Electrophysiology (EP) and Devices (pacemaker/defibrillator)
The electrophysiology (EP) clinic is similar to General Cardiology clinic except focusing on children and adolescents with heart rhythm problems such as abnormally fast, irregular, or slow heartbeats. Some patients will be seen in EP clinic from the beginning, while others start in general cardiology clinic and then are referred to EP clinic when their symptoms turn out to be related to a heart rhythm problem. Common conditions treated include Wolff-Parkinson-White syndrome (WPW), supraventricular tachycardia (SVT), and heart block. Important but rare conditions treated include life-threatening rhythm problems such as Ventricular Fibrillation (VF), Sudden Cardiac Death (SCD), Long QT Syndrome (LQTS), Brugada syndrome, Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/ARVC), and Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT). For patients with a family history of one of these conditions, please try to bring any records (genetic testing, autopsy results) to the first visit.
Device clinic (sometimes called Pacemaker Clinic) is dedicated to the care of patients needing pacemakers and defibrillators (ICDs). In these visits, the permanently implanted devices are checked and reprogrammed using special equipment. Sometimes this care can be provided directly from the patient’s home using special wireless equipment to transmit data from the device directly to our hospital computers.
Electrophysiology and device patients are mainly seen at the University of Rochester Medical Center. In some cases, patients can be scheduled in Dr. Vinocur's clinic in Buffalo. Please call for more information.