Cardiology/Electrophysiology and Cardiac Arrhythmia Service

The Electrophysiology and Cardiac Arrhythmia Service is the largest of its kind in the state. Physicians provide a full spectrum of evaluative and treatment modalities for heart-rhythm disorders, including invasive and noninvasive approaches. The newest drugs and surgical procedures for the treatment of heart-rhythm disorders optimize patient care.

Inpatient Services
Inpatient consultation is available on a full-time basis for assistance in management of patients with arrhythmias. The facilities include two electrophysiology laboratories for diagnostic and therapeutic electrophysiology procedures. Such procedures include: radiofrequency ablation for patients with supraventricular tachycardias (including atrial flutter) and selected patients with sustained ventricular tachycardia focal atrial and pulmonary vein ablation for atrial tachycardia and atrial fibrillation and trans-septal catheterization. In 2010, approximately 380 diagnostic electrophysiology procedures and 225 radiofrequency ablation procedures were performed by the Electrophysiology Service.

Diagnostic electrophysiology studies focus on risk-assessment studies in patients with ventricular dysfunction in the presence of coronary artery disease or nonischemic cardiomyopathy, as well as the evaluation of patients with syncope. Noninvasive programmed stimulation is regularly performed in patients with implantable defibrillators (ICDs) and pacemakers. The Electrophysiology Service implants both pacemakers and ICDs.

Outpatient Services
New patient consultations are available from any of the faculty members, with either physician referral or patient self-referral. Approximately 400 outpatient new patient evaluations are performed on a yearly basis. Each faculty member also follows outpatients with difficult arrhythmia issues, usually in association with a referring internist or cardiologist. Pacemaker and ICD clinics meet three half-days each week and are primarily staffed by nurse coordinators, with faculty back-up. Approximately 4,100 outpatient follow-up visits are conducted each year. Patients are seen at Yale Physicians Building, Griffin Hospital and the Branford and Guilford cardiology satellite offices. An ICD follow-up clinic meets periodically at Lawrence and Memorial Hospital for patients living in the New London area.

	Akar, Joseph G., MD, PhD	Associate Professor of Medicine (Cardiology); Academic Director of Electrophysiology; Director, Cardiac Electrophysiology Laboratory	(203) 737-4716 Appts (203) 785-6506 Fax
	Bhatt, Paras Satish, MD	Assistant Professor of Medicine (Cardiology)	(203) 785-4126 Appts (203) 785-6506 Fax
	Clancy, Jude F, MD	Assistant Professor of Medicine (Cardiology); Director, Lead Management Program	(203) 785-4126 Appts (203) 785-6506 Fax
	Lampert, Rachel J., MD	Associate Professor of Medicine (Cardiology)	(203) 785-4126 Appts (203) 785-6506 Fax
	Marieb, Mark Alexander, MD	Associate Professor of Medicine (Cardiology) and Associate Clinical Professor of Nursing; Clinical Director of Electrophysiology	(203) 737-3333 Appts (203) 737-8833 Fax
	Rosenfeld, Lynda Ellen, MD	Associate Professor of Medicine (Cardiology) and of Pediatrics	(203) 785-4126 Appts (203) 785-6506 Fax

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Programs & Centers

• Complex Ablation Program