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EHRA strives to maintain the highest standards in education and career development. The seal of quality at EHRA Recognised Training Centres (ERTC) verifies the use of advanced and uniform teaching techniques.
Put your centre forward and apply!
ERTC is a quality label. It enables training centres to: highlight efficiency; add value to their quality of education and mentoring; increase notoriety and well as attract fellows and practitioners. It can also be used as a means to verify the uniformity of educational tools and standardised practical teaching, to improve the overall quality of the laboratories.
Please read carefully the following Rules and Regulations, before completing online the ERTC application form:
Centre
Centre staff
Participation
EP National Cardiac Society / Working Group
Step 1: Submission of the ERTC application form
Complete positively all mandatory questions of the application form and submit all complementary support letters.
Step 2: Application Assessment
The process will take up to 4 weeks once the ERTC application form is properly submitted.
Step 3: Application Status
Applying centre will be notified whether its application was accepted or not.
Step 4: Payment
The accepted centre is requested to pay the full amount after receiving the invoice via bank transfer and credit card.
Step 5: Visibility
The accepted centre will be featured on our website and get higher visibility which will attract more fellows.
€500 per year*
* €2,500 for the duration of the programme (5 years) and (subject to 20% VAT)– to be paid in full, upon application submission and acceptance after receiving the invoice via bank transfer and credit card.
Application EP and CP Application EP Application CP
You can download the EXCEL file version below to help you to prepare your answers to submit your application on the web form. Please care carefully note that you can not send this document to the ESC Certification Office as an official application.
Application form EXCEL file
We are pleased to share the list of EHRA Recognised Training Centres:
Austria
Belgium
Croatia
Czechia
Denmark
Egypt
France
Germany
Netherlands
Portugal
Romania
Russian Federation
Spain
Sweden
Switzerland
Turkey
United Kingdom
Our centre is the busiest EP Centre in Austria incorporating a dedicated EP lab where around 500 ablations are performed annually. All arrhythmias including complex atrial and ventricular substrates are treated with the latest 3-D technologies (including Carto-3, Navex Precision System, Mediguide, Rhythmia ) and Cryoablation. We have the largest VT program in Austria and routinely perform epicardial mapping and ablation.Around 250-300 devices are implanted in a separate facility by both cardiologists and a surgeon.Our staff currently consists of four fully trained electrophysiologists and one to two regular fellows from all over the world.The EP Group is renowned for its excellence and leading position in both clinical EP as well as in EP research. Also, we have a longstanding and dedicated activity in national and international societies (EHRA, HRS)
The Medical University of Graz hosts one of the busiest Electrophysiology Services in Austria which serves a population of 1.5 million in southern Austria.
300 ablations, ranging from SVT to AF to VT procedures, and more than 300 CIED implantations are performed annually.
Two CARTO systems, as well as a Cryoablation system, are in use. Besides, LAA occluders are regularly implanted. Patients are seen in an electrophysiologic outpatient clinic, including dedicated nursing staff.
Basic research (including a large-animal chronic AF model) and both investigator-initiated and third-party clinical research are conducted with the assistance of a team of technicians and study coordinators.
The EP Group is renowned for its excellence and leading position in both clinical EP as well as in both basic and clinical EP research.
In addition, we have a longstanding and dedicated activity in national and international societies (EHRA, HRS).
The Heart Rhythm Management Center at the University Hospital UZ Brussels offers a two-year training program "Postgraduate in Cardiac Electrophysiology and Pacing" for cardiologists. The program was founded by Prof. Dr Pedro Brugada and is currently being coordinated by Prof. Dr Carlo de Asmundis and Prof. Dr Gian Battista Chierchia (www.vub.ac.be/en/study/cardiac-electrophysiology-and-pacing/programme or more info through hrmc@uzbrussel.be ).
Electrophysiology department (part of Department for Cardiovascular diseases) at ''Sestre milosrdnice'' University Hospital Centre is the largest EP centre in Croatia and is a national ''Referral centre for arrhythmias and electrophysiology''. It consists of one dedicated EP/devices lab, and second surgical lab available for CIED implants twice a week. The EP lab is equipped with a 3D mapping system (CARTO 3) and cryo console (cryoballoon). Approximately 400 device implants and more than 500 ablations are performed annually (including complex ablations of structural VT). Three staff physicians are EHRA certified (ECES and/or ECDS), and two physicians in training. Several fellows from Croatia and abroad were trained in the centre. Two hospitals started their CIED implant program, and one University Hospital started their electrophysiology program with the help of our electrophysiologists. The centre is an active participant of several local and international research projects.
