The Duke Children’s Heart Program offers a comprehensive array of diagnostic and treatment services related to disorders of cardiac electrical function in infants, children, adolescents, and young adults.

These disorders include:

• Tachyarrhythmias (atrial flutter, atrial fibrillation)
• Atrial tachycardia
• Supraventricular tachycardias (SVT)
• Ventricular tachycardias (VT)
• Ventricular fibrillation
• Genetic disorders ( Long QT syndrome, Brugada syndrome, hypertrophic cardiomyopathy, and others)
• Heart blocks
• Autonomic dysfunction such as neurocardiogenic (vasovagal) syncope and postural orthostatic tachycardia syndrome (POTS)

Complete Diagnostic Services

Comprehensive diagnostic services are tailored to the patient’s symptoms and range from standard electrocardiography, exercise testing, and 24-hour ambulatory rhythm monitoring (Holter monitoring) to ambulatory event recording by pocket monitors, attached monitors (“loop recorders”), and even surgically implanted monitors.

Newer modalities, such as signal-averaged electrocardiography, heart rate variability, epinephrine infusions, and cardiac magnetic resonance imaging (MRI) are helping assess risk of sudden death in some circumstances.

Catheter Ablation of Tachyarrhythmias

Catheter-directed, potentially curative treatment of many tachycardias has largely replaced chronic drug therapy.

Our physicians use state-of-the-art three dimensional catheter tracking and electroanatomic mapping to aide in all procedures, from SVT to complex arrhythmias occurring after congenital heart surgery. Newer energy sources, such as cryo-energy, are now being used to make these procedures even safer for patients.

Pacemaker and Defibrillator Implantations

Our clinical team also performs pacemaker and defribillator implantations for patients with cardiac arrhythmia. Learn more about pacemaker services at Duke

Physicians

Physicians offering this service include:

• Carboni, Michael P.
• Idriss, Salim F.
• Kanter, Ronald J.

Locations

This service is available at:

• Duke Children's Hospital & Health Center
  2301 Erwin Road, Durham, NC 27710