2 candidates.
Faculty
- Thomas A. Burkart, M.D.
- Jamie B. Conti, M.D.
- Sammy Khatib, M.D.
- William M. Miles, M.D.
- Sherry J. Saxonhouse, M.D.
- Gregory W. Woo, M.D.