Transcription
Seton Heart Institute Arrhythmia CenterSeton is proud to offer your cardiac patients highlyspecialized treatment for their rhythm disorders. Atthe Arrhythmia Center, our goal is to provide excellentpatient care through education, expertise and innovation.ARRHYTHMIA CENTER
MEET THE CARDIAC ELECTROPHYSIOLOGY TEAMOF SETON HEART INSTITUTEKristopher Heinzman, MDDr. Heinzman trained at UT Southwestern inDallas before moving to Austin four years ago.He works for Seton and is actively involved inthe development of Dell Seton Medical School.Dr. Heinzman is currently the director of cardiacelectrophysiology for Seton.Mauricio Hong, MDDr. Hong completed cardiology training at UTHSCSan Antonio, Clinical Cardiac Electrophysiology atCase Western Reserve University and completedadvanced electrophysiology training at Universityof Toronto. He recently moved to Austin to practicein this vibrant community and teach at Dell SetonMedical Center at The University of Texas.Thomas “Bobby” Kurian, MDDr. Kurian recently moved to Austin with his wifeand four kids. He trained at UT Southwestern forInternal Medicine and completed his Cardiologyand Cardiac Electrophysiology training atWashington University/BJH in St. Louis, MO. Hisexpertise is in cardiac electrophysiology andbiotechnology.Stephanie Targac, APNStephanie earned both her Bachelor’s andMaster of Science in Nursing degrees from TheUniversity of Texas at Austin. She has more thaneight years of experience caring for patients withcardiac conditions. Stephanie serves as a boardmember for the Austin Advanced Practice Nurses,a group of local advanced practice providersinvolved in both professional and communityeducation and outreach initiatives. She is fluent inboth English and Spanish.To refer a patient, call (512) 324-3440and specify EP referral.Learn more at Seton.net/HeartRefer
OUR SPECIALISTS MANAGE AND TREAT THE FOLLOWINGHEART RHYTHM DISORDERS:Atrial Fibrillation (AF) Pulmonary vein isolation with Radio-Frequency Ablation forsymptomatic PAF– Class I indication for treatment of PAF after failed oneanti-arrhythmic drug– Class IIa indication if persistent symptomatic AF or PAFwithout a trial of anti-arrhythmic drugs Alternative therapies for stroke prevention for patientswith AF– LA occluder device therapy / Watchman device – comingsoonSupraventricular Tachycardia (SVT) Class I indication for catheter ablation as definitive treatmentfor AVNRT, Wolf Parkinson White Syndrome, typical counterclockwise atrial flutter and atrial tachycardiaCOMPREHENSIVE MANAGEMENT OF HEART ARRHYTHMIASINCLUDES:Clinical Management Atrial Arrhythmias– Atrial Fibrillation (AF)Atrial flutter Supraventricular tachycardia– AVNRT– Atrial tachycardia– Accessory pathways– Ventricular ArrhythmiasVentricular tachycardia (VT) Scar mediated (VT) (patients with MI, heart failure)Idiopathic VT (typically patients with normal hearts)Premature Ventricular Contractions (PVC)
Device Implantation and Management Pacemaker/ICD implantationBi V PM/ICD implantationMRI compatible devices and MRI scanning capabilitiesRemote monitoring for pacemakers/ICDsLA appendage closure devices– Watchman device coming soonEP Outreach, Education and Telemedicine Currently providing services at Seton Medical Center Austin,Seton Medical Center Williamson and Seton Medical CenterHays Access to board-certified cardiac electrophysiologist to assistwith questions in regards to rhythm disorders Opportunities for physicians to earn CME credits onlinein atrial fibrillation management and associated rhythmdisorders (coming soon)Clinical Research Protocols Multiple ongoing clinical trials
OVERVIEW OF SVT MANAGEMENTClinical History of Palpitations12 lead EKG in Normal Sinus RhythmPre-excitation (WPW) on 12 lead EKG?YESNOSuspect OrthodromicReentrant Tachycardia (ORT)or Anti-dromic ReentrantTachycardia (ART)Assess Arrhythmiapattern by clinical history,EKG, holterHistory of syncope?NOYESDocumented SVT byEKG or holter?YESNO Looping event monitorReferral to SetonElectrophysiologyServicesfor furtherevaluationConsult line:(512) 324-3440(specify EP) to further defineetiologyIf symptoms stronglysuggest SVT withoutdocumentationthen consider SetonEP evaluation forpossible EP studyor Implantable LoopRecorder
ATRIAL FIBRILLATION ALGORITHMNew onset/diagnosis of AFClinical HistoryDocumented AF by 12 lead EKG orHolter, Obtain Echo, Blood Tests (TSH,Chem 10, LFTs) OSA? – sleep studyRisk factor modification Diet/Exercise/Weight Loss BP control Glycemic controlRate ControlStrategyConsider rate controlfirst for patients: Asymptomatic(paroxysmal,persistent) Older, frail patients Anti-arrhythmicdrugs unsuitable Cardio versionunsuitableInitiateAnticoagulationbased onChadsVasc2Unable totolerate oralanticoagulationbut high strokerisk ChadsVasc2?Difficulty with ratecontrol or toleratingnodal blockingagents? Possible Bi VPacemaker and AVnode ablationConsider rhythmcontrol first forpatients: Symptomatic withAF (paroxysmal,persistent) Younger With heart failureRhythm ControlStrategyRate ControlStrategyPrescribe nodalblocking agents(Beta-blocker orCalcium ChannelBlocker) if further ratecontrol needed, addDigoxinRhythm ControlStrategyConsider leftatrial occlusion/exclusion devicefor CVA preventionReferral to SetonHeart InstituteArrhythmiaCenter for furtherevaluation(guided by SetonHeart Institute) Initiation of antiarrhythmic drugs Consideration forPulmonary VeinIsolation Ablation
SETON HEART INSTITUTE ARRHYTHMIA CENTER
At Seton, our goal is to provide the best care possiblewith the dignity and respect that everyone deserves.Welcome to Humancare.Medical Park Tower1301 West 38th St., Suite 400Austin, Texas 78705(512) 324-3440Seton Williamson Medical Plaza I301 Seton Parkway, Suite 302Round Rock, Texas 78665(512) 324-4812Hays Medical Office Building I1180 Seton Parkway, Suite 450Kyle, Texas 78640(512) 504-0860Seton Burnet Specialty Clinic200 CR 340A, Bldg. 4, Suite ABurnet, Texas 78611(512) 715-3032Seton.net/Heart
Seton Heart Institute Arrhythmia Center Seton is proud to offer your cardiac patients highly specialized treatment for their rhythm disorders. At . Austin, Texas 78705 (512) 324-3440 Seton Williamson Medical Plaza I 301 Seton Parkway, Suite 302 Round Rock, Texas 78665 (512) 324-4812
