ERTC is a quality label. It enables training centres to highlight efficiency, add value to the quality of their education and mentoring, increase notoriety, and attract fellows and practitioners. It can also be used as a means to verify the uniformity of educational tools and standardised practical teaching, and to improve the overall quality of laboratories.
Who can apply?
- Laboratories and centres performing electrophysiology ablation procedures or device implantations
- Academic and non-academic centres
What are the benefits?
Fellows from EHRA Recognised Training Centres are eligible to apply for the EHRA Training Fellowship Programme, an opportunity to get specialised training in another ESC member country.
Recognised centres hosting EOTP fellows (EHRA Observational Training Programme) benefit from one free EHRA Member registration to EHRA congress for every fellow welcomed to their centre (maximum five EHRA Member registrations for EHRA congress per centre).
Rules and regulations
Please carefully read the following rules and regulations before completing the online ERTC application form.
- Language: Documents, letters and applications must be submitted in English.
- ERTC e-form: All questions on the application form must be answered. Centres should submit the form along with a letter of support from their respective Working Groups and/or National Cardiac Societies.
- My ESC account: The applicant should create their own My ESC account providing clear, valid and complete contact details.
- Submission period: Applications can be submitted all year round.
- Validity: A ERTC Quality Label is valid for five full years from the date of acceptance.
- Fellows list: Accepted centres are asked to provide at least two to four training fellows enrolled during the past four years of the application. This list should contain the fellow's full name, training fellowship starting/ending dates, and email address. 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. Accepted centres should inform its fellows that they might be contacted to complete a survey, as their opinion and experience is valued and needed. The information provided in the survey is confidential and is only subject to the EHRA Certification committee’s assessment. It won’t be shared with the Centre Programme Director, the National Society or Working Group.
- Quality label status: A centre's ERTC Quality Label may be subject to non-renewal if the centre's fellows surveys are found to be repeatedly negative.
The following information/documentation is required when applying.
- Established for more than three years
- A full service of cardiology
- Training facilities and expertise on site
- Documentation and review of complications as part of the training
- Publication of the number of procedures performed and the number of fellows in training
- Confirmation of at least two senior EPs with minimum five years of experience in EP and/or CP are EHRA Members
- Confirmation that at least one staff member is certified in EHRA EP and/or EHRA CP, depending on the modality/ies the centre is applying for.
- Confirmation that the Programme Director is an EHRA Member and has more than five years of experience in EP and/or CP
- Provide at least 2 to 4 training fellows enrolled during the past 4 years of the application.
- Enrolled fellows
- Number of procedures performed per year
EP National Cardiac Society / Working Group
- Letter of support from National Cardiac Society or Working Group
ERTC registration process
Step 1: Submission of the ERTC application form
Complete all required fields on the application form and submit all supporting documents.
Step 2: Application assessment
The process will take up to 4 weeks once the completed ERTC application form is submitted.
Step 3: Application status
The applying centre will be notified whether its application was successful or declined.
Step 4: Payment
The accepted centre should pay the full fee after receiving the invoice via bank transfer or credit card.
Step 5: Enjoy greater visibility
The accepted centre will be featured on our website and have greater visibility, which will attract more fellows.
The EHRA Recognised Training Centre fee is €500 per year*.
*€2,500 for the duration of the programme (5 years) and can be subject to 20% VAT – to be paid in full, via bank transfer or credit card.
If you meet all of the requirements, submit your application.
Renew your ERTC Quality Label
An ERTC Quality Label is valid for five full years from the date of acceptance.
To renew your ERTC Quality Label for five additional full years, you are invited to apply below.
University Medical Centre Ljubljana - Recognised centre since 01/02/2020
Then electrophysiology center at University Medical Center Ljubljana is the largest EP center in the country. We are a tertiary-care and national referral center for the complex arrhythmia management and CIED implantations. In two EP labs, we perform over 600 catheter ablations yearly. In addition, approximately 700 CIED implantations are performed annually, including CRTs, leadless PMs, and His bundle pacing. We are proud to receive accreditation as an EHRA Recognised Training Centre, which certifies implementation of high professional and educational standards in our practices. With ERCT acknowledgement, we hope to broaden the recognition of our center and, possibly attract fellows from a wider region.
