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Jacob D. Hantla

Jacob D.
Hantla

DNAP CRNA FHRS

Cardiovascular anesthesia specialist — Senior Partner & Director of Cardiovascular Anesthesia at Guide Anesthesia. The only Fellow of the Heart Rhythm Society among anesthesia providers worldwide.

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About

An unparalleled depth of expertise at the intersection of cardiac electrophysiology, complex hemodynamics, and anesthesiology.

Jacob D. Hantla, DNAP, CRNA, FHRS is a Doctor of Nurse Anesthesia Practice (DNAP) and board-certified nurse anesthesiologist with 14+ years of subspecialty focus in electrophysiology, cardiovascular, and vascular anesthesia. He leads one of the most specialized cardiac EP anesthesia teams in the United States.

As Senior Partner and Director of Cardiovascular Anesthesia at Guide, Dr. Hantla oversees clinical operations across more than 10 cardiovascular ASC and hospital sites in the Phoenix metro area and leads the CV division of Guide Anesthesia in multiple states across the country.

He consults and speaks regularly for Abbott Laboratories, Biosense Webster / J&J MedTech, and Abiomed on complex hemodynamics, cardiac electrophysiology, and anesthesia, and has served as an expert advisor to the Arizona State Board of Nursing and national CRNA associations on the role of CRNAs in transesophageal echocardiography. He is also available for independent medical-legal consultation and expert witness engagements in cardiac electrophysiology and cardiovascular anesthesia.

Outside of anesthesia, Jacob is a pastor/elder at Grace Bible Church in Tempe, Arizona, a task he has been privileged to serve in since 2008.

14+
Years subspecialty focus in EP & cardiovascular anesthesia
2,500+
EP & cath lab procedures supported annually
45+
Peer-reviewed abstracts & publications
10+
CV surgical centers & hospitals under direct leadership

ASC Electrophysiology

2,000+
ASC-based EP anesthesia cases since 2018

Assisted in opening, staffing, training, policy development, and clinical practice management for nearly a dozen EP-focused ASCs, with hands-on involvement in 2,000+ ASC-based EP anesthesia cases since 2018.

Clinical Expertise

01

Cardiac Electrophysiology Anesthesia

Subspecialty expertise in anesthesia for AF ablation, cardiac device implants and explants, LAA closure, and complex ventricular tachycardia ablations.

02

Perioperative Transesophageal Echocardiography

Recognized authority on perioperative TEE. Advisor to the Arizona State Board of Nursing on codifying CRNA TEE scope of practice. Regular instructor across university, industry, and conference settings.

03

Complex Hemodynamic Management

Expert in hemodynamic management for heart failure, cardiogenic shock, low-cardiac-output states, and perioperative complications in high-acuity procedural settings.

04

ASC Program Development

Sought-after consultant for anesthesia program development in EP-based ambulatory surgery centers. Advisory roles for ASC portfolio growth, regulatory navigation, and clinical team development.

05

Medical Device Consulting

Active consulting with Abbott Laboratories, Biosense Webster / J&J MedTech, and Abiomed. National advisory board member and speakers bureau lecturer for Impella hemodynamic support.

06

Clinical Education & Faculty

Lecturing faculty at the University of Arizona and Midwestern University nurse anesthesia programs; keynote and special session speaker at national and state conferences. Director of Guide Academy, an internal education platform for cardiovascular anesthesiologists.

Jacob Hantla in the EP lab

Experience · Guide Anesthesia · 2015 – Present

Senior Partner & Director of Cardiovascular Anesthesia

  • Leads cardiovascular anesthesia operations across 10+ CV ASC and hospital sites, directly overseeing nurse and physician anesthesiologists at each location.
  • Assisted in opening nearly a dozen EP-focused ASCs, including provider training, policy and procedure development, clinical standards, staffing models, and ongoing practice management.
  • Hands-on involvement in 2,000+ ASC-based EP anesthesia cases since 2018, including complex ablation, LAA closure, device, and hemodynamic cases.
  • Clinical program supporting 2,500+ EP and cath lab procedures annually with 14+ years of subspecialty focus in electrophysiology and cardiovascular anesthesia.
  • Serves in an advisory and educational capacity for all cardiovascular anesthesia across Guide's network of 100+ providers in four states.
  • Business management, contractor oversight, physician and facility outreach, and ASC portfolio development for a growing multi-state practice.
Jacob Hantla presenting at Heart Rhythm Society Scientific Sessions

Experience · 2016 – Present

Consultant, Lecturer & Industry Advisor

  • Expert consultant in complex hemodynamics, cardiac electrophysiology, and anesthesia for high-acuity procedural settings — with active relationships at Abbott Laboratories, Biosense Webster / J&J MedTech, Abiomed, and CVrX.
  • National Heart Failure Advisory Board Member and Speakers Bureau Lecturer. Consultant on multiple device trials, past and present.
  • Faculty and regular presenter at the Heart Rhythm Society Annual Scientific Sessions (2016 – Present); keynote and invited speaker at state and national conferences.
  • Expert advisor to the Arizona State Board of Nursing and the AANA Reimbursement Subcommittee on CRNA scope of practice in transesophageal echocardiography.
Jacob Hantla teaching echocardiography

