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Invasive Cardiac Electrophysiology Certification

Certification organised by the European Heart Rhythm Association (EHRA)

The EHRA exam in Electrophysiology tests knowledge, experience, clinical expertise and proficiency of physicians specialising in the treatment of patients suffering from cardiac arrhythmias. Together with the EHRA logbook of interventional procedures/operations performed under the supervision of senior colleagues, it provides the basis for the EHRA certification exam in Electrophysiology.

The 2019 EHRA EP exam has been delivered in Lisbon in conjunction with EHRA Congress. 

Registration is closed.

To encourage a high standard of knowledge and clinical expertise and to enable physicians to provide their patients with the best and most advanced standard of treatment, we envisage a successful EHRA certification process to serve as a sign of excellence for the physician. To achieve and maintain the quality level of the exam we focus our efforts on improving the number, content, layout, and statistical power of the questions.

We strongly recommend physicians who wish to go through the EHRA certification process to acquire knowledge and clinical experience before attending the exam

A short questionnaire asking for details of the candidates’ clinical background will be part of the registration process for the exam.

EHRA EP exam

2019 EHRA EP Certification exam has been held in Lisbon, Portugal, during EHRA Congress on 16 March 2019.


Centro de Congressos de Lisboa
Praça de Indústrias
1300-307 Lisbon, PT


Check-in candidates: 7:30am - 8:45am
Instruction to candidates: 8:45am - 9:00am
Exam: 9:00am - 4:00pm (45mn lunch break).

*EHRA reserves the right to modify this schedule if required. We strongly recommend candidates to plan return late flights.

Please review the Terms and Conditions


Due to the exam room capacity, registrations will be managed on a first come first served basis.
We encourage you to register online as early as possible to guarantee a seat.

Registration for all ESC administered exams closes ten days before the examination with no exceptions.
However, registration may close earlier when the exam room capacity is reached.

  • Non-member first time fee:  €750
  • Non-member Re-sit fee:  €438**
  • Member first time fee: €625*
  • Member Re-sit fee: €375**

*To benefit from member fees you must be a validated member before registering for the exam. This fee is only available for Silver, Ivory and Gold members.

**Please note that the resit fee is reserved just for candidates who have sat and failed the exam in the past and cannot be used by candidates under any other circumstances

Please note that:

  • there is no on-site registration.

Cancellation policy

If you wish to cancel your registration to the Certification exam, you must contact us. The EHRA cancellation policy is as detailed below:

  • Up to 6 weeks before the exam: 100% refund
  • From 6 to 4 weeks: 50% refund
  • Within four weeks: no refund
  • No show: no refund

In the case of unforeseen circumstances (such as a death in the family, on-call at the hospital, accident involving the candidate), a proof document will be required, and you will be refunded the entire registration fee.

If EHRA is to cancel the exam, the full registration fee will be refunded. However, EHRA is not liable for any cost incurred by the cancellation of accommodation and travel arrangements.


Those interested in taking a certification exam will be asked, during the registration process, to provide:

  • Copy of their medical diploma (MD) issued by a National Health Authority (sent as pdf document labelled to their name - i.e., MD_Name-Surname)

To achieve certification as an EHRA certified electrophysiology specialist (ECES) candidate must complete the two levels:

  1. Level 1: Pass the exam (in English) consisting of multiple choice questions, held during EHRA's annual congress. 
  2. Level 2: Pass the exam and document practical experience: Once the exam is passed a Logbook must be submitted three years* after sitting the exam.

*The requirements will change for candidates sitting the exam from 2014. Please see below.

The exam

The examination is designed to be completed in two consecutive parts three hours each, with a 60-minute lunch break.

EHRA reserves the right to modify the above schedule if required. If travelling after the exam, we strongly recommend candidates to plan for after exam late flights (not before 8:00 pm).

Participants are required to sign in at least 30 minutes before the start of the exam for check-in and to present:

  • Their information letter (sent during the registration process)
  • Identity card/Passport to confirm their identity

After the exam participants will have to hand in all their exam material and sign out.

