Electrophysiology
The clinical pediatric EP program at Stanford is part of the combined pediatric arrhythmia service at Stanford and UCSF. This is one of the largest programs in the country with over 320 invasive electrophysiology procedures performed in the last year. Over 160 of these cases were performed at Stanford. The program ranges the full spectrum of pediatric electrophysiology. We perform invasive electrophysiology studies using standard and advanced techniques including 3-D electroanatomic mapping in patients with structurally normal hearts as well as in patients with congenital heart disease, and offer both radiofrequency ablation, and transcatheter cryoablation. Surgical mapping and intraoperative cryoablation are also available in patients with congenital heart disease. We perform autonomic testing using tilt table technology. The EP service also implants all transvenous pacemakers, including biventricular pacemakers and implantable cardioverter-defibrillators, and performs lead extractions. We offer pacemaker patients a full range of services including pacemaker follow-up consisting of monthly transtelephonic monitoring and pacemaker clinic. Drs. George Van Hare and Anne Dubin have developed the program at LPCH to diagnose and treat fetal cardiac arrhythmias through the Center for Fetal Cardiac Diagnosis in conjunction with the High Risk Perinatology group and Dr. Norman Silverman, who runs the fetal echocardiography program. This group successfully diagnoses and treated fetuses with cardiac rhythm disturbances in a well coordinated multi-disciplinary team approach. This is also an area of research interest to this group with publications in the relationship between congenital complete heart block, myocarditis and Ro and La antibodies.
