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10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic
INTRODUCTION: This study provides an update of survey-based data providing an overview of interventional electrophysiology over the last decade. Overall infrastructure, procedures, and training opportunities in Germany were assessed. METHODS: By analyzing mandatory quality reports, German cardiology...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9446632/ https://www.ncbi.nlm.nih.gov/pubmed/36066610 http://dx.doi.org/10.1007/s00392-022-02090-3 |
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author | Eckardt, Lars Doldi, Florian Busch, Sonia Duncker, David Estner, H. Kuniss, M. Metzner, A. Meyer, C. Neuberger, H.-R. Tilz, R. Voss, F. Steven, D. Sommer, P. |
author_facet | Eckardt, Lars Doldi, Florian Busch, Sonia Duncker, David Estner, H. Kuniss, M. Metzner, A. Meyer, C. Neuberger, H.-R. Tilz, R. Voss, F. Steven, D. Sommer, P. |
author_sort | Eckardt, Lars |
collection | PubMed |
description | INTRODUCTION: This study provides an update of survey-based data providing an overview of interventional electrophysiology over the last decade. Overall infrastructure, procedures, and training opportunities in Germany were assessed. METHODS: By analyzing mandatory quality reports, German cardiology centres performing electrophysiological studies were identified to repeat a questionnaire from 2010 and 2015. RESULTS: A complete questionnaire was returned by 192 centers performing about 75% of all ablations in Germany in 2020. In the presence of the COVID-19 pandemic, a total of 76.304 procedures including 68.407 ablations were reported representing a 38% increase compared to 2015. The median number of ablations increased from 180 in 2010 to 377 in 2020. AF was the most common arrhythmia ablated (51 vs. 35% in 2010). PVI with radiofrequency point-by-point ablation (64%) and cryo-balloon ablation (34%) were the preferred strategies. Less than 50 (75) PVI were performed by 31% (36%) of all centres. Only 25 and 24% of participating centres fulfilled EHRA and national requirements for training centre accreditation, respectively. There was a high number of EP centres with no fellows (38%). The proportion of female fellows in EP increased from 26% in 2010 to 33% in 2020. CONCLUSION: Comparing 2020, 2010 and 2015, an increasing number of EP centres and procedures were registered. In 2020, more than every second ablation was for therapy of AF. In the presence of an increasing number of procedures, training opportunities were still limited, and most centres did not fulfill recommended EHRA or national requirements for accreditation. GRAPHICAL ABSTRACT: [Image: see text] |
format | Online Article Text |
id | pubmed-9446632 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-94466322022-09-06 10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic Eckardt, Lars Doldi, Florian Busch, Sonia Duncker, David Estner, H. Kuniss, M. Metzner, A. Meyer, C. Neuberger, H.-R. Tilz, R. Voss, F. Steven, D. Sommer, P. Clin Res Cardiol Original Paper INTRODUCTION: This study provides an update of survey-based data providing an overview of interventional electrophysiology over the last decade. Overall infrastructure, procedures, and training opportunities in Germany were assessed. METHODS: By analyzing mandatory quality reports, German cardiology centres performing electrophysiological studies were identified to repeat a questionnaire from 2010 and 2015. RESULTS: A complete questionnaire was returned by 192 centers performing about 75% of all ablations in Germany in 2020. In the presence of the COVID-19 pandemic, a total of 76.304 procedures including 68.407 ablations were reported representing a 38% increase compared to 2015. The median number of ablations increased from 180 in 2010 to 377 in 2020. AF was the most common arrhythmia ablated (51 vs. 35% in 2010). PVI with radiofrequency point-by-point ablation (64%) and cryo-balloon ablation (34%) were the preferred strategies. Less than 50 (75) PVI were performed by 31% (36%) of all centres. Only 25 and 24% of participating centres fulfilled EHRA and national requirements for training centre accreditation, respectively. There was a high number of EP centres with no fellows (38%). The proportion of female fellows in EP increased from 26% in 2010 to 33% in 2020. CONCLUSION: Comparing 2020, 2010 and 2015, an increasing number of EP centres and procedures were registered. In 2020, more than every second ablation was for therapy of AF. In the presence of an increasing number of procedures, training opportunities were still limited, and most centres did not fulfill recommended EHRA or national requirements for accreditation. GRAPHICAL ABSTRACT: [Image: see text] Springer Berlin Heidelberg 2022-09-06 2023 /pmc/articles/PMC9446632/ /pubmed/36066610 http://dx.doi.org/10.1007/s00392-022-02090-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Paper Eckardt, Lars Doldi, Florian Busch, Sonia Duncker, David Estner, H. Kuniss, M. Metzner, A. Meyer, C. Neuberger, H.-R. Tilz, R. Voss, F. Steven, D. Sommer, P. 10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic |
title | 10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic |
title_full | 10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic |
title_fullStr | 10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic |
title_full_unstemmed | 10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic |
title_short | 10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic |
title_sort | 10-year follow-up of interventional electrophysiology: updated german survey during the covid-19 pandemic |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9446632/ https://www.ncbi.nlm.nih.gov/pubmed/36066610 http://dx.doi.org/10.1007/s00392-022-02090-3 |
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