In the last nine years, the cardiac rhythm management program at Morristown Memorial Hospital has grown from one lab with a single cardiac electrophysiologist and three full-time staff members to a full service arrhythmia management team, comprised of three board certified electrophysiologists, two full-time technologists, seven nurses and two office staff members. In addition, we work with a full-time cardiac research nurse coordinator and three additional research nurses.

At our facility, we perform comprehensive electrophysiology studies, radiofrequency ablations for both ventri

For those of us who have worked in the field of medicine, the advances of science have provided us with new and improved ways to heal and repair the body. The changes that we deal with are sometimes small improvements to an established process, while at other times they are monumental breakthroughs that restructure the way we approach the world of medicine. Dealing with major alterations in the workplace can be one of the most difficult aspects medical professionals must face.

Microvolt T-Wave Alternans (MTWA) is a new non-invasive method for identifying patients at increased risk of cardiac arrest and sudden cardiac death from ventricular arrhythmias. MTWA can be measured during a routine exercise stress test during pharmacologic stress or during cardiac pacing. MTWA has been successfully applied to patients both with and without coronary artery disease. Its clinical performance compares favorably with that of other non-invasive risk stratifiers and invasive electrophysiologic study (EPS). The event rate during follow-up among patients who test MTWA-positive is com