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Snapshot of adult invasive cardiac electrophysiology in Canada: results of the web-based registry

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Abstract

Purpose

Interventional cardiac electrophysiology (EP) has experienced a significant growth in Canada. Our aim is to establish a periodic registry as a nationwide initiative.

Methods

The registry is designed to collect information regarding EP laboratory infrastructure, human resources, and the spectrum and volumes of EP procedures. Respective administrative staff were contacted electronically.

Results

Out of 25 identified Canadian EP centers, 19 centers (76 %) have participated in the registry. Responding centers have access on average to 5.3 lab days per week to perform EP studies/ablations; average lab time per full- and part-time (prorated to 0.5) EP physician is 0.8 day per week. Diagnostic EP studies and radio-frequency ablations are performed in all (19) centers; cryoablation is available in 83 % of centers. Two centers have remote magnetic navigation systems. EnSite NavX is the most widely available 3D mapping system utilized in 15 (83 %) centers, followed by CARTO and intracardiac echo which are each available in 14 (78 %) centers; LocaLisa is actively used in one center. The number of full-time physicians ranges between 0 and 7, with a mean of 3.5 full-time physicians per center. The ratio of staff to trainees is 1.6:1. A total of 8,041 EP procedures are performed in the 19 centers per annum. On an annual average, 104 procedures per one operator and 159 procedures per trainee are performed.

Conclusions

This registry provides contemporary information on invasive EP lab resources and procedures in Canada. It also demonstrates that Canadian EP procedural intensities of practice and training are comparable to international standards.

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Disclosures

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Author information

Authors and Affiliations

  1. Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada

    Mohammed Shurrab, Evgeny Fishman, Anna Kaoutskaia & Eugene Crystal

  2. University of Ottawa Heart Institute, Ottawa, Ontario, Canada

    David Birnie

  3. Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada

    Felix Ayala-Paredes

  4. Regina General Hospital, Regina, Saskatchewan, Canada

    Omar Sultan

  5. University Health Network, Toronto, Ontario, Canada

    Vijay Chauhan

  6. London Health Sciences Centre, London, Ontario, Canada

    Allan Skanes

  7. Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada

    Ratika Parkash

  8. Hamilton Health Sciences Centre, Hamilton, Ontario, Canada

    Carlos Morillo

  9. Rouge Valley Health System, Scarborough, Ontario, Canada

    Amir Janmohamed

  10. Saint John Regional Hospital, Saint John, New Brunswick, Canada

    Satish Toal

  11. McGill University Health Center, and Hôpital Sacré Coeur de Montréal, Division of Cardiology, Montreal, Québec, Canada

    Vidal Essebag

  12. Royal Jubilee Hospital, Victoria, British Columbia, Canada

    Laurence Sterns

  13. Libin Cardiovascular Institute of Alberta, Calgary, Alberta, Canada

    George Veenhuyzen

  14. St Michael’s Hospital, Toronto, Ontario, Canada

    Iqwal Mangat

  15. Kingston General Hospital, Kingston, Ontario, Canada

    Damian Redfearn

  16. Quebec Heart and Lung Institute, Laval University, Laval, Quebec, Canada

    François Philippon

  17. Memorial University Health Sciences Center, St. John’s, Newfoundland, Canada

    Sean Connors

  18. Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada

    Jeff Healey

  19. Southlake Regional Hospital, Newmarket, Ontario, Canada

    Atul Verma

  20. Arrhythmia Services, Schulich Heart Centre, Sunnybrook Health Sciences Centre, Room E241, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5, Canada

    Mohammed Shurrab

Authors
  1. Mohammed Shurrab
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  2. Evgeny Fishman
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  3. Anna Kaoutskaia
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  4. David Birnie
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  5. Felix Ayala-Paredes
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  6. Omar Sultan
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  7. Vijay Chauhan
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  8. Allan Skanes
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  9. Ratika Parkash
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  10. Carlos Morillo
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  11. Amir Janmohamed
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  12. Satish Toal
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  13. Vidal Essebag
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  14. Laurence Sterns
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  15. George Veenhuyzen
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  16. Iqwal Mangat
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  17. Damian Redfearn
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  18. François Philippon
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  19. Sean Connors
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  20. Jeff Healey
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  21. Atul Verma
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  22. Eugene Crystal
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Corresponding author

Correspondence to Mohammed Shurrab.

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Shurrab, M., Fishman, E., Kaoutskaia, A. et al. Snapshot of adult invasive cardiac electrophysiology in Canada: results of the web-based registry. J Interv Card Electrophysiol 40, 93–98 (2014). https://doi.org/10.1007/s10840-014-9899-6

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  • DOI: https://doi.org/10.1007/s10840-014-9899-6

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