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Heart repair 101: Zap back into rhythm with cardiac ablations

Written by Edita Karasalihovic, BS candidate, University of Missouri – St. Louis; participant in the Institute for Public Health Summer Research Program


The author after a precedure

As a young, aspiring pre-medical student with an interest in interventional cardiology, I have dreamed about stepping foot into a cardiac procedure. My first day at Washington University in St. Louis was spent in the electrophysiology (EP) lab with my mentor, Jennifer N. Avari Silva, MD and Anthony G. Pompa, MD. I never thought that being in the EP lab would be possible this early into my journey, but acceptance into the Summer Research Program – RADIANCE track is what made this possible.

Cardiac arrhythmias can range from the heart beating too fast, slow, or irregularly. Many conditions exist depending on which arrhythmia is present. One of the treatment options for this is a cardiac (or catheter) ablation. According to John Hopkins Medicine, this is a procedure in which radiofrequency heat energy destroys tissue in the heart that is causing abnormal rhythm, identified by electrodes at the end of the catheter. If successful, regularity is restored in the heartbeat.

My experience in the EP lab will be something I remember throughout my medical journey, and it is by far the most exhilarating experience I have had in the research program. Being able to sit and watch the procedure happen, how Professor Pompa exquisitely performs the ablation with ease, and examining the many beeping monitors present in the room with so much cardiac information was enough to keep a smile on my face the entire time I was in the lab.

Before entering the EP lab, Professor Silva mentioned that I may pass out or feel lightheaded, and if so to let them know. The only reason I would pass out would be from the pure happiness I felt for the time I was present there. I am so thankful for this opportunity, and not only has it given me inspiration to continue my future endeavors, but I have gained more knowledge regarding this procedure and its benefits.