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UCLA Cardiac Arrhythmia Center Outpatient Questionnaire Department of Medicine/Division of Cardiology Please fill out the following questionnaire and bring it with you to your first consultation appointment.

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At your appointment you will have a full examination including a history of your symptoms and may be asked to have another ECG. Following the outpatient appointment you may be sent for more diagnostic tests which may include: 24 hour Heart Monitoring. Exercise ECG.

Tests to diagnose heart arrhythmias may include: Electrocardiogram (ECG or EKG). During an ECG , sensors (electrodes) that can detect the electrical activity of the heart are attached to the chest and sometimes to the arms or legs. An ECG measures the timing and duration of each electrical phase in the heartbeat.

Penn's Cardiac Arrhythmia Program offers advanced therapies for cardiac arrhythmia and is a regional and national referral center. Arrhythmias are problems that affect the electrical system, or "wiring", of the heart muscle. This causes you to have an abnormal heartbeat that is too fast, too slow, and/or irregular.

Why would I be referred to an electrophysiologist? A provider may refer you to an electrophysiologist if they believe you have an electrical problem with your heart. You may see a cardiac electrophysiologist if your heart rate is faster or slower than normal or irregular instead of consistent.

Coronary artery disease, other heart problems and previous heart surgery. Narrowed heart arteries, a heart attack, abnormal heart valves, prior heart surgery, heart failure, cardiomyopathy and other heart damage are risk factors for almost any kind of arrhythmia.

You will likely be given a sedative in your IV before the test to help you relax. However, you will be somewhat awake during the test. Your doctor may check and mark your pulses below the IV site to check the circulation to the limb below during and after the test.

Heart rhythm disorders (arrhythmias). Staff in the Heart Rhythm Clinic has expertise and experience in evaluating and treating many heart rhythm disorders, including: Supraventricular tachycardia. Ventricular tachycardia. Atrial fibrillation.

An EP study is done in the hospital. An IV line is inserted in the hand or arm. Monitors (electrodes) are placed on the chest to check the heartbeat during the test. Before the procedure starts, you'll typically receive a sedative through the IV to relax you.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232