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From the Desk of Kevin Marzo, MD-Chief Of Cardiology
Contact Us
259 First Street
Mineola, NY 11501
1-516-663-0333
1-866-WINTHROP
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Electrophysiology
The
Pacemaker-Arrhythmia Center at Winthrop-University Hospital
The Pacemaker-Arrhythmia Center at Winthrop-University Hospital is a
state-of-the-art facility located in Mineola, New York. The center offers cutting-edge service with
highly skilled clinical cardiac electrophysiologists who specialize in
the entire range of heart rhythm diagnostic and therapeutic
procedures.
The Center offers both of inpatient and outpatient services. The
inpatient facility is located at Winthrop-University Hospital at 259
First Street in Mineola, NY. This
facility consists of 3 dedicated EP laboratories and a separate
additional dedicated procedural area for tilt table testing,
elective electro-cardioversion, and ICD testing. The laboratories
and dedicated highly trained electrophysiology staff offer the best
facilities on Long Island.
The Doctors
Winthrop's electrophysiologists have trained at some of the best centers in the world.
Director of Electrophysiology: Todd J. Cohen, MD
Associate Director of Electrophysiology: Joseph Germano, DO
Private Physicians: Bassiema Ibrahim, MD; George Juang, MD; Jeffrey
Snow, MD
The Procedures
Electrophysiology Studies and/or Catheter Ablations: Catheters are
placed through veins or arteries into all aspects of the heart for
pacing, mapping, and recording of electrical signals. Stimulation of
the heart is performed from a specialized control room in which the
doctor and/or staff help to induce and analyze the heart rhythm
abnormality (arrhythmia). Arrhythmias can be treated by a procedure
called catheter ablation in which energy is delivered via steerable
catheters in order to eliminate a particular arrhythmia. Catheter
ablations of all types including AV junction ablations, slow pathway
ablations, accessory pathway ablations, atrial tachycardia
ablations, atrial flutter ablations, atrial fibrillation ablations
(pulmonary vein isolations), ventricular tachycardia ablations are
performed. Specialized mapping equipment includes three-dimensional
non-fluoroscopic mapping and intra-cardiac echocardiography.
Device Implantations
Devices to treat all types of heart rhythm disturbances are
implanted including pacemakers, implantable cardioverter-defibrillators,
implantable loop recorders, and biventricular devices. Many of the
first implants of the latest devices have been implanted in the
Winthrop-University Hospital's Electrophysiology Laboratories. In
addition, Laser - Lead extraction is performed.
Head-Up Tilt Table testing
This test is performed typically at a 70 degree tilt ("head-up") in
which the patient's rhythm and blood pressure are continuously
monitored. Sometimes a medication called isoproterenol is infused to
facilitate the test. This test is helpful in elucidating the cause
of syncope and particularly diagnosing vaso-vagal syncope.
Cardioversion
This procedure is typically performed in order to convert atrial
fibrillation (or atrial flutter) to a normal rhythm. The staff will
require appropriate documentation of anticoagulation and/or a
negative trans-esophageal echocardiogram prior to the procedure.
Postoperative Follow-up
This should be with the doctor (and/or team) that performed the
procedure.
Community Service
The Winthrop Team provides a quarterly ICD support group called "The Long Island
Miracles." This is a free informative session usually during a
weeknight on the Winthrop campus. Key topics
related to patient's care or concerns are discussed and refreshments
are provided. The schedule can be obtained at 516-663-8530.
Research
Winthrop Electrophysiologists are involved in an active research
program. Questions about patient, student or doctor participation
should be addressed to 516-663-8530.
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