Pediatric electrophysiology (EP) is a specialized field dedicated to diagnosing and treating heart rhythm disorders in children. At Al Riaz Health Services, we understand the unique challenges of managing arrhythmias in pediatric patients and the importance of specialized care tailored to their specific needs. Our team of pediatric electrophysiologists combines expertise, compassion, and innovative technologies to provide comprehensive solutions for children with rhythm disturbances. With a focus on precision, safety, and family-centered care, we strive to optimize outcomes and improve the quality of life for pediatric patients with heart rhythm disorders. With Al Riaz Health Services, your child's heart health is in expert hands.

Unveiling Pediatric Rhythm Challenges

Congenital Heart Block: A rare condition characterized by impaired electrical conduction between the atria and ventricles, leading to bradycardia, heart block, or complete atrioventricular (AV) dissociation in utero or shortly after birth. Pediatric electrophysiologists perform fetal echocardiography, maternal antibody screening, and serial fetal monitoring to detect heart block in utero, initiate prenatal therapy with corticosteroids or IVIG to prevent progression, and coordinate postnatal management with pacemaker implantation or cardiac resynchronization therapy (CRT) to maintain adequate heart rate and rhythm.
Wolff-Parkinson-White (WPW) Syndrome: An inherited arrhythmia syndrome characterized by abnormal accessory electrical pathways between the atria and ventricles, predisposing to supraventricular tachycardia (SVT) or atrial fibrillation (AF) with rapid ventricular response. Pediatric electrophysiologists perform electrophysiological studies (EPS) and catheter ablation procedures to identify and ablate accessory pathways, eliminating arrhythmogenic substrates and preventing recurrent SVT or life-threatening ventricular arrhythmias in children with WPW syndrome.
Long QT Syndrome (LQTS): An inherited arrhythmia syndrome characterized by prolonged QT intervals on electrocardiography, predisposing to ventricular arrhythmias, syncope, or sudden cardiac arrest. Pediatric electrophysiologists perform genetic testing, risk stratification, and personalized counseling to identify at-risk individuals, initiate beta-blocker therapy to reduce arrhythmia triggers, and consider implantable cardioverter-defibrillator (ICD) placement for high-risk patients with recurrent syncope or documented ventricular arrhythmias.
Brugada Syndrome: An inherited arrhythmia syndrome characterized by characteristic electrocardiographic changes (coved ST-segment elevation) and increased risk of ventricular arrhythmias and sudden cardiac death. Pediatric electrophysiologists perform risk stratification, genetic testing, and familial screening to identify affected individuals, provide lifestyle modification recommendations, and consider implantable cardioverter-defibrillator (ICD) placement for high-risk patients with syncope, ventricular arrhythmias, or family history of sudden cardiac death.
Arrhythmogenic Cardiomyopathy: A group of inherited cardiomyopathies characterized by arrhythmogenic substrates, including myocardial fibrosis, fatty infiltration, or desmosomal protein mutations, predisposing to ventricular arrhythmias and sudden cardiac death. Pediatric electrophysiologists perform cardiac imaging studies, genetic testing, and risk assessment to identify affected individuals, initiate antiarrhythmic therapy, and consider implantable cardioverter-defibrillator (ICD) placement or catheter ablation for high-risk patients with symptomatic ventricular arrhythmias or structural heart disease.

