title: 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.
authors.affiliation: Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool L14 3PE, UK derick.todd@lhch.nhs.uk.
authors.forename: Derick
authors.initials: D
authors.lastname: Todd
authors.affiliation: Cardiology Department, Ramon y Cajal Hospital, Alcalá University, Carretera Colmenar Viejo, Madrid, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Hernandez-Madrid
authors.affiliation: Division of Cardiology, University Hospital S. Maria della Misericordia, IRCAB Foundation Udine, Udine, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Proclemer
authors.affiliation: 2nd Cardiology Department, University Hospital of Pisa, Pisa, Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Bongiorni
authors.affiliation: Medizinische Klinik, Ludwig-Maximilians-Universitat, Campus Großhadern, Munchen, Germany.
authors.forename: Heidi
authors.initials: H
authors.lastname: Estner
authors.affiliation: Department of Cardiology, Institution of Medical Science, Uppsala University, Uppsala 75185, Sweden.
authors.forename: Carina
authors.initials: C
authors.lastname: Blomström-Lundqvist
mesh_terms: D001281:Atrial Fibrillation / Q000628:therapy*; D001919:Bradycardia / Q000628:therapy*; D058409:Cardiac Resynchronization Therapy Devices; D017115:Catheter Ablation / Q000379:methods; D017147:Defibrillators, Implantable; D005060:Europe; D006801:Humans; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D017180:Tachycardia, Ventricular / Q000628:therapy*
keywords: EHRA survey; EP wire; Implantable cardiac-defibrillator; Implantable loop recorder; Pacemaker