The Interventional Cardiac Electrophysiology group of FNUSA-ICRC is part of the first Department of Internal Medicine/Cardioangiology. The activities of the group are performed in three labs: two of them are dedicated to human clinical practice (around 600 patients/year) and trials; the third one is solely used for animal experiments in collaboration with the Veterinary and Pharmaceutical Science University in Brno and the Animal Center core facility of FNUSA-ICRC. Focus of the group is the investigation and managment of cardiac arrhythmias, mainly by catheter radiofrequency ablation, but also cardioneuroablation, hybrid and hypetrophyc cardiomyopathy ablation.
The group is composed by clinical electrophysiologists (senior and trainees), technical and nursing personnel, together with basic and applied researchers. The electrophysiology labs are all equipped with advanced fluoroscopy (Allura Xper FD 10 C), lastest3D mapping systems (Ensite Velocity™ and CARTO3®), EP recording system (Cardiolab™ and Labsystem™ PRO), several cardiac and vascular ultrasounds, radiofrequency ablation generators (Smartablate®, EP Shuttle®, Ampera®, IBI®), Medtronic CryoConsole™ and CardioFocus laser baloon ablation console. Of the clinical EP labs, one is dedicated to manual catheter operation, and another is equipped with remote magnetic navigation system (Niobe ES). A distinctive feature of the group is the availability of the only animal EP lab in Europe equipped with remote magnetic navigation. Furthermore, a GE 1,5T MR is adjacent to the animal lab for cardiac imaging.
Four labs, 1100 device operations and 900 catheter ablations per year. Expertise in advanced CRT, ablation of all kinds of arrhythmias, and device extractions. 6 senior electrophysiologists, 2 consultants. Large outpatient device activity, extensive experience in the remote follow-up of devices. High scientific activity within the field of arrhythmia.
Our hospital serves as a tertiary referral center in cardiology with all subspecialities. We have a full EP/CP service with 1000+ ablations and 1200 device implants in 2018. All types of ablations are performed with either Carto or Rhythmia 3D navigation. In CP we do 200+ new CRT implants, 100 lead extractions, 50+ leadless pacemakers plus subcutaneous ICD besides regular pacemaker- and ICD implantations. We don’t do invasive procedures in GUCH and children < 18 years of age. We are 5 full-time senior consultants all active in both EP and CP. We also have a busy device outpatient- and remote follow-up clinic. Good opportunities for research.
Website
Since the establishment of Critical Care Medicine Department, cardiac electrophysiology has been in the core of its practice. It has 3 cath labs, one of which is dedicated to invasive EP. This lab is equipped with 3D mapping systems (Both CARTO and Ensite), ICE and rotational angiography. It performs around 500 procedures a year placing it among the highest flow centres in Egypt. This includes implantation of complex devices (like CRTD), lead extraction, and ablation of simple and complex arrhythmias (Like AF and VT). It's currently an approved training centre for the Egyptian board of Cardiac Electrophysiology.
Our purpose is to enhance our clinical research activity and step up our production of peer-reviewed publications, especially in the field of atrial fibrillation ablation (database including 900 patients with MRI before AF ablation).
This fellowship program will consist of:
We have gathered a sufficient wealth of data to generate 3 to 4 publications aimed at peer-reviewed journals during a 1- or 2-year fellowship period.
We perform 900 catheter ablation cases annually (3D mapping system, contact force catheter, epicardial approach) including, per year:
We presently have a volume of 700 implanted devices, including 200 implantable cardiac defibrillators (conventional/subcutaneous) and 200 cases of cardiac resynchronisation therapy. We also perform several tens of lead extraction procedures every year.
As one of the highest-volume electrophysiologic centres in Nord Rhine-Westfalia, the Alfried Krupp Hospital has two dedicated electrophysiologic labs, both equipped with full options Carto-systems and LabPro EP-systems. Four full-time electrophysiologists (3 are certified by EHRA and/or the German Cardiac Society, one will soon follow) perform approx. Six hundred electrophysiologic studies and ablations (all but epicardial ablation) and implant approx. Four hundred cardiac devices (all devices, including LAA-occluders) annually.
The modern and renowned hospital has an electrophysiologic ward and patients are seen in an electrophysiologic outpatient clinic, with a dedicated pacemaker/ICD nurse. Clinical research, contract research as well as investigator-initiated research, is being conducted with the assistance of a study nurse.
Department of Electrophysiology of Heart Center Leipzig is one of the largest and most acknowledged centres for invasive electrophysiology. In 4 dedicated EP-labs equipped with most advanced technology over 2400 ablation procedures and 1500 implantations are being performed each year.
