What Is Cardiac Electrophysiology?

Heart palpitations that come out of nowhere, a heartbeat that feels too fast or too slow, or an AFib diagnosis you don’t fully understand can all be unsettling. Cardiac electrophysiology in Florida focuses on the heart’s electrical system and the diagnosis and treatment of abnormal heart rhythms, known as arrhythmias.

Electrophysiologist explaining heart rhythm activity to a patient using a heart model

At FHVI, cardiac electrophysiology may include rhythm evaluation, diagnostic monitoring, and treatment planning based on each patient’s symptoms and test results.

Arrhythmia Diagnosis

Using EKGs, Holter monitoring and other appropriate diagnostic tests, FHVI evaluates atrial fibrillation, atrial flutter, SVT, ventricular tachycardia, bradycardia, heart block, PVCs, and other rhythm abnormalities.

Catheter Ablation

For certain arrhythmias, cardiac ablation may help reduce or control the abnormal electrical signals causing the rhythm problem.

Pacemaker & Device Management

For patients whose heart rhythm is too slow or otherwise requires pacing support, pacemaker implantation and ongoing device management may help maintain an appropriate heart rate and support daily activity.

AFib & Stroke Risk Management

For patients with atrial fibrillation, stroke-risk management may include medication, rhythm management, and individualized treatment planning based on factors such as age, medical history, and overall cardiovascular risk.

When You Should See a Cardiac Electrophysiologist

Some rhythm symptoms need urgent evaluation; others are appropriate for a scheduled consultation. Either way, an electrophysiologist can usually offer more precise answers than a general workup alone.

Electrophysiologist discussing an irregular heartbeat with a patient

Get evaluated urgently, if you have:

  • Heart palpitations with dizziness or fainting
  • A new diagnosis of atrial fibrillation or atrial flutter
  • Sustained rapid heartbeat that doesn’t resolve on its own
  • A prior ICD shock needing evaluation
  • Fainting (syncope) without a clear cause

Get evaluated proactively, if you have:

  • Occasional palpitations that haven’t been formally diagnosed
  • A known slow heart rate (bradycardia) with mild symptoms
  • A family history of arrhythmia or sudden cardiac events
  • AFib currently managed with medication, to discuss ablation or device options

Emergency Warning

Call 911 for severe or persistent chest pain, severe shortness of breath, loss of consciousness, stroke-like symptoms, or a rapid or irregular heartbeat accompanied by severe symptoms.

Risks and Benefits of Electrophysiology Care

Treatment options range from no-risk diagnostic monitoring to catheter-based procedures and implanted devices, each with a well-established safety profile.

Benefits

Risks

Palpitations, AFib, or an Irregular Heartbeat? Get the Right Evaluation.

FHVI provides heart rhythm evaluation, diagnostic testing, monitoring, and treatment options based on your symptoms and individual cardiovascular needs.

Heart Rhythm Care

Cardiac Electrophysiology Services, Testing & Monitoring

FHVI provides electrophysiology services to help evaluate, monitor, and manage abnormal heart rhythms. Depending on your symptoms, diagnosis, and individual care needs, your care plan may include heart rhythm treatment, long-term monitoring, cardiovascular diagnostic testing, or cardiac imaging.

Cardiac Ablation

Treatment

Cardiac ablation is a minimally invasive procedure used to treat selected abnormal heart rhythms by targeting the areas of heart tissue responsible for irregular electrical signals.

Heart Rhythm Treatment
Catheter-Based Procedure
Arrhythmia Care

Implantable Loop Recorder

Monitoring

An implantable loop recorder provides long-term heart rhythm monitoring and may help detect intermittent arrhythmias, palpitations, unexplained fainting, or rhythm changes that are difficult to capture with short-term monitoring.

Long-Term Monitoring
Rhythm Detection
Implantable Device

Pacemaker Implantation & Management

Device Care

Pacemaker care includes evaluation, implantation when appropriate, device programming, and ongoing monitoring for patients whose heart rhythm is too slow or otherwise requires pacing support.

Pacemaker Evaluation
Device Programming
Ongoing Monitoring

Holter Monitoring

Monitoring

Holter monitoring records your heart rhythm continuously over a set period and may help identify intermittent irregular heartbeats, palpitations, or rhythm changes that may not appear during a routine examination.

Heart Rhythm Monitoring
Noninvasive Testing
Arrhythmia Evaluation

Cardiovascular Diagnostic Testing

Testing

Cardiovascular diagnostic testing helps evaluate heart rhythm concerns, cardiovascular function, and other findings that may support diagnosis and treatment planning.

Diagnostic Evaluation
Heart Function
Treatment Planning

Cardiac Imaging

Imaging

Cardiac imaging helps assess the heart's structure, function, and blood flow, providing useful information to support cardiovascular diagnosis and individualized treatment planning.

Heart Structure
Heart Function
Diagnostic Imaging
Important: Electrophysiology services, diagnostic testing, procedures, and provider availability may vary by location and appointment. Please contact FHVI to confirm the most appropriate location for your specific heart rhythm care needs.

How We Evaluate Heart Rhythm Problems

Your electrophysiology evaluation may include one or more tests to better understand your heart rhythm, symptoms, and overall cardiovascular health. The specific tests recommended will depend on your medical history and the rhythm problem being investigated.

