Electrophysiology

North Shore Medical Center (NSMC) provides the latest diagnostic and treatment options to manage irregular heart rhythm conditions, also known as arrhythmias. The full spectrum of arrhythmia care is offered, including head up tilt-table testing, comprehensive electrophysiology studies and implantable defibrillator and pacemaker implantation. The Pacemaker/ICD clinic team includes electro-physiologists, physician assistants, registered nurses, and a cardiac technologist and is the most comprehensive of its kind on the North Shore.

Finding her Rhythm

For more than a decade, Nicole Smith, 33, of Lynn suffered from what she thought were panic attacks. At least once a month, without any advance warning, her heart would race uncontrollably for short bursts of time—usually just a few minutes—leaving her a bit dizzy and lightheaded when it stopped. watch video

Cardiac Electrophysiology Program

Our cardiac electrophysiologists evaluate and treat the full range of rhythm disturbances including rapid and slow heart rates, palpitations (skipped or extra beats), lightheaded spells and blackout spells. They place and manage electronic pacemakers for slow heart rhythms and cardiac resynchronization therapy (CRT) pacemakers, also place and manage electronic implantable defibrillators. When necessary, they provide a full range of invasive electrophysiology testing and treatments, including ablation therapy, which can permanently cure some rapid rhythms. 

Cardiac Electrophysiology Treatments and Procedures

  • Ablation takes place at Massachusetts General Hospital
  • Antiarrhythmic medication therapy
  • Cardiac Resynchronization Therapy (CRT) or also known as Bi-ventricular pacemaker implant and or ICD placement
  • Cardioversion
  • Defibrillator or Pacemaker Surgery*
  • Electrophysiology Study (EPS)
  • Head-up-tilt-table testing
  • Implantable loop recorders
  • Implantable Cardioverter Defibrillator (ICD) placement
  • Non-invasive Programmed Stimulation
  • Single and dual chamber permanent pacemaker implants
*If you are scheduled to have a defibrillator implant, please read what to expect during a defibrillator or pacemaker implant.