List of Recognised Training Centres
We are pleased to share the list of EHRA Recognised Training Centres:
Elisabethinen Hospital Linz
Our centre is one of the busiest EP centres 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)
Medical University of Innsbruck
- Recognised centre since 21 April 2023
- Modalities: EP & CP
- Contact: Assoc. Prof. Markus Stuehlinger
Our Cardiology Department is part of a University Clinic covering invasive cardiology and pacing service for the Western part of Austria. Our EP-Lab was established 1999 and is currently performing app. 450 ablation procedures (including 200 AF and 50 VT ablations) and 100 CIED implantations (majority CRT and conduction system pacing). The EP group consists of 3 senior electrophysiologists (all EHRA members) and 2 EP fellows involved with invasive procedures, but also a large outpatient and device clinic. Our service is provided in 1 EP lab and 1 PM OR (cardiac surgery department, PM and ICD implantations and extractions), patients are also treated at the Cardiology wards and our outpatient clinic. Our special interests are novel single shot devices for AF-ablation (we also performed first-in-man-trials), oral anticoagulation trials and CIED telemonitoring.
Medical University of Graz
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.
More than 600 ablations, ranging from SVT to AF to endo- and epicardial VT procedures, and more than 800 CIED implantations are performed annually.
For ablation, performed in two labs, two CARTO systems, as well as a Cryoablation system, and two electroporation PFA ablation systems are in use. Besides, we have a structured program for ablations in pediatric and EMAH patients, as well as for patients with VT, including both endo- and epicardial ablation. Our advanced program for VT management encompasses multimodal image integration, such as ADAS 3D and MUSIC, and in addition computational modelling as part of research protocols.
We have close cooperation with our cardiac surgeons allowing novel rhythm therapies such as cardiac sympathectomy. Our centre has in-house cardiac surgery with a great interest in arrhythmia surgery, and we jointly manage patients with arrhythmias & cardiac assist devices.
For CIED implantation, besides regular pacemaker, leadless pacemaker, ICD, and CRT implantation, and extraction, we focus on innovative therapies such as 3D mapping guided His bundle pacemaker implantation with an ENSITE 3D EAM system. Furthermore, LAA occluders are regularly implanted.
Patients are seen in an electrophysiologic outpatient clinic, including dedicated nursing staff. Besides, weh ave a vast experience and structured program in remote patient follow-up
Basic research (including a large-animal chronic AF model equipped with a full EP recording system and a CARTO 3D mapping system) and both investigator-initiated and third-party clinical research are conducted with the assistance of a team of technicians and study coordinators. We are co-PIs in the currently world-wide largest randomized trial investigating PFA vs. RF ablation, BEAT-AF, sponsored by a HORIZON 2020 grant of the European Union.
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 (ESC, EHRA, HRS), and have a longstanding tradition of national and international education and proctoring of fellows and centres.
We welcome fellows both for short-term visits as well as for long-term (12 months) dedicated fellowships, which are supported by the Medical University of Graz and which allow for hands-on training.
UZ Heart Rhythm Management Centre (HRMC)
The Heart Rhythm Management Center at the University Hospital UZ Brussels offers a two-year training postgraduate programme in cardiac electrophysiology and pacing for cardiologists. The programme was founded by Prof. Dr Pedro Brugada and is currently being coordinated by Prof. Dr Carlo de Asmundis and Prof. Dr Gian Battista Chierchia.
Hasselt Heart Rhythm Center
Founded in 1996, the “Hasselt Heart Rhythm Center” is one of the oldest and largest EP Centers in the country.
Annually around 1000 ablation procedures (SVT, AF and > 100 VT-ablations including epicardial access), > 450 device implants (including leadless PM, subcutaneous ICD and an extensive experience in His- and LBBA-pacing) and 20-30 percutaneous extractions are performed by 5 experienced electrophysiologists. All state-of-the art ablation technologies are available: point-by-point RF and PFA (Carto with Uniview Module, Ensite) and single shot techniques (Reference Center for Laser balloon ablation, PFA-single shot systems).
The Heart Center is fully equipped with 2 dedicated EP rooms, 1 shared room and a hybrid room. Fellows can choose a training programme in pacing (1 year) or invasive electrophysiology (2 years). There is extensive participation in research programmes and international trials, fellows are actively encouraged to participate in research and publications.
Sestre Milosrdnice University Hospital Centre
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.
