AFib and heart arrhythmia care

Heart doctors at Ascension Illinois in Chicagoland deliver specialized care for AFib and other heart arrhythmias.

Heart rhythm and AFib care in Illinois

Heart doctors at Ascension Illinois in Chicagoland deliver specialized care for AFib and other heart arrhythmias.

Heart rhythm and arrhythmia care in Illinois

Heart doctors at Ascension Illinois provide comprehensive care for atrial fibrillation (AFib) and the full spectrum of heart rhythm disorders. Our electrophysiology teams offer advanced diagnostic testing, personalized medical therapy, implantable devices, and minimally invasive procedures to help restore normal heart rhythm, improve symptoms, and reduce the risk of stroke, heart failure, and sudden cardiac events.

Why choose us

When you choose Ascension Illinois for heart rhythm care, your care team is part of a nationally recognized cardiovascular program with more than 100 cardiologists and cardiac surgeons statewide. Our electrophysiologists treat both routine and complex arrhythmias using advanced technology and a collaborative approach that brings together cardiology, electrophysiology, and cardiac surgery when needed.

Understand AFib and other heart arrhythmias

Heart arrhythmias occur when the electrical signals that control your heartbeat do not work properly. These rhythm disorders can cause your heart to beat too fast, too slow, or irregularly.

Arrhythmias we commonly treat include:

  • Atrial fibrillation (AFib)
  • Atrial flutter
  • Supraventricular tachycardia (SVT)
  • Premature atrial contractions (PACs)
  • Premature ventricular contractions (PVCs)
  • Ventricular tachycardia (VT)
  • Bradycardia and heart block

Some arrhythmias cause noticeable symptoms, while others may have no symptoms and are discovered during testing. Our specialists work with you to understand your condition and choose the most appropriate treatment.

Symptoms of AFib and other heart arrhythmias

Common symptoms heart arrhythmias include:

  • Anxiety or feeling uneasy
  • Chest discomfort or pain
  • Dizziness or lightheadedness
  • Fatigue or feeling unusually tired
  • Fainting
  • Fluttering feeling in the chest
  • Irregular or rapid heartbeat
  • Shortness of breath
  • Skipping or pounding heartbeat
  • Weakness or difficulty exercising

How we diagnose AFib

Your cardiologist may recommend one or more tests to understand how your heart is beating, identify the type of rhythm condition you have, and guide treatment decisions.

Wearable monitors record your heart rhythm while you go about your daily activities. These include Holter monitors, event or patch monitors, and mobile cardiac telemetry to detect intermittent rhythm conditions.

Our heart care teams use ambulatory heart monitoring to help detect and evaluate irregular heart rhythms that may not appear during an office visit. These simple tests record your heart’s activity while you go about your daily routine, giving your cardiologist a better understanding of your heart health.

Ambulatory monitors are small, wearable devices that record your heart’s electrical activity over a period of time to identify irregular heart rhythms (arrhythmias). This diagnostic tool helps guide treatment decisions, and monitor how well your current heart care plan is working.

Your cardiologist may order blood work to diagnose and manage a heart condition. Your doctor may also recommend heart blood work if you're at risk for heart disease, have a family history or are managing a condition like high blood pressure or high cholesterol.

Used to identify conditions that may contribute to arrhythmias, such as thyroid disease, electrolyte imbalances, infection, heart enlargement, or lung congestion.

Evaluates how your heart performs during exercise or medication-induced stress while monitoring heart rhythm, heart rate, and blood pressure.

A chest X-ray is a quick, noninvasive imaging test that provides a detailed picture of the inside of your chest, helping your care team detect signs of a heart condition.

A painless test using sound waves to create moving images of your heart, showing how well the chambers and valves are working.

A quick, painless test that records your heart’s electrical activity at a single moment in time using small sticky patches placed on your chest, arms, and legs.

A specialized test performed in a cardiac lab where thin catheters map your heart’s electrical system in detail to identify the source of abnormal rhythms.

A small device placed just under the skin of the chest during a minor procedure. It continuously records heart rhythm for months or years and is helpful when symptoms occur infrequently.

A specialized ultrasound performed with light sedation. A thin probe is passed into the esophagus to obtain detailed images of the heart’s upper chambers, often used to check for blood clots before certain procedures.

How we treat AFib and other heart arrhythmias

Treatment for AFib and other heart arrhythmias is individualized and may include medication, procedures, implantable devices, or surgery.

Catheter ablation is a minimally invasive procedure used to treat atrial fibrillation and other heart rhythm disorders by targeting areas of the heart that cause abnormal electrical signals. Thin flexible catheters are guided through blood vessels to the heart, where energy is delivered to treat the arrhythmia.

Our electrophysiologists offer multiple ablation techniques so treatment can be tailored to the specific arrhythmia and each patient’s heart anatomy.

