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This healthcare service has 1 current healthcare service locations.
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Emergency Information 
Complex Cardiac Arrhythmia Central Access and Triage   at
Calgary Zone and Area
Central Access Healthcare Service
Specialty: Cardiology
Connect Care Department: CALGARY ZONE ARRHYTHMIA CAT
Estimated time to routine appointment: Greater than 18 months
Alberta Health Services - Calgary Zone
CENTRAL ACCESS SERVICES
This central access referral service provides a single point of entry for management, treatment, and education for people with heart rhythm abnormalities. Service may include:
  • single point of entry for individuals with cardiac arrythmias, cardiac genetics, and autonomic dysfunction /syncope
  • interventional electrophysiology procedures including EP studies and ablations
  • treating symptomatic heart rhythm abnormalities that don't need a pacemaker or defibrillator
  • cardiac electrophysiology central referral, triage, assessment, treatment, and education
This central access referral service provides a single point of entry for management, treatment, and education for people with heart rhythm abnormalities. Service may include:
  • single point of entry for individuals with cardiac arrythmias, cardiac genetics, and autonomic dysfunction /syncope
  • interventional electrophysiology procedures including EP studies and ablations
  • treating symptomatic heart rhythm abnormalities that don't need a pacemaker or defibrillator
  • cardiac electrophysiology central referral, triage, assessment, treatment, and education
ELIGIBILITY REQUIREMENTS
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Complete the referral form and fax it to the service using the contact information on this profile.
Complete the referral form and fax it to the service using the contact information on this profile.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Cardiology, type CALGARY ZONE ARRHYTHMIA CAT in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Cardiology, type CALGARY ZONE ARRHYTHMIA CAT in the “To Department” section and complete order.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Wait list status update every 90 days.
ADDITIONAL SERVICE DETAILS
For Physician-to-Electrophysiologist Advice Only (Non-Formal Consults):
Please use Specialist Link for the following:
  • ECG interpretation or advice
  • Diagnostic clarification
  • Medication-related questions
Please note - Syncope within the setting of any documented arrhythmia should be reported urgently.
Contact RAAPID (403-944-4486) for the Electrophysiologist on call for any urgent referrals including those that may require inpatient admission.

Services include:
  • Cardiac electrophysiology central referral, triage, and education
  • Interventional electrophysiology procedures including EP studies and ablations - only at FMC
  • Implanted Loop Recorder - SHC
  • Cardiac genetics treatment and education
  • Autonomic dysfunction / POTs / Syncope clinics
  • Left Atrial Appendage Occlusion Implants
Usual referrals include AF/flutter, SVT, VT, PVCs, POTS, and syncope when there is a high likelihood of needing ablation or requiring specialized electrophysiology management
Atrial Fibrillation (AF) / Atrial Flutter (AFL) that require medical management should go directly to either:
  • Complex Atrial Fibrillation Clinic at FMC; 403-944-3580 (fax)
  • Complex Atrial Fibrillation Clinic at SHC; 403-668-2155 (fax)
For Physician-to-Electrophysiologist Advice Only (Non-Formal Consults):
Please use Specialist Link for the following:
  • ECG interpretation or advice
  • Diagnostic clarification
  • Medication-related questions
Please note - Syncope within the setting of any documented arrhythmia should be reported urgently.
Contact RAAPID (403-944-4486) for the Electrophysiologist on call for any urgent referrals including those that may require inpatient admission.

Services include:
  • Cardiac electrophysiology central referral, triage, and education
  • Interventional electrophysiology procedures including EP studies and ablations - only at FMC
  • Implanted Loop Recorder - SHC
  • Cardiac genetics treatment and education
  • Autonomic dysfunction / POTs / Syncope clinics
  • Left Atrial Appendage Occlusion Implants
Usual referrals include AF/flutter, SVT, VT, PVCs, POTS, and syncope when there is a high likelihood of needing ablation or requiring specialized electrophysiology management
Atrial Fibrillation (AF) / Atrial Flutter (AFL) that require medical management should go directly to either:
  • Complex Atrial Fibrillation Clinic at FMC; 403-944-3580 (fax)
  • Complex Atrial Fibrillation Clinic at SHC; 403-668-2155 (fax)
 
CENTRAL ACCESS REFERRAL PHONE
403-944-4632
CENTRAL ACCESS REFERRAL FAX
403-592-4241
REFERRAL FORMS
REFERRAL ADVICE
Specialist LINK
PATHWAYS
CENTRAL ACCESS LINKED SERVICES
CLICK + TO VIEW REFERRAL GUIDELINES
+-
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
+-
Atrial fibrillation
Medication List (dose, frequency, route)
 
Within 1 month
Documentation of atrial fibrillation is mandatory. Accepted sources:
  • ECG
  • Holter/event monitor
  • Stress
  • EMS
  • Apple Watch
  • Smartwatch, or
  • Kardia Mobile
 
Within 1 month
Referral letter including history
 
N/A
ECG
 
Within 1 month
+-
Atrial flutter
Medication List (dose, frequency, route)
 
Within 1 month
Documentation of atrial fibrillation is mandatory. Accepted sources:
  • ECG
  • Holter/event monitor
  • Stress
  • EMS
  • Apple Watch
  • Smartwatch, or
  • Kardia Mobile
 
Within 1 month
Referral letter including history
 
N/A
ECG
 
Within 1 month
+-
Brugada syndrome
Medication List (dose, frequency, route)
 
