EP offers a high level of excitement in cognitive challenges, in diagnostic and therapeutic opportunities, and in performing surgeries. EP is perhaps unique to the field of cardiology, as the only area where we can often permanently cure problems of arrhythmias. I never seriously considered any other field besides cardiology well maybe nephrology!

I see interesting cases about every week. This week I consulted on a patient who was post-CABG for a possible pacemaker need. This patient was reported with very long first degree AV block, and intermittent atrial fibrillation/supraventricular tachycardia. It turned out this patient had AVNRT, and we were able to successfully treat his arrhythmia with a slow pathway ablation. It was special lesson to our lab staff and residents in being careful about jumping to conclusions and not missing the subtle elements.