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EHRA Recognised Training Centres

EHRA Recognised Training Centres (ERTC) programme aims at acknowledging and supporting good educational practices provided by centres

Arrhythmias and Device Therapy

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 forward your centre and apply!


It is a quality label enabling training centres to highlight efficiency, add value to their quality of education and mentoring, increase notoriety as well as attract fellows and practitioners. It is also designed to be used as a mean to verify the uniformity of educational tools, standardised practical teaching to improve the overall quality of the laboratories.

Who can apply

  • All EP labs and centres
  • Academic and non-academic centres

Rules and regulations

Please read carefully the following Rules and Regulations, prior to completing online the ERTC application form:

  • Language: Documents, letters and applications must be submitted in English.
  • ERTC E-form: All questions of the application form are mandatory and need to be positively answered. Centres should submit the form along with a letter of support from their respective EP Working Groups and/or National Cardiac Societies.
  • My ESC Account: The applying centre should create its own account via My ESC platform providing clear, valid and complete contact details.  
  • Submission Date: Applications can be submitted all year round.
  • Validity: ERTC Quality Label is valid for 5 calendar years as of the date of acceptance.
  • Fellows’ list: Accepted centres are asked to send a list of their enrolled Fellows once the centre is accepted to take part of the ERTC programme. This list should contain Fellows full name, Training Fellowship starting/ending dates, email addresses. Accordingly, EHRA will only use this list for the purpose of assessing this programme.
  • Fellows’ survey: A survey will be sent on a random basis to some fellows of the accepted centres. The outcome of the survey is subject to the committee’s assessment. The centre should inform its fellows that they might be contacted to anonymously complete a survey, as their opinion and experience is valued and needed. Fellows of the selected centres can also spontaneously fill in the survey if wished.
  • Quality Label Status: The ERTC Quality Label of a centre can be subject to non-renewal if Fellows’ survey outcome is repetitively negative.

Requirements at a glance


  • Type and Contact details
  • Training facilities and expertise

Centre staff

  • Senior EPs are EHRA members
  • EHRA certified


  • Enrolled fellows
  • Number of procedures performed per year

EP National Cardiac Society / Working Group

  • Letter of support

ERTC registration process

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 a 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 note carefully that you can not send this document to the ESC Certification Office as an official application.

Application form EXCEL file

List of Recognised Training Centres

 We are pleased to share the list of EHRA Recognised Training Centres:


Country Laboratory Since Contact Person / Email Description
Switzerland University Hospital of Basel 26/09/2016 Prof. Christian Sticherling 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.
Germany  20/12/2016

Kars Neven, MD, PhD

As one of the highest-volume electrophysiologic centres in Nord Rhine-Westfalia, the Alfried Krupp  Hospital has 2 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, 1 will soon follow) perform approx. 600 electrophysiologic studies and ablations (all but epicardial ablation) and implant approx. 400 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.
Russia     Interventional Cardiology Center 22/12/2016 Dr. Alexander Romanov
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 (approximately 1700 per year), ICD/PM Implantation (approx. 1300 per year), lead extraction (10 per year). At least 5 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:
The Center is part of the research institute/hospital, the biggest in Russia, that performs all varieties of cardiovascular services.
Spain University Hospital Clinic of Barcelona  12/01/2017 Ms. Neus Portella The Arrhythmia Section of 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 a 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 resynchronization, channelopathies and VT ablation) that are running in collaboration with other departments (echocardiography, radiology, heart failure unit, pneumology) and that ensures a 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.
Denmark Aarhus University Hospital  06/03/2017 Dr. Jens Cosedis Nielsen  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.
United Kingdom Edinburgh Heart Centre 07/03/2017 Dr. Neil Grubb 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.
France Institut cardiovasculaire Paris-Sud 10/03/2017 Dr. Vladimir Manenti 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 prior to AF ablation).
This fellowship program will consist of:
- 40% EP, mainly AF & paediatrics
- 20% device implant/FU
- 40% research/publications
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:
- 300 atrial fibrillation,
- 200 adult SVT,
- 100 paediatric ablations,
- 50 ventricular tachycardia,
- 250 flutters.
 We presently have a volume of 700 implanted devices, including 200 implantable cardiac defibrillators (conventional/subcutaneous) and 200 cases of cardiac resynchronization therapy. We also perform several tens of lead extraction procedures every year.
Germany Heart Center Leipzig 6/02/2017 Dr. Katrin Landgraf 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.
Austria Elisabethinen Hospital Linz  20/03/2017 Prof. Helmut Pürerfellner FESC, FHRS 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 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 4 fully trained electrophysiologists and 1-2 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. In addition, we have a longstanding and dedicated activity in national and international societies (EHRA, HRS).

Netherlands Erasmus University Medical Center (Erasmus MC) 14/03/2017 Dr. Tamas Szili-Torok 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.
Romania Cardiovascular Diseases Institute "Prof. Dr George I. M. Georgescu" 12/03/2017 Dr. Mihaela Grecu 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 resynchronization therapy, in adults and paediatric patients. There is an ongoing research activity focussing on AF ablation and VT substrate mapping, also an 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.
Belgium UZ Heart Rhythm Management Centre (HRMC) 23/02/2017 Prof. Dr Carlo de Asmundis The Heart Rhythm Management Center at the University Hospital UZ Brussels offers a 2-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 ( or more info through ).
Netherlands Willem Einthoven centre for cardiac arrhythmia research and management 31/05/2017 Prof. Zeppenfeld 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 a 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).
Germany University Heart Centre Luebeck 15/06/2017 Dr Roland Tilz The University of Lübeck provides great training facilities for electrophysiologists. We have experienced staff certified by EHRA and the German Cardiac Society performing more than 600 ablation procedures and about 600 device implantations annually in two dedicated EP labs (one for device implantation and EP, one dedicated EP lab). The EP lab is very well equipped with the latest technologies including the Topera System for Rotor mapping, a Cryo console, an Ensite Velocity System and a CARTO 3 System with the Uniview/Replay modules.
All arrhythmias including complex atrial, endo- and epicardial ventricular ablation procedures are performed. We have a close cooperation with our cardiac surgeons allowing novel rhythm therapies such as cardiac sympathectomy or ablation procedures in patients with LVAD.
In addition, 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.

Netherlands Maastricht UMC 14/06/2017 Dr. Laurent Pison Clinical Cardiac Electrophysiology has a long and rich tradition at the Maastricht UMC+. There are currently 2 fully equipped EP laboratories and 1 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 resynchronization therapy. Fellows are actively involved in mapping and ablation procedures for supraventricular tachycardia, atrial fibrillation, and ventricular tachycardia.
Croatia Sestre milosrdnice University Hospital Centre 21/06/2017

Dr. Nikola Pavlović, MD

Šime Manola, MD, PhD
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 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). There are 3 staff physicians who 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 help of our electrophysiologists. The centre is an active participant of several local and international research projects.
Switzerland University Hospital Zurich 31/05/2017

Jan Steffel, MD FESC FHRS

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.

Netherlands Isala Heart Centre 31/07/2017

Dr. Arif Elvan

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 are able to meet the language proficiency requirements.


Miriam Espinosa

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 to 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.


Critical Care Medicine Department

Cairo University


Dr. Ahmef Taher Mahmoud

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. 


Medical University of Graz

 16/03/2018  Assoc.Prof. Daniel Scherr, MD, FESC, FEHRA  

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.

2 CARTO systems, as well as a Cryoablation system are in use. In addition, LAA occluders are regularly implanted. Patients are seen in an electrophysiologic outpatient clinic, including a 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).