Arrhythmia Testing and Treatment

Once a patient is referred to UCSF for evaluation of what is presumed to be an arrhythmia, an initial clinical evaluation is done by the Cardiac Electrophysiology and Arrhythmia Service group, a team of world-renowned electrophysiologists led by Drs. Melvin Scheinman and Jeffery Olgin. The purpose of this evaluation is to determine the source of the patient's symptoms and find the right diagnosis. At this point in the evaluation process, all patients receive a non-invasive battery of tests, such as:

  • Electrocardiogram
  • Holter Monitor
  • Exercise Stress Test
  • Event Recorder
  • Cardiac MRI
  • Tilt Table Test

Based upon the results of the noninvasive testing, an individualized therapeutic plan will be developed. Many of the treatments used for non-genetically linked arrhythmias can also be used for genetically linked conditions, including:

  • Medications
  • Blood samples to be used for genetic testing
  • Follow-up Electrophysiology Study
  • Implantable Device (Pacemaker)
  • Catheter Ablation
  • Internal Cardioversion
  • Implantable Cardioverter Defibrillator
  • Biventricular Pace Maker

If symptoms are determined, or suspected to be, genetic in nature, then in addition to therapeutic care, the patient may be offered the opportunity to participate in the Comprehensive Genetic Arrhythmia Program (CGAP) and/or to receive further genetic counseling.