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Electrophysiologist Doctors in Gurgaon

Dr Shashikant Mishra

Dr Shashikant Mishra

Cardiologist


MBBS, PGDCCP Senior Consultant - Non-Invasive Cardiology

23+ Years Experience

Location: Gurgaon

Your heart follows an electrical rhythm that keeps it beating regularly. When these electrical signals do not work as they should, your heartbeat may become too fast, too slow or irregular. An electrophysiologist helps identify and treat these problems. At the CK Birla Hospital, Gurgaon, you can seek specialist advice if you have concerns about your heart rhythm.

Who is an Electrophysiologist?

An electrophysiologist is a cardiologist who specialises in diagnosing and treating problems with the heart’s electrical system, also known as heart rhythm disorders.

The electrical system of your heart controls the timing and rhythm of the heartbeat. When its signals do not work properly, the heart may beat too quickly, too slowly or irregularly. Due to this, you may feel palpitations, dizziness, shortness of breath or a fluttering sensation in your chest.

Unlike a general cardiologist, who manages a wide range of heart conditions, an electrophysiologist has specialised training in heart rhythm disorders and the procedures used to treat them.

Common Heart Rhythm Disorders Treated by an Electrophysiologist

Heart rhythm disorders, also known as arrhythmias, can affect how fast or regularly your heart beats. Some common types include the following.

  • Atrial fibrillation (AF) causes an irregular, often rapid heartbeat and can increase the risk of blood clots and stroke.
  • Supraventricular tachycardia (SVT) causes episodes of an unusually fast heartbeat that begin in the upper chambers of the heart.
  • Ventricular tachycardia is a fast heart rhythm that starts in the lower chambers of the heart and can be life-threatening.
  • Bradycardia occurs when the heart beats slower than normal and may cause symptoms if the heart cannot pump enough blood to meet the body’s needs.
  • Conduction disorders occur when electrical signals that coordinate the heartbeat are delayed or blocked.

If your symptoms or test results suggest a heart rhythm problem, your cardiologist may refer you to an electrophysiologist specialist for further evaluation and appropriate treatment.

When Should You Consult an Electrophysiologist in Gurgaon?

You may experience occasional palpitations due to stress, caffeine or lack of sleep. However, recurring symptoms or an abnormal heart rhythm detected during a medical check-up may need further investigation.

Consider consulting a specialist if you experience:

  • Frequent episodes of a racing, fluttering or irregular heartbeat
  • Dizziness or light-headedness associated with palpitations
  • Unexplained fainting or near-fainting episodes
  • A persistently slow heartbeat accompanied by tiredness or weakness
  • Breathlessness or reduced exercise tolerance linked to an abnormal rhythm
  • An arrhythmia that continues despite medication or keeps returning

Your doctor may also recommend an electrophysiology consultation if you have been diagnosed with atrial fibrillation, SVT or another rhythm disorder that may require specialised treatment.

You must seek emergency medical care if palpitations occur with chest pain, severe breathlessness, fainting or collapse. Do not wait for a routine appointment in these situations.

Diagnostic Tests Used by an Electrophysiologist

The right test depends on your symptoms, medical history and the type of rhythm disorder suspected. Your specialist may recommend one or more of the following investigations.

  • Electrocardiogram (ECG) to check the heart’s electrical activity and identify rhythm abnormalities
  • Holter monitoring involves a portable device that records your heartbeat continuously, usually for 24–48 hours, to detect intermittent rhythm changes
  • Event monitor to check heart rhythm over a longer period or when symptoms occur, depending on the device
  • Echocardiogram to assess the heart’s structure, valves and pumping function
  • Electrophysiology study (EPS) uses thin, flexible wires inserted through a blood vessel to study the heart’s electrical signals and identify the source of certain abnormal rhythms

Treatments and Procedures Offered by Electrophysiologists

Treatment depends on the type of arrhythmia, how frequently it occurs and whether it affects your heart’s ability to pump blood effectively. Your electrophysiologist may recommend medication, a procedure or a combination of treatments.

  • Medication

Medicines may be recommended to control the heart rate, maintain a normal rhythm or reduce the risk of blood clots in certain conditions, such as atrial fibrillation.

  • Catheter ablation

In this procedure, thin tubes are guided through blood vessels to the heart. The specialist uses heat or cold energy to target the small area responsible for an abnormal electrical signal. It can help treat conditions such as SVT and selected cases of atrial fibrillation.

  • Pacemaker implantation

A small device placed under the skin helps maintain an appropriate heart rate when the heart beats too slowly.

  • Implantable cardioverter-defibrillator (ICD)

This device monitors the heart rhythm and can deliver an electrical shock to correct certain dangerous rhythms.

  • Electrical cardioversion

A controlled electrical shock is delivered to restore a normal rhythm in some patients with arrhythmias such as atrial fibrillation.

Your specialist will explain the benefits, possible risks and alternatives before recommending any treatment.

Why Choose the CK Birla Hospital for Electrophysiology Care?

At the CK Birla Hospital, heart rhythm concerns are approached with careful evaluation and personalised treatment planning.

We offer:

  • Experienced interventional cardiologists and electrophysiology specialists
  • Multidisciplinary team approach
  • Comprehensive evaluation of heart rhythm disorders
  • Personalised treatment planning based on each patient’s condition
  • Integrated care across cardiology, ICU and critical care teams
  • Structured cardiac rehabilitation programme
  • 24×7 emergency cardiac care for critical heart conditions

FAQs

The right electrophysiologist depends on your heart rhythm disorder, the treatment you may need and the specialist’s relevant training and experience. At the CK Birla Hospital, we have experienced specialists who can evaluate your condition, explain your treatment options and guide you towards appropriate care.

An electrophysiology study (EP) is generally considered safe when performed by a trained specialist. Some minor risks include bleeding or bruising at the catheter insertion site, damage to a blood vessel, infection or, rarely, more serious complications. Your doctor will explain the risks based on your health and the planned procedure.

A general cardiologist can assess most initial heart concerns. You may need an electrophysiologist if you have recurring palpitations, unexplained fainting, a diagnosed arrhythmia or a rhythm disorder that may require catheter ablation or a pacemaker. Your cardiologist can refer you when specialised evaluation is needed.

Cardiac electrophysiologists diagnose and treat heart rhythm disorders using medication, catheter ablation and, when appropriate, procedures such as pacemaker or ICD implantation and electrical cardioversion. The treatment depends on the type of arrhythmia, its severity and your overall health.