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Cardiac arrhythmias are common in chagasic patients. Electrophysiologic study is an invasive procedure for the investigation of sinus node function, atrioventricular node conduction and intraventricular (His-Purkinje) conduction and the mechanism of tachycardias. It is useful in elucidating syncope, dizziness and tachycardiac palpitations that remain unexplained by non-invasive diagnostic methods. It is fundamental in directing non-pharmacological therapy, especially in "sudden death" survivors. Chagasic patients may benefit from electrophysiologic study after a critical clinical evaluation.