Arrhythmias, Electrophysiology & Pacemaker Technologies

Arrhythmia management has advanced significantly with innovations in electrophysiology mapping, ablation systems, and implantable pacing devices. High-resolution electro-anatomical mapping provides detailed insights into conduction pathways, enabling precise identification of arrhythmic foci. Catheter ablation techniques radiofrequency, cryoablation, laser ablation, and pulsed-field ablation offer safer and more targeted destruction of abnormal tissue while minimizing collateral damage. Modern pacemakers and defibrillators have become smaller, smarter, and more durable, with features such as leadless implantation, wireless communication, and adaptive pacing algorithms. Wearable cardiac monitors and implantable loop recorders enhance long-term rhythm tracking. Advances in genetic screening allow clinicians to identify inherited arrhythmia syndromes and tailor therapies accordingly. AI-based predictive tools help anticipate arrhythmia triggers and optimize device programming for each patient. As research progresses, next-generation cardiac rhythm technologies aim to restore intrinsic conduction and reduce dependence on lifelong device implantation.

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