The University of Lübeck provides great training facilities for electrophysiologists. We have experienced staff certified by EHRA and the German Cardiac Society performing about 1000 ablation procedures and about 600 device implantations annually in two dedicated EP labs. The EP labs are very well equipped with the latest technologies including the Topera System for Rotor mapping, two Cryo balloon consoles (both from Medtronic and from Boston), a Laser Balloon console an Ensite Velocity System and two CARTO 3 systems with the Uniview/Replay modules. Do minimise the fluoroscopy exposure to the operator, we use the suspended radiation protection system. All arrhythmias including complex atrial, endo- and epicardial ventricular ablation procedures are performed. We have close cooperation with our cardiac surgeons allowing novel rhythm therapies such as cardiac sympathectomy or ablation procedures in patients with LVAD. Also, we offer the fellow to gain experience in the field of device implantation and to implant ICDs, CRTs, CCMs, subcutaneous ICDs and leadless pacemakers. Furthermore, the fellow can get insight to endo- and epicardial (Lariat device) left atrial appendage closure device implantation. Our centre has in-house cardiac surgery with a great interest in arrhythmia surgery. Patient´s care, education, training and science are the cornerstones of the department. We have a well-structured training for EP fellows with a daily EP morning meeting and two EP teaching sessions per week to guarantee a well-structured training. Our fellows get maximum support for their research activities.
The Erasmus MC is one of the largest academic EP centres in the Netherlands. There are 5 electrophysiologists and 2 dedicated EP labs. We use CARTO3 and EnSite Precision mapping systems and also intensively use the Stereotaxis remote navigation system. We perform 700 catheter ablations, 350 CIED implantations and 40 lead extractions annually. There is a large experience with the training of EP fellows.
The Willem Einthoven centre for cardiac arrhythmias is part of the Leiden University Medical Centre. We are a leading tertiary-care centre within an academic institution with multidisciplinary arrhythmia management and research program with a strong focus on both clinical and translational research. We provide the whole range of state of the art arrhythmia treatment from paediatric interventions, ablation in grown-ups with congenital heart disease to arrhythmia management in advanced heart failure. Our centre has a long tradition of training international fellows with all levels of experience. We are a national and international referral centre for the treatment of complex ventricular arrhythmias and arrhythmias in repaired congenital heart disease. Our advanced program for VT management encompasses multimodal image integration, epicardial ablation and hybrid surgical procedures. The advanced program for AF management includes both extensive substrate modification during catheter ablation and thoracoscopic mini-MAZE surgery.
Our 2 cath labs dedicated to catheter ablation are equipped with state-of-the-art 3D mapping systems (CARTO-3 version 6 with Confidense and Ablation index modules, Ensite Precision, MediGuide) and single shot devices (Cryoballoon).
Clinical Cardiac Electrophysiology has a long and rich tradition at the Maastricht UMC+. There are currently two fully equipped EP laboratories and one dedicated hybrid room. In 2016, 700 devices were implanted, and 800 ablations were performed using state-of-the-art electroanatomical mapping systems and robotics. Maastricht is world-known for its hybrid ablation program. Our department works in very close relationship with CARIM, one of the top institutes for translational cardiovascular research in Europe. Our Clinical Cardiac Electrophysiology Fellowship Program provides extensive training in the basics of cardiac electrophysiology, complex mapping and ablation procedures, and device implantation, including resynchronisation therapy. Fellows are actively involved in mapping and ablation procedures for supraventricular tachycardia, atrial fibrillation, and ventricular tachycardia.
Isala Heart Centre provides a full range of basic and tertiary cardiac care, except for heart transplantations and cardiology for children, with internationally acknowledged electrophysiology (EP) and interventional cardiology subspecialisms present. Isala Heart Centre has years of educational experience and provides an EP-fellowship programme for invasive cardiac electrophysiology and devices, a full training programme for general cardiology, and a full interventional cardiology training programme. Relevant expertise for EHRA: all facets of invasive cardiac electrophysiology and devices are provided. *Note for candidates who want to apply for a fellowship: according to Dutch regulations, a formally acknowledged level NT2 or B2/C1 of Dutch is required if you want to perform restricted medical actions. Please only apply if you can meet the language proficiency requirements.
The OLVG Heart Centre is the high volume heart centre of Amsterdam. Our "Better in Amsterdam" approach results in a focus on minimally invasive procedures with a dedication to do things "one time right" and theregby reduce second procedures. Yearly more than 700 ablation procedures are performed. Carto, Cryo, Ensite, Stereotaxis and surgical ablations are performed. Ablation numbers include about 300 cryoballoon procedures and 70 VT ablations. Thoracic surgery is on site. More than 400 device procedures are performed yearly, including leadless pacemakers and ICD's. There a 4 cath labs.
