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Grandview Electrophysiology Lab By Jane Ehrhardt

When Grandview Medical Center opened its doors in 2015, their new electrophysiology program began with one lab. “We had a vision to build up the lab and create growth based on quality components,” says Jose Osorio, MD, a cardiac electrophysiologist (EP) and the medical director of the Electrophysiologist Lab at Grandview. “We have a lot of quality improvement meetings.” To stay on target, the EP team focused EP Lab physicians (l to r): Drs. Gustavo Morales; Anil Rajendra; Russell Reeves; Jose Osorio; Macy Smith and Joaquin Arciniegas. on measuring outcomes and analyzing Five months after that one, they opened a 120 to 150 left atrial appendage (LAA) data. They also participated in a myriad third. Now, after only three years, Grandclosures,” Osorio says. Device implantaof research to stay up on the latest breakview’s EP program keeps four labs bustions totaled about 2,500, including defithroughs and devices. “This allowed us to tling daily. brillator implants, pacemaker implants, be successful and referrals continued to “We do about 1,500 ablations a and loop recorder implants. The lab volgrow,” Osorio says. That generated the year—900 are for atrial fibrillation ablaume increased over 19 percent in 2018 need for more labs, and the hospital retions and over 200 ablations are for vencompared to 2017. sponded. A few months after the first lab tricular arrhythmias. And we do about Grandview’s EP Lab also became opened, they had a second lab running.

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only one of four in the country—and the first in the Southeast—to attain Cardiac Electrophysiology Accreditation under the Intersocietal Accreditation Commission. A targeted triumph of the ablation aspect of the EP program has been to reduce the use of fluoroscopy—a radioactive component—in their atrial fibrillation procedures. “We have performed almost 4,000 ablations without fluoroscopy,” Osorio says. “Hundreds of electrophysiologists and staff members from all over the country have visited our institution to learn these techniques.” The left atrial appendage (LAA) closure that Osorio performs reduces the risk of stroke from blood clots caused by the inefficient beating of an AFib heart. It is most commonly performed on patients unable to take the traditional treatment of

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