Interventional Cardiac Electrophysiology - FNUSA ICRC
- Recognised centre since 14 August 2019
- Contact: Zdenek Starek, MUDr. Ph.D.
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 management of cardiac arrhythmias, mainly by catheter radiofrequency ablation, but also cardioneuroablation, hybrid and hypertrophic cardiomyopathy ablation.
The group is composed of 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 a 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.
Aarhus University Hospital
Four labs, 1,100 device operations and 900 catheter ablations per year. Expertise in advanced CRT, ablation of all kinds of arrhythmias, and device extractions. Six senior electrophysiologists, two consultants. Large outpatient device activity, extensive experience in the remote follow-up of devices. High scientific activity within the field of arrhythmia.
Odense University Hospital
Our hospital serves as a tertiary referral centre in cardiology with all subspecialties. 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.
Critical Care Medicine Department - Cairo University
Since the establishment of Critical Care Medicine Department, cardiac electrophysiology has been at the core of its practice. It has three 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.
Caen University Hospital
Caen University Hospital is one of the two academic tertiary centers of Normandy (pop. Area 3.5 million inhabitants) for complex electrophysiology and cardiac device management. The team is composed of 5 senior electrophysiologists and 5 visiting electrophysiologists from nearby hospitals. The electrophysiology team is part of the greater cardiology department, with more than 25 full-time seniors and 15 residents, covering a wide range of subspecialties from interventional cardiology to congenital heart disease, pharmacology, chronic heart failure or sports cardiology. Our 2 full-time laboratories are equipped with the latest technological advances in cardiac arrhythmia management, and 500 ablations (60% complex), 450 devices (50% ICDs), 40 lead extractions are performed every year.
Two full-time fellows and one resident are dedicated to the electrophysiology lab and, as an academic center, electrophysiology training is the primary goal of the entire team. Electrophysiology courses are given twice-a-week, and participation to national/international courses and congresses is encouraged. Hands-on practice is adapted to the level of the fellow, with a progressive participation in more complex procedures, and fellows actively participate to cardiac devices follow-up (both in person and remote). Participation in clinical research leading to publications is encouraged and helped through our strong local, national and international collaborations. We welcome national and international fellows for observational or hands-on training programmes, knowing that a maximum of 2 full-time fellows per year will be accepted in order to guarantee sufficient practice according to the EHRA certification process.
Centre Cardiologique du Nord
Our structure “Centre Cardiologique du Nord” is a tertiary care center in the Paris area, dedicated in the surgical and medical care of cardiovascular diseases. Our arrhythmia unit includes 6 senior electrophysiologists performing both EP and device implantations. Our two full time dedicated EP labs, are both equipped with the EP recording system and the latest versions of 3D electroanatomic mapping systems for radiofrequency ablations. We perform single shot techniques for AF ablation such as Cryoablation and Pulsed field ablations. We have an annual volume of approximately 900 ablations, including complex EP left sided procedures, with 400 AF ablations and 40 VT ablations, with endo as well as epicardial approach. We perform annually 900 device implantations, including 200 ICDs and 30 leadless pacemakers, as well as several device extractions, and 50 LAA occlusions. We are pleased to welcome two full time national and international Fellows to join our team for one to two years with both observational and progressive hands-on training, adapted to the level of the fellow. Participants are encouraged to actively participate to clinical research through our ongoing and future national and international collaborations.
Hôpital Européen Georges Pompidou
Located in Paris, France, the Hôpital Européen Georges-Pompidou continues to lead within the department of cardiology and has become one of the most competitive and top academic hospitals in the Great Paris area. The electrophysiology (EP) unit, led by Prof Eloi MARIJON, has two EP cathlabs dedicated to complex EP procedures (device implantations and catheter ablations with Carto-Biosense, Abbott & Rhythmia) with an important and constant increase of the activity these last years.
Currently, approximatively 1000 ablations annually (800 with 3D system), 500 pacemakers, 200 ICD, 150 CRT, 60 LAA closure.
This unit works in direct collaboration and partnership with the Paris Cardiovascular Research Center, ensuring that the clinical work in the lab is well supported with innovative research activity focused on a multidisciplinary approach in such fields of interest as epidemiology, sudden death and congenital heart disease.