Experience · 2018 – Present · Phoenix Metro

Director & Chief of Anesthesia

  • Holds Director or Chief of Anesthesia roles across more than 10 cardiovascular surgical centers and hospitals in the Phoenix metro area, including Arizona Heart Hospital, Tricity Cardiology Surgical Center, Peak Cardiovascular Surgery Centers, Cardiac Surgery Center of Arizona, Center for Cardiovascular Research and Education, and others.
  • Directly responsible for clinical standards, provider oversight, and program development at each site.
Jacob Hantla providing cardiac anesthesia with 3D electroanatomic mapping

Experience · 2011 – Present · Arizona

Nurse Anesthesiologist (CRNA)

  • Independent anesthesia practice specializing in electrophysiology, cardiovascular, and high-acuity cases.
  • High-acuity caseload including radiofrequency ablations, cardiac device implants/explants, LAA closure, and procedures on severe cardiomyopathy and valvular disease patients.
  • Thousands of cases delivering anesthesia, leading teams, and managing complex perioperative hemodynamics for Arizona's highest-acuity patients.

Selected Research

45+ Publications & Abstracts

2026

Early US Ambulatory Surgery Center Experience with Pentaspline Pulsed Field Ablation: Feasibility, Efficiency, and Safety of a 2D-ICE-and-Fluoro-Only Workflow

Heart Rhythm · HRS Scientific Sessions, April 2026

2025

Outcomes of Left Atrial Appendage Occlusion Treatment With Amulet After Unsuccessful Watchman FLX Device: A Multicenter Observational Study

J Cardiovasc Electrophysiol. 2025;36(7):1632–1642

2024

Case Study: Atrial Fibrillation Ablation in a Patient With Atrial Septal Closure Device Performed in an Outpatient Same Day Ambulatory Surgery Center

EP Digest · December 2024

2023

General Anesthesia Strategies for Safe, Rapid Recovery, Fast Turnaround, and Same-Day Discharge for Complex Ablations in the EP-Specialized ASC Setting

Heart Rhythm · HRS Scientific Sessions, May 2023

2018

Feasibility, Safety, and Efficacy of a Novel Preshaped Nitinol Esophageal Deviator — The DEFLECT GUT Study

Heart Rhythm. 2018;15(4)

2017

Deflection and Manipulation for Esophageal Protection During Posterior Left Atrial Radiofrequency Ablations

Heart Rhythm · HRS Scientific Sessions Most Innovative Award

Speaking & Teaching

2024 / 2025 · Keynote & Presenter

AZANA Sun in the Fun Conference

Hemodynamic management & perioperative TEE
Hemodynamics, Ohm's Law, TEE workshop

2021–2023 · Live Case Presenter

Arizona Brain and Heart Symposium

Annual live case: AF ablation from the anesthesia perspective

2016–Present · Faculty

HRS Scientific Sessions

Chicago · Boston · San Francisco · San Diego · New Orleans
Faculty, lecturer, and abstract presenter

2017–2024 · Lecturer

University of Arizona & Midwestern University

Cardiac, EP, vascular & hemodynamic content · DNAP programs

2024 · Industry Lecturer

Abiomed Speakers Bureau

Perioperative Management of the Hemodynamically Unstable Patient
EP Advisory Board

2008 – Present · Regular Preacher & Teacher

Grace Bible Church

Weekly Sunday teaching · Tempe, Arizona

Education & Credentials

2024–2025

Doctor of Nurse Anesthesia Practice (DNAP)

Midwestern University — Glendale, Arizona

Doctoral Project: Development of a Simulation-Based TEE Competency Assessment Tool for Nurse Anesthesia Education.

2009–2011

Master of Science in Nurse Anesthesia

Midwestern University — Glendale, Arizona

Class Rank: First

1999–2006

BS Nursing & BS Bioengineering — Summa Cum Laude

Arizona State University — Tempe, Arizona

2015–Present

Fellow of the Heart Rhythm Society (FHRS)

Heart Rhythm Society

Active participant in the advancement of cardiac electrophysiology
2015: Certified Cardiac Device Specialist by International Board of Heart Rhythm Examiners

Recognition

2015–2016

Clinician of the Year — Statewide

Arizona Association of Nurse Anesthesiology (AZANA)

2017

"Most Innovative" Abstract Award

Heart Rhythm Society Scientific Sessions · Oral abstract on esophageal deflection for posterior left atrial ablation protection

2015–Present

Fellow, Heart Rhythm Society (FHRS)

The only FHRS-credentialed anesthesia provider worldwide

Contact

Get in Touch

Available for clinical consultation, speaking engagements, research collaboration, industry advisory, and EP anesthesia program development.

  • Cardiovascular & EP anesthesia consulting
  • Anesthesia program development for EP ASCs
  • Medical device advisory & education
  • Speaking & conference presentations
  • Research collaboration

Chandler, Arizona

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