Celebrating major milestones in advanced heart rhythm care

Loma Linda University Health (LLUH) is marking a major milestone in advanced heart rhythm care: the electrophysiology (EP) team has completed its 600th surgical operation using the Farapulse pulsed field ablation system and its 1,000th Watchman left atrial appendage closure procedure.

The achievement was celebrated by the team on February 5 and 13 respectively and reflects years of growth in cardiac innovation and expanded access to minimally invasive treatments for patients across the Inland Empire and surrounding region.

"It's incredibly satisfying to see how many patients in our community we've been able to help," says Rahul Bhardwaj, MD, cardiac electrophysiologist at LLUH. "These milestones aren't just numbers, they represent people who have access to some of the most advanced heart rhythm treatments available, right here at home."

Farapulse pulsed field ablation (PFA) is a newer technology used to treat atrial fibrillation (AFib), a common heart rhythm disorder that increases the risk of stroke and heart failure. Unlike traditional ablation methods that use heat or freezing, PFA delivers controlled electrical pulses to precisely target abnormal heart tissue while minimizing impact on surrounding structures.

The approach often leads to shorter procedure times and, in many cases, faster recovery.

"With the volume of cases we've performed, our workflow has become very streamlined," Bhardwaj said. "We have a well-oiled system. Most ablations take about an hour to an hour and a half, and they're done safely and smoothly."

The Watchman device offers another important option for patients with AFib who are at increased risk of stroke and may not tolerate long-term blood thinners. The small implant is placed in the heart's left atrial appendage, where most stroke-causing clots form, to help prevent clots from entering the bloodstream.

Reaching 1,000 Watchman procedures underscores both the program's expertise and the growing need for stroke prevention options in the region.

While many institutions offer ablation and left atrial appendage closure, Bhardwaj credits LLUH's collaborative approach as a key differentiator.

"What truly sets us apart is our team-based approach," he says. "From coordinators and schedulers to nurses and technologists, everyone works together seamlessly. That level of coordination makes a meaningful difference in the patient experience."

The strength of the program has even drawn physicians from other centers to perform procedures alongside the LLUH team - a testament to the infrastructure and coordination behind the scenes.

For patients, the milestones represent expanded access to leading-edge heart rhythm technology without having to travel outside the area.

"We're proud to serve this community," Bhardwaj said. "Patients deserve high-level electrophysiology care close to home, and that's what we're committed to providing."

As the electrophysiology program continues to grow, leaders say the focus remains on delivering safe, efficient, and patient-centered care for those living with atrial fibrillation.

Patients experiencing heart palpitations, irregular heartbeat, shortness of breath or unexplained fatigue should speak with their primary care provider or a cardiologist about screening and treatment options. To learn more about electrophysiology services or to schedule an appointment, visit lluh.org/heart-vascular or contact the LLUH International Heart Institute.