Within 1 month
Referral letter including history +/- genetic concern
 
N/A
ECG of concern if available
 
Within 1 month
ADD Autopsy report and/or genetic test report if possible
 
Within 1 month
+-
Long QT syndrome
Medication List (dose, frequency, route)
 
Within 1 month
Referral letter including history +/- genetic concern
 
Within 1 month
ECG of concern
 
Within 1 month
ADD Autopsy report and/or genetic test report if possible
 
N/A
+-
Orthostatic hypotension
Medication List (dose, frequency, route)
 
Within 1 month
Orthostatic Vital signs - mandatory. Perform heart rate and blood pressure measurements at the following intervals:
  1. Supine: after 5 minutes
  2. Standing: at 1, 3, 5, 8, and 10 minutes
 
Within 1 month
Referral letter including history
 
N/A
If available:
  • Echocardiogram
  • Holter monitor
  • Stress test
 
N/A
ECG
 
Within 1 month
Please perform orthostatic vitals (including heart rate and blood pressure) as follows:
  • 5 mins supine
  • 1 min standing
  • 5 mins standing
  • 8 mins standing
  • 10 mins standing
+-
Palpitations
Medication List (dose, frequency, route)
 
Within 1 month
Referral letter including history
 
N/A
ECG
 
Within 1 month
Documentation of palpitations required
 
Within 1 month
+-
Postural orthostatic tachycardia syndrome
Medication List (dose, frequency, route)
 
Within 1 month
Baseline ECG
 
Within 1 month
Detailed History & Physical Exam addressing the referral concern
 
N/A
Orthostatic Vital Signs (OVS) performed off the following medications:
  • Stimulants (e.g., ADHD meds)
  • α-blockers, excessive β-blockers (low-dose may be beneficial)
  • Calcium channel blockers
  • SNRIs, MAOIs, TCAs, phenothiazines
Must be off of these medications for 72 hours
 
Within 1 month
Complete OVS measurements must include Blood Pressure and Heart Rate at:
  • 5 minutes supine
  • 1, 3, 5, 8, and 10 minutes standing
 
Within 1 month
Heart Rate Criteria for POTS:
  • Adults (≥20 yrs): ≥35 bpm sustained increase
  • Must have 2 readings at 5 min and beyond over 100bpm
  • Teens (12-19 yrs): ≥40 bpm sustained increase
  • Sustained is defined as:
    • Elevated HR on 2 readings at least 1 min apart
    • Ideally not seen early with resolution
    • If only seen at final reading, repeat after 1 minute to confirm
 
Within 1 month
If available:
  • Echocardiogram
  • Holter monitor
  • Stress Test
  • Complete Blood Count
  • Iron Indices
  • Thyroid Stimulating Hormone
 
Within 1 month
Please perform orthostatic vitals (including heart rate and blood pressure) as follows:
  • 5 mins supine
  • 1 min standing
  • 5 min standing
  • 8 min standing
  • 10 min standing
+-
Sinus tachycardia
Medication List (dose, frequency, route)
 
Within 1 month
Referral letter including history
 
N/A
ECG documenting sinus tachycardia
 
Within 1 month
If available:
  • Echocardiogram
  • Holter monitor
  • Stress test
 
Within 1 month
Inappropriate Sinus Tachycardia

Please perform orthostatic vitals (including heart rate and blood pressure) as follows:
  • 5 mins supine
  • 1 min standing
  • 5 min standing
  • 8 min standing
  • 10 min standing
+-
Supraventricular tachycardia
Medication List (dose, frequency, route)
 
Within 1 month
Referral letter including history
 
N/A
ECG
 
Within 1 month
Documentation of SVT required, or strong symptom of rhythm history
 
Within 1 month
Please indicate if SVT is associated with syncope.
 
current
+-
Syncope
Medication List (dose, frequency, route)
 
Within 1 month
Referral letter including history
 
N/A
Orthostatic Vital Signs
 
Within 1 month
Orthostatic vital signs must be done with patient OFF of stimulants for 72 hours. When submitting, please write a comment indicating OVS were done with patient OFF of stimulants.
 
N/A
ECG
 
Within 1 month
Thyroid Stimulating Hormone Measurement
 
Within 12 months
If available:
  • Echocardiogram
  • Holter monitor
  • Stress Test
  • Complete Blood Count
  • Iron Indices
 
Within 1 month
Syncope within the setting of any arrhythmia should be reported urgently. 

Please perform orthostatic vitals (including heart rate and blood pressure) as follows:
  • 5 mins supine
  • 1 min standing
  • 3 mins standing
  • 8 mins standing
  • 10 mins standing
+-
Ventricular premature contractions
Medication List (dose, frequency, route)
 
Within 1 month
Referral letter including history
 
N/A
ECG
 
Within 1 month
Documentation of PVCs required
 
Within 1 month
Premature Ventricular Contractions (PVC)
+-
Ventricular tachycardia
Medication List (dose, frequency, route)
 
Within 1 month
Referral letter including history
 
N/A
ECG
 
Within 1 month
Documentation of VT required
 
Within 1 month
+-
Wolff Parkinson White syndrome
Medication List (dose, frequency, route)
 
Within 1 month
Referral letter including history
 
N/A
ECG
 
Within 1 month
Documentation of WPW on ECG or SVT/strong symptom-rhythm correlation required.
 
Within 1 month
Please indicate if WPW is associated with syncope.
 
current


The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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