Arrhythmia care in ESC member countries: the 2025 ESC-EHRA atlas on heart rhythm disorders
EP Europace Journal
Abstract
The ESC-EHRA Atlas on Heart Rhythm Disorders was developed to comprehensively map arrhythmia care across the European Society of Cardiology (ESC) member countries. A survey of National Cardiac Societies, Working Groups, and other EHRA partners in ESC member countries was conducted to gather data from 2023 or the most recently available year on arrhythmia care organization and delivery. In total, 51 ESC member countries actively participated in the study, with a survey completeness rate of 91%. The median number of hospitals performing EP or CIED procedures was 3.3 per million people. The annual median numbers of ablation procedures for heart rhythm disorders, atrial fibrillation, and supraventricular tachycardia per million people were 432, 151, and 136, respectively. The annual median numbers of pacemakers, implantable cardioverter-defibrillators (ICD), and cardiac resynchronization therapy cardioverter-defibrillator (CRT-D) implantations per million people were 739, 195, and 54, respectively. The median number of hospitals performing remote monitoring of CIEDs per million people was 0.5, though this service was unavailable in 15 countries. Two main universal issues emerged among the obstacles to guideline implementation: a lack of heart rhythm allied professionals and general dissatisfaction with the country’s reimbursement system. The first edition of the ESC-EHRA Atlas presents up-to-date information on arrhythmia care organization and delivery among ESC member countries and highlights significant discrepancies in patients’ access to ESC-guideline-recommended therapies.
Contributors
Denis Kazakiewicz
Author
Moti Haim
Author
Radu Huculeci
Author
Katarzyna Malaczynska-Rajpold
Author
Royal Brompton Hospital London , United Kingdom of Great Britain & Northern Ireland
Steffen E Petersen
Author
Queen Mary University of London London , United Kingdom of Great Britain & Northern Ireland
Adam Timmis
Author
Michal M Farkowski
Author
Ministry of Interior and Administration National Medical Institute Warsaw , Poland
Panos E Vardas
Author
Wafa Boudjelida
Author
Arman B Danoyan
Author
Christoph Schukro
Author
Georgios Kollias
Author
Aytan Hajili
Author
Yasmin Rustamova
Author
Michael Wolf
Author
Caroline Lepièce
Author
Johan Vijgen
Author
Boris Goronja
Author
Krasimir Dzhinsov
Author
Tchavdar Shalganov
Author
Krasimir Karamitev
Author
Šime Manola
Author
Ivan Zeljković
Author
Ivica Benko
Author
Panayiotis Avraamides
Author
Petr Peichl
Author
Dan Wichterle
Author
Jacob Moesgaard Larsen
Author
Rene Husted Worck
Author
Jens Brock Johansen
Author
Haitham Badran
Author
Priit Kampus
Author
Mart Elmet
Author
Aapo Lauri Aleksi Aro
Author
Jarkko Karvonen
Author
Pascal Defaye
Author
Frédéric Sacher
Author
Estelle Gandjbakhch
Author
Khatuna Jalabadze
Author
Giorgi Mepharidze
Author
Christian Veltmann
Author
Andreas Rillig
Author
George Andrikopoulos
Author
Konstantinos P Letsas
Author
Ioannis Doundoulakis
Author
Mate Vamos
Author
Peter Kupo
Author
Csaba Laszlo Földesi
Author
David O Arnar
Author
Sigfus Gizurarson
Author
Kristjan Gudmundsson
Author
David Keane
Author
Ibrahim Marai
Author
Moshe Katz
Author
Arie Lorin Schwartz
Author
Antonio D’Onofrio
Author
Sakis Themistoclakis
Author
Martina Nesti
Author
Ayan Abdrakhmanov
Author
Omirbek Nuralinov
Author
Zhanasyl Suleymen
Author
Edmond Haliti
Author
Arber Osa
Author
Arlind Ferati
Author
Erkin Mirrakhimov
Author
Saamay S Abilova
Author
Kurban Kalysov
Author
Oskars Kalejs
Author
Kristine Jubele
Author
Kaspars Kupics
Author
Bernard Harbieh
Author
Bernard Abi-Saleh
Author
Gediminas Rackauskas
Author
Tautvydas Rugelis
Author
Jonas Jarasunas
Author
Carlo Dimmer
Author
Mark Anthony Sammut
Author
Melanie Zammit Burg
Author
John Bonello
Author
Mikhail Popovici
Author
Mihail Rizov
Author
Radu Darciuc
Author
Mihailo Vukmirović
Author
Blagoje Babić
Author
Sing-Chien Yap
Author
Vincent Van Dijk
Author
Lidija Poposka
Author
Jane Taleski
Author
Brage Høyem Amundsen
Author
Adam Sokal
Author
Diogo Cavaco
Author
Francisco Moscoso Costa
Author
Sergia Rocha
Author
Stefan Bogdan
Author
Cristian Statescu
Author
Marco Zavatta
Author
Roberto Bini
Author
Gianfranco Bernardini
Author
Srdjan Raspopović
Author
Bratislav Kircanski
Author
Dejan Kojic
Author
Lubos Urban
Author
Silvia Misikova
Author
Gabriela Kaliska
Author
Andrej Pernat
Author
Rafael Skale
Author
Tomas Datino
Author
David Calvo Cuervo
Author
Concepción Alonso
Author
Anneli Svensson
Author
Anna Björkenheim
Author
Michael Ringborn
Author
Tobias Reichlin
Author
Valon Spahiu
Author
Emna Allouche
Author
Sofien Kamoun
Author
Aymen El Hraiech
Author
Taylan Akgun
Author
Olena Marchenko
Author
Oleg Sychov
Author
Serhiy Lyzohub
Author
Eleri Gregory
Author
Anish N Bhuva
Author
Zakirov Nodir Uzuevich
Author
Khurshid Gayratovich Fozilov
Author
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