As a result of these partnerships and continued growth the unit has proudly been recognized as a national reference center in congenital heart diseases, with the EP program for Pediatric and Adult Congenital Heart Diseases led by Dr. Victor WALDMANN.
Commitment to teaching remains strong, competitive, and versatile, as the unit consistently trains several French as well as international fellows within the program annually with strong leadership outcomes and excellent continuous feedback.
Institut cardiovasculaire Paris-Sud
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:
- 40% EP, mainly AF & paediatrics
- 20% device implant/FU
- 40% research/publications
We have gathered a sufficient wealth of data to generate three to four publications aimed at peer-reviewed journals during a one to two 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 resynchronisation therapy. We also perform several tens of lead extraction procedures every year.
Université Catholique de Lille - Hôpital Saint Philibert
- Recognised centre since 4 April 2023
- Modalities: EP & CP
Our structure is a tertiary care center affiliated with the Catholic University of Lille. The electrophysiology (EP) unit has two cutting-edge EP cathlabs dedicated to complex EP procedures : -450 device implantations/ year including 150 defibrillators, 100 CRT and 100 conduction system pacing, 60 PFO and ASD. -1000 catheter ablations including 500 complex procedures (AF and VT) with different mapping systems for radiofrequency, cryotherapy and pulse field ablation. Our team has extensive experience in both clinical practice and research related to atrial fibrillation ablation techniques, such as pulse field ablation, ethanol infusion in the vein of Marshall, cardiac resynchronization therapy (CRT), and pacing of the conduction system. We are delighted to offer a one- to two-year full-time fellowship position to a national or international fellow. We provide a combination of observational and progressive hands-on training tailored to the fellow's level of expertise. Fellows are encouraged to participate in clinical research that can lead to publication, and we offer our expertise to help them achieve their goals. 5 Seniors electrophysiologists: Yves GUYOMAR, Aymeric MENET, Guillaume VIART, François OUTTERYCK, Marie DECROOCQ.
Cardioangiologisches Centrum - Bethanien Markus Agaplesion Krankenhaus, Frankfurt-am-Main
- Recognised centre since 17 February 2022
- Contact: Dr. Prof. Julian KR Chun and Dr. Prof. Oris Schmidt
CCB in Markus Agaplesion Krankenhaus is an excellent centre for the ablation of cardiac arrhythmias. About 1500 cardiac ablations and 100 LAA closures are performed every year. Modern technologies for treating cardiac arrhythmias are available, such as Pulsed Field Ablation, Heliostar, Adagio. The operators have a large experience in electrophysiological field and they are very active for research programmes, in which international fellows are often involved.
Ostalb-Klinikum Aalen - Kardiologie und Rhythmologie
The Rhythm Center Ostalb is a distinguished unit within the Department of Cardiology at Ostalb-Klinikum Aalen. Our team consists of two senior electrophysiologists, certified by EHRA and the German Cardiac Society, and two fellows, who perform 400-500 ablation procedures annually. We use state-of-the-art 3D mapping systems (Carto, Ensite X) and the currently most relevant energy forms (Cryo, Radiofrequency, Pulsed Field Ablation) to cover the entire spectrum of cardiac electrophysiology including complex atrial and ventricular arrhythmias. Our scientific research focus is in the area of atrial fibrillation ablation. At the Rhythm Center Ostalb, we are committed to the training of young electrophysiologists. Our EP training program features extensive hands-on assignments and weekly theoretical EP teaching sessions. Our goal is to provide a well-structured and supportive learning environment that that promotes the education and training of our trainees.
Segeberger Kliniken - Heart Center, Bad Segeberg
The Heart and Vascular Center of the Segeberger Kliniken is one of the largest specialized clinics in Northern Germany. The clinic is certified as a training center for special rhythmology by the German Cardiac Society (DGK). Our staff is also EHRA certified for Invasive Cardiac Electrophysiology (EP) and Cardiac Pacing and Implantable Cardioverter Defibrillators (CP). In the field of Invasive Electrophysiology, 2 EPU labs are available, equipped with CARTO 3 systems and Cryo consoles. At present, we perform about 1000 ablations per year, offering treatment of the entire spectrum of cardiac arrhythmias. For ventricular tachycardias, we choose both the endo - and the epicardial approach. A hybrid OR is available for device therapy. The 600 operations per year include pacemaker implantation (also His-Bundle-Pacing and Leadless pacing), ICD, CRT, CCM, and S-ICD procedures. We encourage and support the research work of our fellows. They will also receive assistance from our Center for Clinical Research.
