• 6705 Red Road, Suite 500, Coral Gables, FL, 33143 • Phone: 305-662-2530 • Fax: 305-662-2375 • www.amisf.com • English • Spanish •

Office: (305) 662-2530
Toll Free: (844) 373-0721
Fax: (305) 662-2375

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New Patient Forms

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 NEW PATIENT FORMS • NEW PATIENT QUESTIONNAIRE
RELEASE OF MEDICAL RECORDS FORM • PULSE & BLOOD PRESSURE CHECK FORMSURROGATE DESIGNATION FORM 
HEALHTCARE INFORMATION SHARING NOTICE OF PRIVACY FORM - ENGLISH
NOTICE OF PRIVACY FORM - SPANISH

Please complete the forms and bring them with you to your appointment or fax them to (305) 662-2375

FAQs

What Is Clinical Cardiac Electrophysiology?

Clinical Cardiac Electrophysiology is a relatively new subspecialty of cardiology which treats abnormalities and associated conditions of the electrical system of the heart.  This cardiac subspecialty has seen vast advances in the past twenty years and continues to advance at a very rapid rate.

What Is a Cardiac Electrophysiologist?

A Clinical Cardiac Electrophysiologist is a physician with highly specialized training.  After completing Medical School, an Electrophysiologist must complete a three years residency training in Internal Medicine, three years residency training in Cardiology and an additional one year fellowship training in Clinical Cardiac Electrophysiology, for a total of seven years of training beyond Medical School.

How Does the Heart Function?

The heart is a muscle that requires two essential components to ensure its proper activity which is to pump blood to the lungs and throughout the rest of the body.  These two components are the “plumbing system” and the “electrical system” of the heart.  The “plumbing system”, consists of all the blood vessels that supply blood to the heart muscle.  These blood vessels are called the coronary arteries and a reduction or interruption of blood flow through the coronary arteries results in angina (chest pain) and/or myocardial infarction (death) of that part of the heart muscle supplied with blood by the blocked artery.  Doctors that treat blocked arteries in the heart, are called INTERVENTIONAL CARDIOLOGISTS, and perform cardiac catheterizations, angioplasties and stent placements.  In more severe cases, bypass of these coronary arteries can be performed by CARDIOTHORACIC SURGEONS.

The “electrical system” of the heart consists of the nerves that make the heart muscle contract and direct the order of contraction of the four heart chambers so they act in synchrony to optimize the amount of blood pumped by the heart for a specific activity.  Abnormalities in the electrical system of the heart are typically expressed by heart rates that are too fast, too slow or by irregular heart rhythms.  CARDIAC ELECTROPHYSIOLOGISTS, like Dr. John R. Dylewski, work primarily with the electrical system of the heart to restore the proper contraction of the heart muscle to optimize the heart’s output and function.  The interaction of the heart's electrical system with the brain is also a focus in cardiac electrophysiology, such as in conditions of autonomic dysfunction (dysautonomias).  This is achieved through a number of procedures described below.

How Is The Heart Rhythm Evaluated?

PULSE CHECK

Checking one's pulse is the easiest way to know if the heart rhythm is steady and regular or too fast (more than 100 beats per minute at rest), too slow (less than 60 beats per minute), or irregular.  It requires no equipment, only the tips of the index and middle finger of one hand.  It can be performed anywhere, at any time.  Every person can check their own pulse either at their wrist  below the thumb or in the neck area below the jaw bone.

The pulse should be checked at rest every morning when waking up and every evening before going to bed.  If the pulse at rest is abnormal in two consecutive checks, this may indicate the presence of an arrhythmia.   Some arrhythmias are harmless while others may be dangerous.  If you have a persistently abnormal heart rate or rhythm, you should have your heart evaluated by a physician as soon as possible.

EKG (electrocardiogram) – is a tracing of the electrical activity of the heart at one instance in time, when the EKG is being performed - Dr. John Dylewski has vast expertise in the interpretation of abnormal EKGs
HOLTER MONITORS – are wearable devices which record the electrical activity of the heart over a 24 - 48 hour period
EVENT MONITORS – are wearable devices which record the electrical activity of the heart for extended periods of time from 14-30 days
IMPLANTABLE LOOP RECORDERS – are very small devices, which are now able to be “injected” under the skin.  They can be left in place for extended periods of time (years) to continuously record the electrical activity of the heart and "catch" rhythm abnormalities associated with infrequent symptoms

What Symptoms, Conditions or Diagnoses May be Related to an Abnormal Heart Rhythm Requiring an Evaluation and Treatment by a Cardiac Electrophysiology Expert?

  • ALZHEIMERS
  • ARRHYTHMIA
  • ATRIAL FIBRILLATION
  • A FIB
  • ATRIAL FLUTTER
  • AUTONOMIC DYSFUNCTION
  • AV BLOCK (Atrio Ventricular Block, Or Heart Block)
  • BRADYCARDIA – slow heart rate (less than 50)
  • CARDIAC EVENT MONITORS – with abnormal findings
  • CARDIAC RHYTHM - abnormalities
  • CARDIOMYOPATHIES
  • CHEST PAIN OR PRESSURE
  • CHRONIC FATIGUE
  • COLLAPSE
  • CONGESTIVE HEART FAILURE
  • CVA (Cerebral Vascular Accident)
  • DEMENTIA
  • DIZZINESS and NEAR FAINTING
  • DYSAUTONOMIA
  • EDEMA
  • ENDOCARDITIS
  • EVENT MONITORS
  • FAINTING
  • FATIGUE
  • FAST HEART RATE
  • EKG (Electrocardiogram)
  • ELECTROPHYSIOLOGIST
  • ELECTROPHYSIOLOGY
  • EXTRA HEART BEATS
  • FAINTING
  • FATIGUE
  • HEART ATTACK
  • HEART BEAT – when abnormal
  • HEART BLOCK
  • HEART FAILURE
  • HEART RHYTHM – when too fast, too slow or irregular
  • HOLTER MONITOR – with abnormal findings
  • HYPERTENSION
  • HYPOTENSION - low blood pressure
  • INAPPROPRIATE SINUS TACHYCARDIA
  • LOOP RECORDERS
  • LOW BLOOD PRESSURE
  • MYOCARDIAL INFARCT – can be followed by heart rhythm disorders
  • NEUROCARDIOGENIC SYNCOPE
  • ORGANIC BRAIN SYNDROME
  • PACs (Premature Atrial Contractions)
  • PACEMAKER
  • PALPITATIONS
  • PULSE - abnormalities
  • PVCs (Premature Ventricular Contractions)
  • SHORTNESS OF BREATH
  • SKIPPED HEART BEATS
  • SLOW HEART RATE
  • STROKE
  • SVT (Supraventricular Tachycardia)
  • SUDDEN CARDIAC ARREST
  • SWELLING
  • SYNCOPE or SEIZURE ACTIVITY
  • TACHYCARDIA
  • TIA (Transient Ischemic Attacks)
  • VASOVAGAL REFLUX
  • VT (VENTRICULAR TACHYCARDIA)
  • VENTRICULAR FIBRILLATION
  • WOLF-PARKINSON-WHITE SYNDROME

 Call us at (844) 373-0721 for the most comprehensive cardiac electrophysiology evaluation and treatment in South Florida