Arrhythmias & electrophysiologyCross-sectional study
Arrhythmia care in European Society of Cardiology (ESC) member countries: the 2025 ESC-EHRA atlas on heart rhythm disorders
- Cross-sectional survey study
- survey of National Cardiac Societies, Working Groups and other EHRA partners
Authors' conclusion
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.
Study context
- Population
- ESC member countries; data from 2023 or the most recently available year on arrhythmia care organization and delivery
- Participants
- 51 countries
Main finding
As reported in the abstract
Arrhythmia care delivery per million people (annual median procedures and hospitals) · 2023 or most recent available year
- Hospitals performing EP or CIED procedures per million people (median)
- 3.3
- Ablation procedures for heart rhythm disorders per million people per year (median)
- 432
- AF ablation procedures per million people per year (median)
- 151
- Supraventricular tachycardia ablation procedures per million people per year (median)
- 136
- Pacemaker implantations per million people per year (median)
- 739
- Implantable cardioverter-defibrillators (ICD) implantations per million people per year (median)
- 195
- Cardioverter-defibrillator (CRT-D) implantations per million people per year (median)
- 54
- Hospitals performing remote monitoring of CIEDs per million people (median)
- 0.5
- Countries without remote monitoring of CIEDs
- 15
Observational data: associations, not effects.
Original publication
Arrhythmia care in ESC member countries: the 2025 ESC-EHRA atlas on heart rhythm disorders. Europace. Published 23 July 2025. doi:10.1093/europace/euaf124
Summarised from the published abstract; every number is checked against it