Dr Saravanan identifying the location of the irregular heartbeat or arrhythmia.

THE Perak Community Specialist Hospital has successfully performed an electrophysiology study (EPS) and ablation procedure on a 42-year-old patient presented with a very high burden of ventricular ectopics.

The procedure using state-of-the-art 3D mapping technology was conducted by visiting consultant cardiologist and electrophysiologist Dr Saravanan Krishinan.

Hospital resident consultant interventional cardiologist Dr Ng Seng Loong said the patient was initially managed with medications but there was no improvement, hence the highly specialised procedure.

He said patients with ventricular ectopics would usually experience palpitations or rapid heartbeat pounding sensation in the chest, dizziness, chest discomfort, breathlessness and some may even faint.

“The symptoms may be sudden and last for a short period while in some cases, the symptoms could be longer. This may occur at any age.

“Arrhythmia or abnormal heartbeats are conductions in the heart rhythm that can lead to complications such as syncopal attacks and heart failure.

“This condition is usually treated medically but would require intervention if it does not improve or worsens, ” he said.

“To identify the specific cause of the symptoms, it requires patients to go through an electrocardiogram upon the procedure, and subsequently leads to EPS for diagnosis and treatment.

“The EPS assesses the heart’s electrical system or activity and is used to diagnose abnormal heartbeats or arrhythmia, ” he added.

Dr Ng said the benefit of the procedure included curing palpitations.

He said EPS and radio-frequency ablation is a treatment choice for patients with heart rhythm disorders like supraventricular tachycardia.

“Three to four catheters, also known as ‘electrical cables’ are inserted via the vessels in the groin under fluoroscopy or 3D mapping system and stimulation is performed to reproduce clinical arrhythmia.

“Once the site of the arrhythmia circuit is identified, the ablation is done briefly and the response is assessed, ” he explained.

Dr Ng added that patients would normally be required to stay for a duration of one to two days in hospital.

“In this case, the patient was discharged the following day after she recovered well and displayed no side effects from the procedure.”

The not-for-profit hospital, formerly known as Perak Chinese Maternity Hospital, opened in 1904.

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