About the EP Fellowship at UW - Madison

Voltage map of the left ventricle RAO view demostrating a prior inferior septal scar. His position is marked with yellow dots. Ablation lesions performed along the inferior wall eliminated VT.

The Clinical Cardiac Electrophysiology Fellowship Program is a program based at the University of Wisconsin Hospital and Clinics, Meriter Hospital and the adjoining William S. Middleton Veterans Memorial Hospital.

There are nine full-time faculty members devoted to invasive clinical electrophysiology. In addition, we are fortunate to have two cardiac electrophysiologist leaders: the Chairman of the Department of Medicine, Dr. Richard Page, past president of the Heart Rhythm Society, and Chief of the Cardiovascular Division, Dr. Mohamed Hamdan. Four basic science electrophysiologists, Drs. Lee Eckhardt, Craig January, Tim Kamp, and Jon Makielski make up the Cellular & Molecular Arrhythmia Research Program and are internationally known researchers. Drs. Eckhardt, January and Maginot also manage the Inherited Arrhythmia Clinic. The EP fellows have opportunities to be exposed to pediatric electrophysiology procedures as well.

There are two dedicated EP Laboratories equipped with Bard recording systems, CARTO and EnSite mapping systems, ICE, RF, and cryoablation technologies. A hybrid EP lab / OR is used for laser lead extractions. During the fellowship training, the EP fellows participate in the placement of pacemakers, defibrillators and biventricular pacing systems, as well as electrophysiology studies and catheter ablation of cardiac arrhythmias, including atrial fibrillation and ventricular tachycardia. Exposure to laser-assisted lead extractions, epicardial VT and left atrial appendage closure is another component of the procedural curriculum.

The clinical cardiac arrhythmia team managing the care of patients with heart rhythm disorders consists of the EP faculty, EP fellow, a rotating cardiology fellow, advanced practice providers, and RN procedure coordinators. There are outpatient facilities for arrhythmia evaluation and device follow-up at the East Clinic and the Clinical Science Center, staffed by dedicated device clinic RNs. Devices are followed remotely as well, using Care Link, Latitude, and Merlin.net systems. Over 1000 patients with implanted devices are followed by the device clinics at our institution.

Formal didactic sessions, journal clubs, and research conferences are held on a regular basis. In addition, there are weekly ECG conferences during which the electrophysiology fellow and general cardiology fellows participate in the interpretation of complex electrocardiograms under the guidance and supervision of cardiology faculty, as well as weekly EP conferences focusing on the core EP curriculum.

The fellows are mentored and supervised by faculty members in the conduct of clinical and basic research. Fellows are encouraged and supported in enhancing their scholarly activities through publication of manuscripts or abstracts in peer-reviewed journals and/or presentation of abstracts at national specialty meetings, such as the Heart Rhythm Society, ACC, and AHA meetings.

Inferior view of the left ventricle in a patient undergoing VT ablation. There is evdience of an inferior scar.Contact Information

Theresa Teske
Clinical Cardiac Electrophysiology Fellowship Coordinator
Cardiovascular Medicine, H4/583-3248 CSC
600 Highland Avenue
Madison,WI 53792-3248
Phone: 608-263-9648
Email: tlteske@medicine.wisc.edu