Robert R. Cawley, D.O.
Dover, NH 03802
Considered the “electricians” of the heart, electrophysiologists (EPs) diagnose and treat heart rhythm disorders caused by abnormalities in your heart’s electrical activity.
Our comprehensive and exceptional Clinical Cardiac Electrophysiology team, led by Electrophysiologist Lilian Joventino , MD, offers extensive non-invasive and invasive treatments if you have cardiac arrhythmias (irregular heartbeats) related to cardiomyopathy, congenital heart disease, heart failure or hereditary conditions.
An arrhythmia is a disorder of the heart rate that may come and go or be present all the time.
Your heart may beat too slow, too fast, or irregularly. You might describe the feeling as heavy in your chest or palpitations.
Other arrhythmia syptoms may include:
You’ll have access to a full array of high-quality testing in our EP department, allowing our experienced clinicians to determine the best approach to treat your arrhythmia.
Tests that might be ordered to diagnose arrhythmia include an electrocardiogram (EKG), echocardiography (echo), transesophageal echo (TEE), heart stress test, Holter event monitoring, loop recorders, tilt table testing or an electrophysiology study (EPS).
Once your arrhythmia is diagnosed, our team of highly-skilled physicians and nurses is expert at customizing treatment plans to decrease your stroke risk and reduce or eliminate your symptoms.
Rely on our expertise and our notable record for exceptional outcomes
If you suffer from congestive heart failure, cardiac resynchronization therapy (CRT), also known as biventricular pacing, uses a special cardiac pacemaker to help synchronize your left and right heart ventricles to make them contract at the same time and restore your heart’s proper mechanical sequence.
Abnormal, fast heart rates can cause people to faint or caused their hearts to stop pumping properly. Sometimes medicines can be used to control these fast heart rates. When medicines do not work, doctors can implant an ICD. This small electronic device in the upper chest can help manage life-threatening abnormal heart rhythms, like ventricular tachycardia.
A pacemaker is a small, implantable device that helps the heart beat in a regular rhythm. Pacemakers can help pace the heart in cases of slow heart rate, fast and slow heart rate, or a blockage in the heart's electrical system.
Catheter ablation for Supraventricular Tachycardia (SVT) is a minimally-invasive procedure usually done on an outpatient basis. An ablation catheter delivering very small radiofrequency lesions or electrocautery burns is used to successfully cure the SVT up to 98 percent of the time, depending on the specific type of SVT.
If you have a defibrillators or pacemakers implanted to monitor and treat certain arrhythmias, the Pacemaker Clinic is you resource to ensure it continues to work effectively and properly.
You'll visit the clinic about six weeks after your device is implanted and for regular follow-up appointments, usually every six months, to continually check your progress and the device's function, including its battery life, connections, and testing to confirm it is pacing properly.
The Pacemaker Clinic staff is always available and is an excellent resource to provide support and information regarding your permanent pacemaker or ICD.
Rely on our experienced team when it’s time to replace your pacemaker or defibrillator, or if your heart condition has changed.
Our highly-regarded Cardiovascular Care team is expert at replacing or updating implanted heart devices.
And the best part is, we’re right here.
For more information about the Cardiovascular Care Center, please call (603) 740-2121.