Types of catheter ablation include:

  • Pulmonary vein isolation (PVI) - the foundation of catheter ablation for atrial fibrillation. This procedure electrically isolates the pulmonary veins, which are a common source of abnormal electrical signals that trigger AFib. PVI can be performed using radiofrequency, cryoablation, or pulsed field ablation, depending on patient anatomy and clinical needs.
  • Radiofrequency (RF) ablation - uses controlled heat energy to create precise lesions in heart tissue. RF ablation is commonly used to treat AFib, atrial flutter, SVT, PVCs, and selected ventricular arrhythmias. This technique allows point-by-point precision and flexibility for complex arrhythmias.
  • Cryoablation - uses extreme cold to create uniform lesions and is most often used for pulmonary vein isolation in patients with atrial fibrillation. Cryoablation may reduce procedure time in select patients.
  • Pulsed field ablation (PFA) - a newer, non-thermal technology that uses electrical pulses to selectively target heart muscle cells while minimizing impact on surrounding structures such as the esophagus and blood vessels. PFA is primarily used for atrial fibrillation and pulmonary vein isolation.
  • Targeted ablation for non-AFib arrhythmias - advanced mapping systems allow precise treatment of arrhythmias such as SVT, atrial tachycardia, PVCs, and ventricular tachycardia (VT).
  • AV node (AVN) ablation - AV node ablation may be recommended for patients with atrial fibrillation who continue to have rapid or poorly controlled heart rates despite medications and other treatments. This procedure intentionally blocks electrical signals between the upper and lower chambers of the heart to control heart rate. Because AV node ablation requires permanent pacing, it is performed in patients who already have or will receive a pacemaker or cardiac resynchronization device.

For appropriate patients, AFib ablation and left atrial appendage closure may be performed during the same procedure, addressing rhythm control and stroke prevention in a single setting.

The convergent procedure is a hybrid treatment for patients with persistent or longstanding persistent AFib who have not responded to medication or catheter ablation alone. It combines minimally invasive surgical ablation on the outside of the heart with catheter-based ablation inside the heart, coordinated by electrophysiologists and cardiac surgeons.

A controlled electrical shock is used to restore normal rhythm in patients with AFib or other sustained arrhythmias.

For patients with non-valvular AFib who cannot tolerate long-term blood thinners or have an increased risk of bleeding, left atrial appendage closure procedures help reduce stroke risk.

Available catheter-based options include:

  • WATCHMAN™
  • Amulet™

These devices seal off the left atrial appendage to prevent blood clots from entering the bloodstream.

Medications may be used to control heart rate, maintain normal rhythm, and reduce stroke risk in patients with AFib when appropriate.

Device-based therapies

CRT helps the heart beat in a more coordinated way in select patients with heart failure and electrical conduction delays.

ICDs protect patients at risk for life-threatening ventricular arrhythmias by continuously monitoring heart rhythm and delivering therapy when dangerous rhythms occur.

Lead extraction is a specialized procedure used to safely remove one or more pacemaker or ICD leads when they become infected, damaged, or no longer function properly, or when device upgrades are needed. The procedure is performed by experienced electrophysiology teams using advanced tools and imaging.

Small, self-contained devices implanted directly inside the heart without leads.

  • Ventricular leadless pacemakers treat slow heart rates originating in the lower chambers.
  • Atrial leadless pacemakers help coordinate upper-chamber pacing in select patients and may be used alone or in combination with ventricular leadless devices.

Leadless pacemakers reduce the risk of lead-related complications and are appropriate for select patients.

Pacemakers help treat slow heart rhythms and heart block by maintaining an appropriate heart rate.

Placed under the skin without leads inside the heart or blood vessels. S-ICDs reduce the risk of bloodstream or lead-related complications and are appropriate for select patients who do not need pacing.

Surgical maze procedures may be performed for complex or longstanding AFib, either as a standalone treatment or during other heart surgery.

Traditional ICDs implanted under the skin with leads placed inside the heart.

Traditional pacemakers placed under the skin with leads that travel through veins into the heart.

Clinical trials

Our electrophysiologists participate in cardiovascular research and clinical trials aimed at improving arrhythmia care, treatment strategies, and long-term outcomes.

Get a second opinion

Decisions about your heart care are important. Getting a second opinion not only provides more information about your condition, but it can help you feel more confident in the doctor and the care plan you choose. Consider getting a second opinion if:

  • Your diagnosis or prognosis is unclear
  • You’ve been told you have a rare or life-threatening condition
  • You would like to explore other treatment options
  • Your treatment options are costly or risky
  • You want to hear an opinion from another specialist
  • Your insurance requires a second opinion
stethoscopeGET A SECOND OPINION

How to get care

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To make an appointment, a referral should be made by your primary care doctor or another specialist. Once the referral is received and reviewed, you will be contacted to schedule an appointment with a cardiologist.

If you are experiencing a life-threatening emergency, go directly to the ER or call 911.

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