A department at the forefront of cardiac arrhythmia management for over 60 years

Since 1958, when Montefiore’s Seymour Furman, MD, in collaboration with Montefiore’s Doris J. W. Escher, MD, developed the first transvenous cardiac pacemaker, our faculty has been at the forefront in the detection and management of complex heart rhythm disorders.

Our doctors performed the second implantation of a permanent defibrillator in the US and the first in the New York area. 

Dr. Luigi Di Biase, Section Head of Electrophysiology and a professor at Montefiore Einstein, was the first to propose and conduct complex ablation procedures in fully anticoagulated patients, reducing the risk of procedure-related stroke. Under his leadership, Montefiore pioneered the method of left atrial appendage isolation for the treatment of atrial fibrillation, improving the success of the procedure to over 70% at one year follow-up. Most of these patients with persistent atrial fibrillation had been refused by other institutions or had undergone unsuccessful procedures elsewhere. 

Montefiore has also pioneered the method of homogenization for treatment of ischemic patients undergoing ventricular tachycardia ablation. This technique allows VT ablation in sinus rhythm based on the substrate.

Montefiore is one of the highest-volume centers in the country and one of the few centers in the world to perform complete ultrasound-guided (radiation-free) catheter ablation for ventricular tachycardia, atrial fibrillation and supraventricular tachycardia. Montefiore is the only hospital in the Northeast that performs autonomic modulation for the treatment of life-threatening ventricular arrhythmias. Ours is also one of the few programs in the country that performs bilateral cervical thoracic sympathectomy. 

We have been selected among few centers nationwide to perform FDA investigational device exemption (IDE) trials on a new energy source for ablation called electroporation (or PULSED field ablation) that has the advantage of improving outcomes, reducing procedural time and reducing complications, since it does not damage or alter structures surrounding the heart during energy delivery.

Patient referrals

At Montefiore Einstein Center for Heart and Vascular Care, we know providing patients with the best possible care includes teamwork and trust. We work closely with our valued referring physicians to ensure open communication and reliable expertise.