Our Arrhythmology, Pacing and Electrophysiology Unit is integrated into one of the most important tertiary referral centres in Portugal, the Central Lisbon University Hospital.
There is one dedicated EP lab and a shared lab. More than 250 ablations (SVT, AF, atypical AFL and VT), including structural and congenital heart disease, 850 CIED implantations (with subcutaneous devices and leadless pacing) and 40 lead extractions are performed annually.
There is in-house cardiac surgery (performing AF ablation, heart and lung transplants). The Unit uses Carto3, EnSite Precision (contact and noncontact mapping), as well as Cryoablation system and performs epicardial mapping/ablation in the context of VT.
Our staff consists of 2 senior EPs, 2 younger EPs (EHRA certified), 1 part-time CIED specialist and 2 EP fellows in training. In addition, we have dedicated cardiopulmonary technicians (EHRA certified) and nursing staff. Research projects, both investigator-initiated and third-party clinical studies in electrophysiology and CIED, are available.
Cardiovascular Diseases Institute Iasi has all the technical facilities to treat high-risk patients including primary angioplasty, cardiac surgery and coronary care unit. Our centre has two fully equipped dedicated laboratories: one for EP, endowed with CARTO 3D system, EP-Tracer, Cryo console, Siemens Artis U, Philips Rx equipment and MDCT Scanner and one lab for pacemaker implants. Two EHRA accredited doctors for EP/CP and CP respectively and 5 dedicated nurses perform annually 200 ablations and 900 implants procedures.
Our centre is a referral for simple and complex ablations of supraventricular, ventricular tachycardias, atrial fibrillation, and also for cardiac stimulation/defibrillators and resynchronisation therapy, in adults and paediatric patients. There is an ongoing research activity focussing on AF ablation and VT substrate mapping, also active participation in EORP Registries, CRT Survey.
Our team enjoys the best human resources and has all the willingness to support young physicians to improve their EP skills.
The Clinical Electrophysiology and Pacing Laboratory from Bucharest, Romania, is a referral Center for complex procedures for both EP and devices.
The EP Laboratory performs 350 - 400 procedures/year, both simple and complex - including VT storm and epicardial VT ablation. The Laboratory has three 3D electro-anatomical systems (Carto, Rhythmia, Ensite Precision) and is the only Center in Eastern Europe to benefit from the remote navigation system – Stereotaxis. Also, it performs balloon cryoablation routinely. It is a national training center for the Romanian EP certification program - currently hosting 2 fellows.
The Pacing Laboratory performs 400 - 450 procedures/year, including: standard pacemaker, ICD and CRT implantation (80-100 CRT procedures/year). The approach for trans-septal LV lead implantation is original and effective. It is a referral center for lead extraction. It is also a national training center for the Romanian cardiac pacing program - currently hosting 2 fellows.
The Interventional Cardiology Center has access to 3 (three) EP labs. The Center has all modern equipment including robotics (Stereotaxis). During the year approximately 3000 procedures are performed in the Center, including catheter ablation of atrial fibrillation (around 1700 per year), ICD/PM Implantation (approx. 1300 per year), lead extraction (10 per year). At least five procedures are performed daily. The Center is an active participant in the numerous local initiative studies and multicenter international studies (including CABANA study - 1st place in enrollment, ATTEST, CASTLE-AF, APAF-CRT). The Center takes part in different Russian and international educational programs with duration from 1 week to 2 years. The Center was a hosting centre for 1 (one) year in frames of EHRA Training Fellowship program: https://www.youtube.com/watch?v=S9C-whmDEQM
The Center is part of the research institute/hospital, the biggest in Russia, that performs all varieties of cardiovascular services.
The Arrhythmia Section of the Hospital Clinic of Barcelona runs a busy programme with a high volume of procedures with 3 devoted laboratories, they implant about 700 devices and perform about 500 ablation procedures. Their hands-on program ensures full integration of the fellow on the regular medical activities including sessions, and research protocols. There are currently 4 main specific research programs (atrial fibrillation, cardiac resynchronisation, channelopathies and VT ablation) that are running in collaboration with other departments (echocardiography, radiology, heart failure unit, pneumology) and that ensures participation in research studies.In summary, the department may offer a good program that guarantees appropriate training objectives both in clinical abilities and research knowledge.