University Hospital of Duesseldorf
The Arrhythmia Service at University Hospital of Duesseldorf is part of the Division ov Cardiology, Pulmonology and Vascular Medicine and has two dedicated EP-Labs and one hybrid operation room for device implantations. The EP-Labs are equipped with full-featured two CARTO3-Mapping systems and LabSystemPro EP Recording System and a Cryo console. Our staff consists of four senior electrophysiologists (EHRA and/or national-society certified) and three to four fellows, as well as experienced nursing staffs with EHRA certification. About 600 EP-procedures, including complex atrial ablations and endo- and epicardial VT-ablations are performed annually. VT-Ablations in patients with cardiac assist devices are regularly conducted. The Device-Team performs about 800 implantations per year, including CRT, S-ICD and TPS-Implantations. We also perform lead extraction procedures (ca. 50).
University Hospital Aachen
- Recognised centre since 13 February 2020
- Contact: Dr Noureddin Sawan
- Website of the University Hospital Aachen
The University Hospital Aachen is the largest multidisciplinary hospital in Europe and a tertiary referral centre in the west of Germany.
Around 600 ablation procedures are performed annually. We are planning to establish a second EP Lab by 2020. All complex atrial and ventricular arrhythmias are treated with the latest 3D mapping systems (Carto, EnSite, EPLogix) and Cryoablation. We have daily teaching sessions for our fellows, including case presentations and Journal Clubs.
Our staff currently consists of two certified electrophysiologists and two to three regular fellows.
Our EP Group is distinguished in both clinical EP and in EP research.
University Heart Centre Luebeck
- Recognised centre since 15 June 2017
- Contact: Dr Roland Tilz
- Website of the Universitäres Herzzentrum Lübeck
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 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.
Heart Center Leipzig
Department of Electrophysiology of Heart Center Leipzig is one of the largest and most acknowledged centres for invasive electrophysiology. In four dedicated EP-labs equipped with most advanced technology over 2,400 ablation procedures and 1500 implantations are being performed each year.
Heart Center Campus Bad Neustadt - Cardiology Clinic II with interventional electrophysiology
- Recognised centre since 4 November 2022
- Modalities: EP
- Contact: Dr Elena Ene, Prof. Dr. Thomas Deneke
Our EP department is a training center for cardiac electrophysiology certified by the German Cardiac Society (DGK). More than 1500 EP procedures are performed annually in three dedicated EP labs equipped with three different 3D mapping systems performed by 5 independent, highly experienced senior operators (i.e. electrophysiological studies/catheter ablations, complex left atrial ablations, complex ventricular arrhythmia ablations). The clinic was also certified as Atrial Fibrillation Center by the German Society of Cardiology and annually performs over 800 atrial fibrillation ablation procedures also including latest innovative technologies like pulsed field ablation. The clinic is well recognized as a national but also international high volume center for VT ablations and is also a reference center for epicardial VT ablations. In this regard the clinic collaborates with more than 70 German hospitals within the framework of electrical storm network and has its own dedicated VT unit as part of the ICU where patients with electrical storm benefit from a complex multimodal therapy and preprocedural hemodynamic stabilization. There is also an established program dedicated to LAA - closures and our department is one of the few in Germany where epicardial LAA closures are performed. The center also offers cardiac CT and MRI imaging modalities and is involved in multiple studies incorporating imaging in VT ablation strategies.
Herz- und Diabeteszentrum NRW Clinic for Electrophysiology
Located in Ostwestfalia, the Herz- und Diabeteszentrum offers the full spectrum of cardiac interventions. The center provides pediatric cardiology and surgery, cardio-thoracic surgery with a relevant LVAD program, the largest center for heart transplantations in Europe, all available imaging modalities including 1.5T and 3.0T MRI, PET CT, SPECT, CT and an excellent clinic for interventional cardiology with >600 TAVR and >250 AV valve interventions.