The questionnaire is compiled by the EHRA Certification Committee and consists of 130 multiple-choice questions. The statistical performance of each MCQ is analysed, and the 10 least discriminating MCQs are not taken into account. The candidates' final score is therefore derived from 120 MCQs only. The pass mark is pre-determined using a validated standard-setting process. 

Questions are based on the analysis of practical clinical cases and decision making (60-80%), with the remaining dedicated to theoretical questions.

There is no appeal procedure after the examination. 

Exam results are sent by email two months after the exam is sat.
Upon successful completion of the exam, candidates will receive an ECES Level 1 Certificate valid for ten years.  

As skills can only be maintained by continued education and practical involvement, certification is granted for ten years. Afterwards, they can renew their certification by re-sitting the exam.

The logbook

Once candidates have passed the exam (achieving Level 1), they can then apply for Level 2 by proving their practical experience in the field. The access to the e-logbook platform is granted to the candidate only after having successfully passed the written exam. 


NEW: New regulations have been validated by the EHRA Certification committee. These are compulsory for all candidates sitting the electrophysiology (EP) exam from 2019 on and can be followed by those who have taken the exam in 2018.

Documents to submit (new regulations from 2018)

The procedures must be performed within a period of 36 consecutive months - these 36 months can be taken anytime from two years before up to two years after the date of the exam:

You have to perform a minimum of 200 EP procedures with a significant amount of catheter manipulation and interpretation of the electrograms.

Diagnostic EP procedures, where no ablation is performed, can also be included in the total number of cases. However, a diagnostic EP study conducted in the context of ablation cannot be included in the logbook as a separate procedure.

EP procedures must include at least the minimum number from each of the ablation categories listed below:

Ablation categories

  • AVNRT - 15
  • Accessory pathway (concealed or manifest) - 15
  • Cavo-Tricuspid Isthmus (CTI) for typical atrial flutter - 25
  • Non-CTI atrial tachycardia - focal or reentrant - 10
  • AV node - ablation - 5
  • AF ablation - 50
  • VT/PVC ablation in normal hearts - 5
  • VT/PVC ablation in structural heart disease - 5
Documents to submit (old regulations before 2018)

The following items have to be performed within a period of 24 consecutive months - these 24 months can be taken anytime from two years before up to two years after the date of the exam:

    • Letter of Endorsement from the National Society
    • Letter of support from a Supervisor
    • EP diagnostic procedures list 100 diagnostic EP studies - standalone or before ablation
    • EP ablation procedures list 100 catheter ablations as the first operator. These must consist of:
      • 50 standard ablation including
        • His bundle - max 5
        • AVNRT - min 15, max 25
        • AVRT - min 15, max 25
        • RA atrial tachycardias - min 5, max 10
        • cavo-tricuspid atrial flutter - min10, max 25
        • idiopathic RVOT VT - min 5, max 10 
      • 50 complex ablation at least 30 of which are atrial fibrillation ablation - including transseptal puncture. 

As security, candidates must keep a copy of their logbook.

A grader from the EHRA certification committee will grade the logbook. The review process should take around two months. The final results are sent by email.

Upon successful completion of the logbook process, candidates will receive an ECDS Level 2 Certificate valid for ten years.

How to prepare for the examination

EHRA offers the possibility to follow educational courses. Attending the courses may also enable participants to get further knowledge to sit and pass the certification examination.

Topic distribution of the examination questions

Suggested reading list

Core Curriculum

Download a copy of the Core Curriculum.

Sample Questions

Download the EP Samples MCQs.

For any information on the EHRA Certification examinations, please contact us.

EHRA Certified Electrophysiology Specialist (ECES)

The EHRA certification is valid for ten years.

Find below the list of professionals who are certified by EHRA in electrophysiology. Discover who they are and where they come from.


List of EHRA certified electrophysiology specialist (ECES) 


Frequently asked questions


EHRA EP Certification FAQ