TREATMENTS WE PERFORM
Arrhythmias — Treating Heart Rhythm Disorders
When the heart beats too slowly, too quickly, or irregularly, we offer the full range of treatment — from medication and rhythm reset to implanted devices and long-term monitoring. Most procedures are outpatient, with the great majority of patients home the same day.
How we treat rhythm disorders
An arrhythmia is treated according to what is driving it and the risk it carries. For many people the plan combines more than one of the approaches below, coordinated by the same team that diagnoses the problem. Start with the Heart Rhythm Disorders overview if you’re still identifying symptoms.
Medication & stroke-risk management
Medicines are often the first step — to control the heart rate, help hold a normal rhythm, and lower the stroke risk that some rhythms (such as atrial fibrillation) carry. We tailor the regimen to your rhythm and your bleeding risk and manage it alongside your other physicians. Medical therapy →
Cardioversion — resetting the rhythm
When an irregular rhythm like atrial fibrillation or flutter persists, a brief, carefully timed pulse under light sedation can reset the heart to a normal beat. We typically perform a transesophageal echocardiogram (TEE) first — a detailed ultrasound taken from the esophagus — to rule out clots in the heart before the reset, which substantially lowers stroke risk. Both the TEE and the direct-current cardioversion (DCCV) are performed by our interventional team, and nearly all patients go home the same day. More on cardioversion →
Implanted devices
When the rhythm needs ongoing help, a small implanted device can provide it — a pacemaker for a heart that beats too slowly, a defibrillator (ICD) to guard against dangerous fast rhythms, or a biventricular CRT device to resynchronize the chambers in certain types of heart failure. These are outpatient implants, with nearly all patients home the same day. Pacemakers, defibrillators & CRT →
The loop recorder — where diagnosis becomes treatment
Some of the most important rhythm problems appear only occasionally and vanish before a standard test can catch them. We implant an implantable loop recorder — a tiny monitor placed under the skin in our office lab — that watches your rhythm continuously for up to about three years and transmits remotely. It works as a diagnostic and treatment tool in one: what it finds points straight to the fix. Catching hidden atrial fibrillation lets us start the right blood thinner to prevent a stroke; a slow rhythm or long pause points to a pacemaker; and tracking your rhythm over time guides rate- and rhythm-control decisions. The device doesn’t just answer the question — it tells us how to treat. Loop recorder →
Care we coordinate & refer
Some rhythm treatments are best delivered by an electrophysiologist. We refer directly, align your medications, and stay involved in the plan. These include catheter ablation and electrophysiology studies — for AFib, SVT, VT, atrial flutter, and accessory pathways — and left atrial appendage closure (such as the Watchman device) for patients who can’t stay on long-term blood thinners.
Frequently asked questions
For referring providers — We welcome referrals for AFib and flutter, unexplained syncope or palpitations, bradycardia, and device evaluation — diagnosis, procedure, and follow-up in one practice. Refer: (918) 943-5303 · fax (855) 312-3594.
Refer urgently: syncope with known heart disease, or a very slow or very fast symptomatic rhythm · Routinely: palpitations, suspected AFib, or an unexplained fainting episode for evaluation. Full referral guide →