The clinic of electrophysiology currently consists of 17 physicians. In 3 dedicated EP labs we perform
- about 1700 ablation procedures (incl. congenital heart disease patients, children, LVAD VT, epicardial VT (approx. 30 per year)), providing all current technologies including Arctic front, Polar X, Farapulse, Carto 3 with QMode plus, Diamond Temp, Kardium Globe, EPD by Philips, Volta, Ablacon etc. and
- about 1000 device implantations (incl. Micra, Wise CRT, s-ICD etc.) plus 100 lead-/device extractions in cooperation with our surgical department.
Each procedure is usually performed under deep analgosedation having the option to extend to GA in challenging cases. 2 nurses and 2 physicians are present in every procedure. Besides we run a pacemaker-/ICD clinic with about 7000 interrogations per year.
Fellows will be able to learn from very experienced operators and well-known experts in the field.
University Alfried Krupp Hospital
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 (three 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.
MITERA is one of the largest private hospitals in Greece and member of HYGEIA Group, the largest healthcare services group in Southeastern Europe. Our hospital includes three separate clinics, namely, the General Hospital, the Maternity/Gynecological Clinic, and MITERA Children’s Hospital. Our center is a referral for simple and complex ablations of supraventricular, ventricular tachycardias, atrial fibrillation, and for implantation of all types of cardiac implantable electronic devices. We have an ongoing research program focusing on cateter ablation. Furthermore, our EP lab is serving as an educational center for field technical engineers and EP fellows. A total of 250-300 ablation procedures is performed in our EP lab on an annual basis. The EP lab is fully equipped with all mapping systems (CARTO, Ensite X, Rhythmia), cryoconsoles for cryoablation and intracardiac echocardioraphy. The team includes 2 senior electrophysiologists (EHRA certified).
Mater Private Hospital
The Mater Hospital in Dublin is the largest EP Centre in Ireland, providing countrywide care with 800-900 ablations annually. We treat a wide spectrum of patients including ones with SVTs, atrial fibrillation, ventricular arrhythmias and also arrhythmias in congenital heart disease. The Centre has access to the most up-to-date technologies and serves as a Centre of Excellence (CoE) for key industry partners. We host several in-person and on-line educational events. The Mater Private Hospital has a training programme for Fellows in EP, where their education is supervised by six consultants in EP. Atrial fibrillation is the main focus of the Centre and our Atrial Fibrillation Institute (https://www.materprivate.ie/our-services/heart-veins/heart-veins-dublin/atrial-fibrillation-institute) uses the integrated approach of AF treatment by a multidisciplinary team including specialist arrhythmia nurses. Clinical research is facilitated by the Center`s connection to the Royal College of Surgeons in Ireland (https://www.cvridublin.ie/
Fondazione Toscana Gabriele Monasterio
We are a leading tertiary-care centre with a strong collaboration with academic institution (Scuola Superiore S. Anna, Pisa). The research program has a strong focus on both clinical and translational research and our field of interested is Brugada syndrome, atrial fibrillation ablation and heart failure treatment. We have a multidisciplinary arrhythmia approach with interaction between clinics and interventional staff. In our three cath labs dedicated to catheter ablation (two in Pisa and one in Massa) we use all 3D mapping systems (CARTO-3 version 7 with Confidense and Ablation index modules, Ensite Precision, Rhythmia) and single shot devices (Cryoballoon). We provide the whole range of cardiac rhythm management and arrhythmia treatment from paediatric interventions, ablation in grown-ups with congenital heart disease to arrhythmia management in advanced heart failure and device management.
Ospedale P. Pederzoli, Peschiera del Garda
Pederzoli Hospital enjoys a very high standard where healthcare services are concerned. From a historic point of view, Pederzoli Hospital was one of the first Italian centre to perform catheter ablations of cardiac arrhythmias, approximately 25 years ago. Pederzoli Hospital is now one of the most acknowledged, highest-volume centre in north-east Italy, equipped with an exclusive electrophysiologic lab with avant-garde Navx mapping system, Cryo console and the latest technologies in cardiovascular implantable electronic devices. Our staff comprises 3 senior electrophysiologists and 2 regular fellows in training. We perform state-of-the-art cryoablation and radiofrequency ablations of atrial fibrillation, supraventricular and ventricular arrhythmias, and cardiac pacemakers/defibrillators and resynchronization therapy operations. More than 200 ablations and about 400 device implants are accomplished every year.
Erasmus University Medical Center (Erasmus MC)
The Erasmus MC is one of the largest academic EP centres in the Netherlands. There are five electrophysiologists and two 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.