  • Electrocardiogram (EKG/ECG) — records electrical activity in about 10 minutes
  • Holter monitor — continuous rhythm recording over 24- 48 hours
  • Event monitor — rhythm recording over 2-4 weeks for less frequent symptoms
  • Electrophysiological mapping — detailed 3D mapping during an EP study
  • Tilt table test — evaluates unexplained fainting related to blood pressure and heart rate regulation
  • Transesophageal echocardiogram (TEE) — detailed heart imaging, often used before cardioversion or left atrial appendage closure
Three-step guide to what patients can expect before, during and after an electrophysiology appointment
Heart Rhythm Care

Cardiac Electrophysiology Specialist at FHVI

FHVI's electrophysiology program is led by a physician who has performed hundreds of ablations and directed national clinical research into rhythm disorders, giving Florida patients access to specialized heart rhythm care close to home.

Dr. Asad Qamar, MD

Interventional Cardiologist

Claudio F. Manubens, MD

Interventional Cardiologist

David Edmund Ruggieri, MD

David Edmund Ruggieri, MD

Cardiologist

Jihad A. Mustapha, MD

Interventional Cardiologist

Syed Imran Ali, MD

Interventional Cardiologist

Jeveria Ali, DNP

Adult-Gerontology Acute Care NP

Tanya M. Johnson, ARNP

Family Nurse Practitioner

Electrophysiology Care Across Florida

Electrophysiologist Near Me — FHVI Locations

FHVI provides electrophysiology care at select locations across Florida. Patients may be seen at these locations for heart rhythm evaluation, EP-specific testing, and appropriate procedures, while general cardiology follow-up may also be available at other FHVI locations closer to home.

Request Your Appointment

Complete the form below with your preferred cardiologist, location, and reason for visit. An FHVI team member will contact you to confirm availability and next steps.








    0/1000

    By submitting this form, you agree to our Privacy Policy. This form is for non-urgent inquiries only. For medical emergencies, please call 911.

    Why Choose FHVI

    Trusted Cardiovascular Care Since 1997

    Since 1997, Florida Heart & Vascular Institute has provided physician-led cardiovascular care with a focus on clinical expertise, advanced technology, clear communication, and individualized treatment. Our team works to make every step of the patient journey—from evaluation and diagnosis to treatment and follow-up—more coordinated and understandable.

    Serving Patients Since 1997

    Decades of cardiovascular care experience have shaped a patient-first approach focused on quality, continuity, and trust.

    Physician-Led Cardiovascular Care

    Our physicians stay closely involved in evaluation, treatment planning, and follow-up.

    Advanced Diagnostic Technology

    Modern cardiac and vascular testing supports accurate evaluation and informed care decisions.

    Personalized Treatment Plans

    Care recommendations are based on each patient’s symptoms, medical history, diagnostic findings, and individual needs.

    Minimally Invasive Care Options

    When appropriate, FHVI offers catheter-based and other minimally invasive treatment options for selected cardiovascular conditions.

    Coordinated Care Across Florida

    Multiple FHVI locations help patients access cardiovascular evaluation, testing, treatment, and follow-up closer to home.

    Frequently Asked Questions

    Cardiac electrophysiology is the subspecialty of cardiology focused on the heart’s electrical system and the arrhythmias that occur when it misfires. An electrophysiologist has additional fellowship training beyond general cardiology specifically in diagnosing and treating rhythm disorders.

    An electrophysiologist treats atrial fibrillation, atrial flutter, SVT, ventricular tachycardia, bradycardia, heart block, PVCs, and other heart rhythm disorders, using both diagnostic testing and procedures like ablation and device implantation.

    An electrophysiology study is a diagnostic procedure that maps your heart’s electrical activity using thin catheters, identifying the exact type and source of an arrhythmia — often more precisely than a standard EKG or monitor.

    Cardiac ablation uses catheter-based techniques to target areas of heart tissue responsible for selected abnormal rhythms. For some patients, it may reduce arrhythmia episodes and improve rhythm control.

    See an electrophysiologist if you have palpitations, an irregular heartbeat, unexplained fainting, a new AFib diagnosis, or an abnormal EKG that needs further evaluation.

    AFib treatment ranges from medication to control heart rate and rhythm, to catheter ablation for a more durable solution, to left atrial appendage closure for patients who need stroke protection without long-term blood thinners.

    A pacemaker is typically recommended when your heart rate is too slow to meet your body’s needs, causing symptoms like fatigue, dizziness, or fainting. Your electrophysiologist determines this through EKG and monitoring results.

    A pacemaker speeds up a heart that beats too slowly. An ICD continuously monitors for and delivers a shock to stop a dangerous fast rhythm. Some devices combine both functions.

    Sedation or anesthesia is commonly used during cardiac ablation. The type of anesthesia, recovery experience, and level of discomfort can vary by procedure and patient. Your care team will explain what to expect before treatment.

    Procedure time varies depending on the type of arrhythmia, complexity of the case, and treatment approach. Your electrophysiology team will discuss the expected procedure and recovery plan with you beforehand.

    FHVI provides cardiac electrophysiology care at select Florida locations. Provider, diagnostic testing and procedure availability may vary by location. Contact our scheduling team to confirm the appropriate location for your specific heart rhythm needs.

    FHVI accepts referrals from primary care physicians and cardiologists, and also sees patients directly for an initial rhythm consultation.

    FHVI accepts Medicare, Medicaid, and many major insurance plans. Coverage and authorization requirements vary by plan and procedure, so we recommend confirming benefits before treatment.

    A procedure that closes off the area of the heart where most AFib-related blood clots form, offering an alternative to lifelong blood thinners for eligible patients at risk of stroke.