Navigating Pediatric Electrophysiology Solutions

Electrocardiography (ECG) and Holter Monitoring: Noninvasive tests that record the heart's electrical activity over time, capturing arrhythmias, conduction abnormalities, or electrocardiographic changes indicative of rhythm disturbances in pediatric patients. ECG and Holter monitoring aid in diagnosing and characterizing arrhythmias, evaluating response to antiarrhythmic therapy, and assessing arrhythmia burden or frequency in children with congenital heart defects, inherited arrhythmia syndromes, or acquired rhythm disturbances.
Event Monitoring: Portable devices worn by pediatric patients to record cardiac rhythm data during symptomatic episodes or specific events, enabling real-time detection and documentation of arrhythmia events, transient conduction disturbances, or arrhythmia triggers that may not be captured on standard ECG or Holter monitoring. Event monitoring facilitates correlation between symptoms and arrhythmia episodes, guiding diagnostic evaluation, treatment decisions, and follow-up care in children with suspected or intermittent arrhythmias.
Exercise Stress Testing: Dynamic tests that evaluate the heart's response to physical exertion, monitoring for exercise-induced arrhythmias, conduction abnormalities, or exercise intolerance in pediatric patients with suspected or exercise-triggered rhythm disturbances. Exercise stress testing assesses functional capacity, exercise tolerance, and heart rate variability, providing valuable insights into the mechanisms of arrhythmia initiation or termination, guiding risk stratification, and optimizing therapeutic interventions in children with exertional symptoms or palpitations.
Electrophysiological Studies (EPS): Invasive procedures performed in the electrophysiology laboratory under sedation or general anesthesia to assess the heart's electrical conduction system, identify arrhythmia substrates, or induce and terminate arrhythmias for diagnostic or therapeutic purposes in pediatric patients with complex or refractory rhythm disturbances. EPS involves catheter-based mapping, pacing maneuvers, or programmed stimulation techniques, providing detailed insights into arrhythmia mechanisms, substrate characteristics, and response to pharmacological or ablative therapies in children with congenital heart defects, inherited arrhythmia syndromes, or structural heart disease.
Genetic Testing and Counseling: Molecular diagnostic tests that analyze the genetic makeup of pediatric patients and their families to identify pathogenic mutations, gene variants, or inherited arrhythmia syndromes associated with cardiac rhythm disturbances. Genetic testing aids in confirming clinical diagnoses, predicting disease penetrance, and guiding risk stratification, treatment decisions, and family-based management strategies for children with hereditary arrhythmia disorders or familial cardiomyopathies. Genetic counseling provides personalized education, psychosocial support, and family planning recommendations, empowering families to make informed decisions about genetic testing, screening, and preventive interventions to mitigate the risk of arrhythmia-related complications in future generations.

Treatment Triumphs

Catheter Ablation: Minimally invasive procedures that use radiofrequency energy, cryotherapy, or laser ablation to target and eliminate abnormal electrical pathways, focal arrhythmogenic sources, or accessory conduction pathways in the heart. Catheter ablation achieves rhythm control, symptom relief, and improved quality of life in children with supraventricular tachycardia (SVT), atrial flutter, or accessory pathway-mediated tachycardias, reducing the need for long-term antiarrhythmic medications, hospitalizations, or adverse cardiac events.
Device Therapy: Implantable devices such as pacemakers, implantable cardioverter-defibrillators (ICDs), or cardiac resynchronization therapy (CRT) devices that monitor cardiac rhythm, deliver pacing stimuli, or provide defibrillation shocks to terminate life-threatening arrhythmias in pediatric patients. Device therapy restores physiological heart rate and rhythm, prevents sudden cardiac death, and improves cardiac function and exercise tolerance in children with bradyarrhythmias, heart block, or high-risk ventricular arrhythmias, allowing them to lead active and fulfilling lives.
Hybrid Procedures: Combined surgical and catheter-based interventions performed in hybrid operating rooms or electrophysiology laboratories to address complex arrhythmias or structural heart disease in pediatric patients. Hybrid procedures offer complementary benefits of both approaches, allowing for epicardial access, endocardial mapping, intracardiac echocardiography, and real-time navigation in challenging cases requiring concurrent ablation, valve repair, or epicardial lead placement for optimal rhythm control and substrate modification in children with congenital heart defects or complex arrhythmia substrates.
Genetic Counseling and Family Screening: Provides genetic evaluation, risk assessment, and counseling services for pediatric patients and their families affected by inherited arrhythmia syndromes or cardiomyopathies. Genetic counseling facilitates informed decision-making, cascade screening, and family-based management strategies to identify at-risk individuals, prevent disease transmission, and optimize clinical outcomes in families with hereditary arrhythmia disorders or familial cardiomyopathies, ensuring comprehensive care and support for children with inherited rhythm disturbances or structural heart disease.

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At Al Riaz Health Services, we strive to provide patients with world-class care and the latest advances in interventional and structural cardiology. Trust us to help you achieve better heart health with compassion and expertise.