Dr. Marcio Gianotto: A leading expert in the diagnosis and treatment of cardiac arrhythmias in Maringá.
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Our Hours

Business Hours
- Mon - Fri
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- Sat - Sun
- Closed
Welcome to the Maringá Cardiac Arrhythmia Center, led by Dr. Marcio Gianotto. We are pioneers in the region in specialized cardiac rhythm care, combining a detailed clinical approach with the most advanced diagnostic and therapeutic technologies. We understand that dealing with arrhythmias can generate doubts and anxiety, and our main goal is to offer you not only cutting-edge treatments, but also a welcoming, personalized service focused on your safety and well-being. Our clinic was designed to be a trustworthy environment where each patient receives individualized attention to unravel even the most complex cases and find the path to a better quality of life.
Our Expertise in Cardiac Arrhythmias
Our team, led by Dr. Marcio Gianotto, is highly qualified and has extensive experience in managing a variety of conditions that affect heart rhythm. We offer a full spectrum of care, from accurate diagnostic investigation to the most modern treatment options, including:
- Cardiologic and Arrhythmologic Clinical Evaluation:A detailed consultation to understand your symptoms, medical history, and risk factors, guiding the investigation and treatment plan.
- Accurate Diagnosis with Advanced Technology:We use state-of-the-art equipment to identify the cause and type of your arrhythmia.
- Personalized Treatment:Whether through medication, minimally invasive procedures, or ongoing monitoring, we define the best strategy for your specific case.
Technology and Innovation Serving Your Health
We constantly invest in cutting-edge technology to guarantee the best results. We were responsible for the first procedures in the region using the three-dimensional electroanatomical mapping system and for the first ablation of complex arrhythmia and atrial fibrillation. This commitment to innovation allows us to offer safer, more effective, and minimally invasive treatments, previously only available in large centers.
Schedule Your Cardiology Evaluation
If you are experiencing symptoms such as palpitations, rapid heartbeat, dizziness, fainting, or simply seeking a specialized evaluation of your heart rhythm, we are ready to help. Contact us and schedule your appointment with Dr. Marcio Gianotto.
Services Offered: Complete Care for Your Heart
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Pulsed-Field Atrial Fibrillation (PFA) AblationThe New Standard in Atrial Fibrillation Treatment.
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Electrophysiological StudyElectrophysiological Study and Ablation.This is an essential diagnostic procedure for understanding the origin and mechanism of arrhythmias. Performed in a hospital setting, it allows for precise mapping of the heart's electrical activity, guiding the decision on the most appropriate treatment, such as catheter ablation. It is fundamental for investigating palpitations, fainting (syncope), and other heart rhythm disturbances.
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Catheter AblationConsidered a curative treatment for many types of arrhythmias, ablation uses energy (radiofrequency or cryoenergy) to eliminate abnormal electrical foci or circuits in the heart that cause the arrhythmia. We are pioneers in Maringá in performing complex ablations, including Atrial Fibrillation and Ventricular Tachycardia, using three-dimensional electroanatomical mapping for greater precision and safety. This minimally invasive procedure can restore normal heart rhythm and significantly reduce or eliminate the need for long-term medication.
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Control and Treatment of Atrial Fibrillation (AF). Atrial fibrillation is the most common heart rhythm disorder. This condition puts a person at risk of stroke, heart attack, and other problems.
Control and Treatment of Atrial Fibrillation (AF). -
Ablation for Atrial Fibrillation and Other Complex Arrhythmias Using a 3D Electroanatomical Mapping System Complex ablations for the treatment of arrhythmias such as Atrial Fibrillation and Scarring Ventricular Tachycardia are being performed in Maringá with the help of new equipment, previously only available in large medical centers in São Paulo and other capital cities.
Ablation for Atrial Fibrillation and Other Complex Arrhythmias Using the Ensite Velocity 3D Electroanatomical Mapping System. -
Tilt-Test or Tilt Table Test.Tilt-Test or Tilt Table Test.A specific test to investigate the cause of fainting spells (syncope), especially vasovagal syncope. The test monitors your blood pressure and heart rate while you are tilted on a special table, simulating changes in position that can trigger the symptoms.
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Diagnosis and Treatment of Neuromedial (Vasovagal) Syncope Fainting, or vasovagal syncope, is characterized by loss of consciousness caused by a sudden decrease in blood pressure and heart rate, due to an imbalance in the autonomic nervous system. It is the most common form of loss of consciousness. Although considered normal, when it becomes frequent it significantly interferes with the quality of life of patients. Furthermore, repetitive episodes can make these individuals vulnerable to accidents and physical trauma related to falls, leading to the need for preventative treatment.
Diagnosis and Treatment of Neuromedial (Vasovagal) Syncope -
Cardioneuroablation: An Innovative Approach for Refractory Vasovagal Syncope.A minimally invasive procedure that aims to modulate the cardiac autonomic nervous system through ablation of the atrial ganglion plexuses. Intended for selected patients with vasovagal syncope and functional bradycardia, the procedure has shown promising results, offering new hope for those who do not respond to conventional therapies.
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Evaluation of Pacemakers, Implantable Cardioverter Defibrillators, and Cardiac Resynchronization Devices. After implantation, the pacemaker should be evaluated periodically, with these evaluations being more frequent immediately after implantation and every 6 months thereafter. During these evaluations, various pieces of information are gathered, and the pacemaker is programmed according to the individual needs of each patient, considering sex, age, physical activity, and underlying disease.
Evaluation of Pacemakers, Implantable Cardioverter Defibrillators, and Cardiac Resynchronization Devices. -
24-hour Holter monitor. An examination that measures the electrical activity of the heart over an extended period of time, typically 24 hours, on an outpatient basis.
24-hour Holter monitor. -
7-day Holter monitorA 7-day Holter monitor is a test that continuously records the heart's electrical activity for a week, allowing the detection of arrhythmias and other transient cardiac problems that may not be captured in shorter tests. It is especially useful for investigating less frequent symptoms, such as palpitations and syncope, and in detecting atrial fibrillation in cases of stroke of unknown cause.
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MAPA - Ambulatory Blood Pressure Monitoring. A non-invasive method for obtaining blood pressure 24 hours a day, while the patient is in their own home or workplace, representing a true reflection of their blood pressure.
MAPA - Ambulatory Blood Pressure Monitoring. -
Ergometric Test or Stress Test.Ergometric Test or Stress Test.It assesses how your heart responds to physical exertion. It is useful for diagnosing coronary artery disease, evaluating cardiorespiratory functional capacity, and detecting exercise-induced arrhythmias.
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