The Clinical Cardiac Electrophysiology Fellowship at Mount Sinai Hospital is an ACGME accredited fellowship program which trains qualified applicants in diagnosis and management of adult patients with cardiac arrhythmias. It is a two-year advanced fellowship program for trainees who have completed fellowship in general cardiology. The program includes training in all appropriate invasive and noninvasive methods for evaluation of cardiac arrhythmias, and pharmacologic, device, and ablative forms of therapy. Regularly scheduled didactic sessions cover a broad range of topics in basic and clinical cardiac electrophysiology and fundamentals of clinical research.
The clinical components of our program include the cardiac electrophysiology laboratory, inpatient consultative service, and outpatient cardiac arrhythmia consultation. Our program has world renowned faculty with expertise in catheter ablation of ventricular tachycardia and atrial fibrillation as well as percutaneous left atrial appendage occlusion. The training program is designed to ensure that fellows acquire the knowledge base and procedural skills required for excellence in clinical cardiac electrophysiology, as well as the interpersonal skills and professionalism required to excel in their future careers. Graduates of our training program are expected to be fully proficient in performing standard procedures in cardiac electrophysiology, such as:
- transvenous pacemaker and defibrillator implantation
- cardiac resynchronization therapy
- subcutaneous defibrillator implantation
- mapping and ablation of supraventricular tachycardia
- ablation of atrial fibrillation and atypical atrial flutter
- mapping and ablation of idiopathic premature ventricular contractions and ventricular tachycardia
- mapping and ablation of scar-related ventricular tachycardia
- intracardiac imaging technologies, and incorporation of imaging into cardiac mapping
In addition, fellows are also trained in more advanced electrophysiology procedures, including:
- epicardial access, mapping and ablation
- extraction of transvenous and leadless implantable cardiac devices
- percutaneous left atrial appendage occlusion
- leadless pacemaker implantation
- implantation and removal of percutaneous LV assist devices
We have a busy academic schedule with regular educational activities including core curriculum lectures, case presentations, journal club, and board review. The Mount Sinai Cardiac Electrophysiology Lab performs over 3,000 procedures every year. It is a tertiary care laboratory with a large volume of referred cases with complex arrhythmias, thus providing our trainees with a vast experience in managing complex clinical scenarios.