Congenital heart diseaseGuideline or statement
HRS/ISACHD/PACES scientific statement on provider and institutional best practices for comprehensive adult congenital heart disease electrophysiology programs
- Scientific statement
- joint Heart Rhythm Society/Pediatric and Congenital Electrophysiology Society/International Society for Adult Congenital Heart Disease statement
Recommendations
As issued by the authors
It establishes adult CHD (ACHD) electrophysiological (EP) as a distinct subspecialty and proposes a competency-based framework spanning 5 domains: congenital cardiac anatomy and physiology, arrhythmia mechanisms and risk stratification, noninvasive EP assessment, procedural proficiency in ablation and device therapy, and longitudinal ACHD arrhythmia care.
The statement outlines key elements of preprocedural evaluation, procedural planning, and peri- and postprocedural management and specifies institutional requirements for personnel, facilities, and infrastructure.
Recognizing the paucity of validated ACHD-specific performance metrics, the document proposes candidate indicators of procedural efficacy, safety, efficiency, longitudinal outcomes, and patient-reported health status and articulates principles for credentialing and institutional accountability.
Original publication
Summarised from the published abstract; every number is checked against it