The Arrhythmia Unit at Hospital Clínico San Carlos (HCSC), in Madrid, led by Dr Julián Pérez-Villacastín and Dr Nicasio Pérez Castellano, is a high volume electrophysiology centre that runs 4 labs (2 at HCSC and 2 in associated hospitals). We have the most advanced technology (CARTO, NavX, Rhythmia, Stereotaxis, intracardiac echocardiography, etc.) to perform about 1000 procedures/year, 400 ablations/year (including complex ablations like atrial fibrillation, atypical atrial flutter and endocardial/epicardial ventricular tachycardia ablations) and 400 cardiac devices implants-extractions/year (including endocardial/subcutaneous ICD and CRT). As a university hospital included in the national health service, we develop several educational activities aimed at physicians, nurses, residents and fellows. We also conduct research projects, and the Cardiology department is linked to CNIC (the Spanish National Center for Cardiovascular Research), which allows the fellows to develop their research career.
Skane university hospital serves as a tertiary referral center in cardiology with all subspecialities. We have a full EP/CP with 950 device operations and 650 catheter ablations annually. Expertise in advanced CRT, ablation of all kinds of arrhythmias (including invasive procedures in GUCH and children < 18 years of age), and device extractions. We are eight senior electrophysiologists. Large outpatient device activity, extensive experience in the remote follow-up of devices. High scientific activity within the field of arrhythmia.
The University Hospital Basel hosts the busiest Electrophysiology Service in Switzerland. In two fully-equipped dedicated EP labs, more than 700 ablations and more than 400 CIED implantations are performed annually. CARTO 3 and Rhythmia mapping Systems, as well as the Stereotaxis remote Navigation System, are in use. The staff consists of 4 formally US-trained electrophysiologists.
The University Hospital Zurich is a tertiary referral centre in the heart of Switzerland. The Division of Electrophysiology performs over 500 EP procedures as well as over 400 Cardiac Device interventions including complex lead extractions. Complex EP procedures are primarily performed using the CARTO system. Our unit employs 5 full-time and 2 part-time electrophysiologists. In addition to the vast clinical and EP learning opportunities, the centre offers a variety of research projects from basic research to clinical studies in electrophysiology as well as cardiac devices.
Electrophysiology department at Kocaeli University Hospital is one of the largest academic and teaching EP centres in Turkey which serves a population of 2.2 million.
There are 3 electrophysiologists and one dedicated EP/device lab equipped with the CARTO 3D mapping system and Cryo console.
Our department is a referral centre for simple and complex ablations of supraventricular, ventricular tachycardias, atrial fibrillation, and also for pacemakers, defibrillators and cardiac resynchronisation therapy.
Over 550 Cardiac Device Interventions and over 350 ablations are performed annually. The Center takes part in different national and international workshops, educational programs with duration from one week to 6 months.
Arrhythmia and Electrophysiology Unit at Hacettepe University Adult Hospital (Ankara, Turkey) is one of the largest clinical and academic EP centres in Turkey. The university is located in the capital city of Turkey, and is one of the largest referral center for electrophysiologic procedures in the country. In the 2 dedicated EP laboratories, approximately 400 pacemaker/ICD/CRT implantations, 50 transvenous lead extractions, and 800 ablations were performed annually. Both laboratories are equipped with a Cryo console, an Ensite Velocity System and a CARTO System. In addition to conventional ablation and cryobaloon procedures, approximately 400 complex atrial, endo- and epicardial ventricular ablation procedures are also performed. Our staff consists of 3 EPs.
In our center, we are routinely performing “Training Programmes” including workshops covering the whole spectrum of arrhythmic disorders including AF ablation, VT ablation and epicardial ablations. This training involves live cases and theoretical presentations, allowing physicians to learn the best clinical and procedural practices for the treatment of rhtyhm disorders. Our center also offers research projects in clinical electrophysiology as well as cardiac devices.
Edinburgh Heart Centre provides training in invasive cardiac electrophysiology and cardiac device therapy at a centre which serves a population of 1.7 million. 450 basic and complex electrophysiology procedures are performed each year. For EP work, CARTO and Velocity electroanatomic mapping systems are used, and focal and balloon cryoablation procedures are regularly performed. This includes ablation for atrial fibrillation and other atrial arrhythmias, and normal heart and structural VT ablation. More than 800 cardiac devices are implanted annually, and training is available in pacemakers, defibrillator and CRT device implantation and follow-up. Good research infrastructure is available on site via the Queen's Medical Research Institute at the University of Edinburgh.
Our mission: To reduce the burden of cardiovascular disease.
