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Cardiac Electrophysiology

Sanger Heart & Vascular Institute's cardiac electrophysiology (EP) team achieves top outcomes by embracing innovative technology, research and a commitment to providing the highest-quality care.

Redesigning Atrial Fibrillation Care 

Since we launched the Atrium Health Sanger Heart & Vascular Institute Atrial Fibrillation Center of Excellence (AF COE) in 2021, our redesigned approach has led to tremendous improvement in outcomes. 

The AF COE is driven to provide high-quality, coordinated, patient-centered, timely and holistic care. In addition to offering access to our expert electrophysiologists, the AF COE leverages advanced practice providers and nurse care team models, virtual consults, referral pathways to other subspecialties, and integrated digital health strategies. 

This care includes:

  • Nurse navigator support for pre-procedural patients through 30 days post-procedure at our Cabarrus, Pineville and Carolinas Medical Center locations.
  • Inpatient cardiothoracic surgery, emergency department and outpatient care pathways to link patients to care at the EP clinic.
  • Systematic screening of all AF patients for control of three key comorbidities: obstructive sleep apnea, diabetes mellitus and smoking. We have also developed external pathways for expedited management of these modifiable factors through collaboration with primary care, bariatric surgery, sleep medicine, endocrinology and smoking cessation teams.  
  • Referral triage to ensure the best use of patients’ and providers’ time by requesting certain information prior to a physician visit. This helps avoid unnecessary or duplicate visits.
  • Sustainable, scalable interventions and educational initiatives for patients related to everyday AF management, health promotion and disease prevention.

State-of-the-Art Technologies

Our multidisciplinary team – including advanced heart failure, cardiac surgery, radiation oncology, and behavioral health – provides the full spectrum of care for patients with ventricular arrhythmia. We offer advanced therapy ablation including endocardial and epicardial ablation approaches, surgical ablation, radiation therapy, and surgical neuromodulation. 

Our Cardiac Device Clinic continues to be an international leader in the care of patients with implanted devices. Our volume and expertise helps establish best practices, making us one of the largest such clinics in the country, and help establish best practices in the care of patients with cardiac devices through leadership roles in national organizations and collaboration with industry partners. The technologies we offer include:

  • Cardiac contractility modulation (Sanger performed the first implant in the Charlotte region) 
  • Cardioneural ablation
  • Left bundle pacing
  • Hybrid AF ablation

Awards and Recognition

  • Silhouette of North and South Carolina, with pin marking the Charlotte area.


    First cardiac contractility modulation implant in Charlotte region

EP Volumes

  • 1,112

    Internal Data,
    September 2021 - August 2022

  • 706

    Internal Data,
    September 2021 - August 2022

  • 88

    Lead Extractions
    Internal Data,
    September 2021 - August 2022

  • 2,350

    Total Electrophysiology Ablations
    Internal Data,
    September 2021 - August 2022

  • 225

    Ablations for Ventricular Arrhythmia
    Internal Data,
    September 2021 - August 2022

  • Device Management Encounters data.  Total of 52,910, including 4,140 remote, and 11,510 clinic.

Atrial Fibrillation Center of Excellence

  • 887

    Ablations for Atrial Fibrillation

    Internal Data,
    September 2021 - August 2022

  • 79.9%

    Atrial Fibrillation Ablation
    Same-Day Discharge Rate

    Internal Data,
    January 2022 - December 2022

  • 1.02%

    Ablations for Atrial Fibrillation
    Total Complication Rate

    Internal Data,
    September 2021 - August 2022

  • 82%

    Paroxysmal Ablation
    Afib Free at 1 Year

    Internal Data,
    September 2021 - August 2022

Our AF volumes grew 41% in 2022.

Cardiac Electrophysiology Research and Clinical Trials

Publications and Presentations