Willem Einthoven centre for cardiac arrhythmia research and management
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 programme for AF management includes both extensive substrate modification during catheter ablation and thoracoscopic mini-MAZE surgery.
Our two 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
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.
OLVG Heart Center
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 are four cath labs.
Arrhythmology, Pacing & Electrophysiology Unit - Central Lisbon University Hospital
- Recognised centre since 16 October 2018
- Contact: Prof Mário M. Oliveira, MD, PhD, FESC, FHRS, FACC
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 two senior EPs, two younger EPs (EHRA certified), one part-time CIED specialist and two 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 "Prof. Dr George I. M. Georgescu"
- Recognised centre since 1 March 2017
- Contact: 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 five 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.
"Carol Davila" university of Medicine ad Pharmacy Cardiology Department - ClinicalElectrophysiology and cardiacPacing Laboratory Clinical Emergency hospital
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 two fellows.
Interventional Cardiology Center
The Interventional Cardiology Center has access to 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 one week to two 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.
University Medical Centre Ljubljana
Electrophysiology centre at University medical centre Ljubljana is the largest EP centre in the country. We are a tertiary-care and national referral centre for the complex arrhythmia management and CIED implantations. There are two EP labs. Both are equipped with 3-D navigation system (CARTO 3, version 6 with Confidence and Ablation index modules, and NavX Precision), and Cryoablation system. More than 600 ablation procedures per annum are performed by a staff of five electrophysiologists. A whole range of arrhythmia treatment, including pediatric, extensive AF programme (ICE based fluoroless, and cryoballoon procedures), and endocardial/epicardial ablation of VT in structural heart disease, is provided. In addition, in cooperation with cardiovascular surgeons, we provide a hybrid endoscopic surgical and catheter ablation of long-lasting persistent AF. There are approximately 700 CIED implantations performed annually including pacemakers, ICDs (transvenous and subcutaneous), CRTs, leadless PMs, and only recently His bundle pacing. We regularly provide an EP-fellowship programme for invasive cardiac electrophysiology within the cardiology training programme.
University Hospital Clinic of Barcelona
The Arrhythmia Section of the Hospital Clinic of Barcelona runs a busy programme with a high volume of procedures with three 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 four 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.
Arrhythmia Unit, Hospital Clínico San Carlos
- Recognised centre since 12 October 2017
- Contact: Uarritmias.firstname.lastname@example.org
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 four labs (two at HCSC and two 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
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.
Cardiocentro Ticino Institute - Ente Ospedaliero Cantonale
The EP and CP training program covers all aspects of electrophysiology and management of complex cardiac arrhythmias including catheter ablation, electroanatomic mapping, implantation of cardiovascular electronic devices and cardiac resynchronization therapy. The cardiogenetic program offers the possibility to be fully involved in the management of inherited arrhythmia syndromes and cardiomyopathies (cardiogenetics).
University Hospital of Basel
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 four formally US-trained electrophysiologists.
University Hospital Zurich
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 five full-time and two 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.
Dokuz Eylul University, Heart Rhythm Management Centre
Kocaeli University Hospital, Arrhythmia Unit
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 three 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 programmes with duration from one week to six months.
Hacettepe University, Department of Cardiology, Electrophysiology Unit
- Recognised centre since 3 September 2019
- Contact: Assoc. Prof. Dr. Hikmet Yorgun ; Prof. Dr. Kudret Aytemir
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 two 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 three 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.
Morriston Regional Cardiac Centre
Morriston Regional Cardiac Centre is a large tertiary centre serving a population of 1.2 million from South West Wales, UK. We have three catheter labs (one fully-dedicated EP, two used for coronary / structural heart interventions and devices) and one pacing lab for simple pacemaker implantations. In addition, we have the benefit of a fully functional cardiothoracic surgical unit on-site. We perform over 650 new device implantations / year (including >150 CRTs, and >100 ICDs), and over 250 ablation procedures / year (including >100 AF/AT ablations, and >20 VTs / year). AF is treated using both Cryo and Radiofrequency ablation, and 3D mapping is performed using the NavX Precision system. There is dedicated nursing support for electrophysiology and cardiac device assessment and follow-up, heart failure and inherited cardiac diseases.
Edinburgh Heart Centre
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.