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How are arrhythmias detected by implanted cardiac devices managed in Europe? Results of the European Heart Rhythm Association Survey.

Abstract
The management of arrhythmias detected by implantable cardiac devices can be challenging. There are no formal international guidelines to inform decision-making. The purpose of this European Heart Rhythm Association (EHRA) survey was to assess the management of various clinical scenarios among members of the EHRA electrophysiology research network. There were 49 responses to the questionnaire. The survey responses were mainly (81%) from medium-high volume device implanting centres, performing more than 200 total device implants per year. Clinical scenarios were described focusing on four key areas: the implantation of pacemakers for bradyarrhythmia detected on an implantable loop recorder (ILR), the management of patients with ventricular arrhythmia detected by an ILR or pacemaker, the management of atrial fibrillation in patients with pacemakers and cardiac resynchronization therapy devices and the management of ventricular tachycardia in patients with implantable cardioverter-defibrillators.
AuthorsDerick Todd, Antonio Hernandez-Madrid, Alessandro Proclemer, Maria Grazia Bongiorni, Heidi Estner, Carina Blomström-Lundqvist, Scientific Initiative Committee, European Heart Rhythm Association
JournalEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology (Europace) Vol. 17 Issue 9 Pg. 1449-53 (Sep 2015) ISSN: 1532-2092 [Electronic] England
PMID26443791 (Publication Type: Journal Article, Multicenter Study)
CopyrightPublished on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: [email protected].
Topics
  • Atrial Fibrillation (therapy)
  • Bradycardia (therapy)
  • Cardiac Resynchronization Therapy Devices
  • Catheter Ablation (methods)
  • Defibrillators, Implantable
  • Europe
  • Humans
  • Practice Patterns, Physicians' (statistics & numerical data)
  • Societies, Medical
  • Surveys and Questionnaires
  • Tachycardia, Ventricular (therapy)

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