{"id":388,"date":"2026-01-07T07:16:06","date_gmt":"2026-01-07T07:16:06","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=388"},"modified":"2026-04-11T03:56:07","modified_gmt":"2026-04-11T03:56:07","slug":"arrhythmia","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/cardiology\/arrhythmia\/","title":{"rendered":"Arrhythmia \u2014 Ablation &#038; Device Therapy"},"content":{"rendered":"<p><!-- ============================================================\n     Arrhythmia \u2014 Catheter Ablation & Device Therapy\n     URL: \/en\/departments\/cardiology\/arrhythmia\/\n     WordPress H1: Arrhythmia\n     AIOSEO Focus Keyword: arrhythmia\n     SEO Title: Arrhythmia Treatment Japan \u2014 Ablation & Pacemaker | Kishiwada Tokushukai\n     Meta Description: Arrhythmia treatment in Japan \u2014 catheter ablation (pulse field, cryoballoon), pacemaker, ICD, CRT. 77 ablations in 2024. No waiting list. Osaka, 20 min from KIX.\n     ============================================================ --><\/p>\n<section class=\"op-section disease\">\n<div class=\"disease-kpi\">\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Catheter ablation (2024)<\/div>\n<div class=\"disease-kpi__value\">77 procedures \u2014 including pulse field ablation from April 2025<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Device therapy (2024)<\/div>\n<div class=\"disease-kpi__value\">Pacemaker 58 \/ ICD 3 \/ CRT 2<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Technology<\/div>\n<div class=\"disease-kpi__value\">Pulse field ablation, cryoballoon, and radiofrequency \u2014 selected by arrhythmia type and anatomy<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Follow-up<\/div>\n<div class=\"disease-kpi__value\">Remote monitoring for device patients<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"disease-lead\">\n    The Cardiology Department provides evaluation and treatment for a wide range of arrhythmias,<br \/>\n    including atrial fibrillation, supraventricular tachycardia, bradyarrhythmia,<br \/>\n    and ventricular arrhythmias.<br \/>\n    Catheter ablation is offered using multiple energy modalities, including pulse field ablation,<br \/>\n    introduced at this hospital in April 2025, alongside pacemaker, ICD, and CRT implantation.\n  <\/p>\n<div class=\"disease-rows\">\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>What is arrhythmia?<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Arrhythmia refers to an abnormal heart rhythm or rate \u2014<br \/>\n          whether too fast (tachycardia), too slow (bradycardia), or irregular.<br \/>\n          Symptoms range from palpitations and dizziness to syncope and, in some cases,<br \/>\n          sudden cardiac arrest.\n        <\/p>\n<p>\n          Arrhythmias treated at this hospital include atrial fibrillation (AF),<br \/>\n          atrial flutter, supraventricular tachycardia (SVT), ventricular tachycardia (VT),<br \/>\n          and bradyarrhythmias requiring pacemaker therapy.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Catheter ablation<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Catheter ablation treats arrhythmia by targeting the abnormal electrical pathway<br \/>\n          or focus within the heart.<br \/>\n          The procedure is performed under sedation or general anaesthesia,<br \/>\n          depending on the case.\n        <\/p>\n<p>\n          Three ablation modalities are available and selected according to arrhythmia type and anatomy:\n        <\/p>\n<div class=\"disease-callout\">\n<ul class=\"disease-bullets\">\n<li>\n              <strong>Pulse field ablation (PFA):<\/strong><br \/>\n              Introduced in April 2025. Uses electrical pulses rather than heat or cold<br \/>\n              and may reduce injury to surrounding structures such as the oesophagus and phrenic nerve.\n            <\/li>\n<li>\n              <strong>Cryoballoon ablation:<\/strong><br \/>\n              Freezing-based technique used mainly for pulmonary vein isolation in atrial fibrillation.\n            <\/li>\n<li>\n              <strong>Radiofrequency ablation:<\/strong><br \/>\n              Established heat-based technique used for a wide range of arrhythmias.\n            <\/li>\n<\/ul><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Device therapy<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          For bradyarrhythmia and life-threatening ventricular arrhythmias,<br \/>\n          implantable device therapy is available, including:\n        <\/p>\n<div class=\"disease-callout\">\n<ul class=\"disease-bullets\">\n<li><strong>Pacemaker:<\/strong> For bradycardia and conduction disorders \u2014 including leadless pacemaker implantation.<\/li>\n<li><strong>ICD (implantable cardioverter-defibrillator):<\/strong> For prevention of sudden cardiac death due to ventricular arrhythmias \u2014 including subcutaneous ICD (S-ICD).<\/li>\n<li><strong>CRT (cardiac resynchronisation therapy):<\/strong> For selected patients with heart failure and conduction delay.<\/li>\n<\/ul><\/div>\n<p class=\"disease-muted\">\n          Remote monitoring is available for device patients,<br \/>\n          allowing ongoing follow-up without frequent hospital visits.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Appointment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n      Appointments are required in principle. A referral letter from another medical institution is recommended but not mandatory.\n    <\/p>\n<p class=\"disease-muted\">\n      For appointment requests and language support, please see the<br \/>\n      <a href=\"\/en\/departments\/cardiology\/#contact\">Cardiology<\/a> page.\n    <\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Catheter ablation (2024) 77 procedures \u2014 including pulse field ablation from April 2025 Device therapy (2024) Pacemaker 58 \/ ICD 3 \/ CRT 2 Technology Pulse field ablation, cryoballoon, and radiofrequency \u2014 selected by arrhythmia type and anatomy Follow-up Remote monitoring for device patients The Cardiology Department provides evaluation and treatment for a wide range [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":373,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-388","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/388","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=388"}],"version-history":[{"count":4,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/388\/revisions"}],"predecessor-version":[{"id":1322,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/388\/revisions\/1322"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/373"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}