Kuck Karl-Heinz, Wissner Erik, Metzner Andreas
Abteilung für Kardiologie, Asklepios-Klinik St. Georg, Hamburg, Germany.
Rev Esp Cardiol (Engl Ed). 2012 Jan;65(1):92-6. doi: 10.1016/j.recesp.2011.10.005. Epub 2011 Nov 29.
Arrhythmia and cardiac electrophysiology services are an innovative and fast-growing branch of clinical cardiology. Initiating an arrhythmia unit involves proper selection of personnel, as well as technical, structural, and organizational requirements. Proper selection of personnel includes specialized and well-trained physicians, nurses, and medical technicians in the electrophysiology laboratories and on the hospital wards. Standard electrophysiology laboratories must support the full spectrum of catheter-based diagnosis and therapies of cardiac arrhythmias. This includes state-of-the-art fluoroscopy and 3-dimensional mapping systems used during complex procedures such as catheter ablation of atrial fibrillation or ventricular tachycardia. Furthermore, technical requirements need to support pacemaker and defibrillator implantation as one of the core tasks of a specialized arrhythmia unit. Outpatient clinics should fulfill technical capabilities to perform a diverse spectrum of pre-and postinterventional diagnostics, guaranteeing proper patient follow-up. Structural requirements should focus on close physical integration of individual functional units allowing for an effective and safe workflow. Finally, organizational requirements such as networking between arrhythmia specialists and referring physicians and hospitals are essential for patient recruitment and high-quality postdischarge patient care. Regular educational programs for physicians, nurses, and technicians are essential in such an innovative and fast-growing field of cardiology.
心律失常与心脏电生理服务是临床心脏病学中一个创新且快速发展的分支。启动一个心律失常单元涉及人员的合理选拔，以及技术、结构和组织方面的要求。人员的合理选拔包括在电生理实验室和医院病房配备专业且训练有素的医生、护士和医学技术人员。标准的电生理实验室必须支持基于导管的各种心律失常诊断和治疗。这包括在诸如房颤或室性心动过速导管消融等复杂手术过程中使用的先进荧光透视和三维标测系统。此外，技术要求需要支持起搏器和除颤器植入，这是专门的心律失常单元的核心任务之一。门诊诊所应具备进行各种介入前和介入后诊断的技术能力，以确保对患者进行适当的随访。结构要求应注重各个功能单元的紧密物理整合，以实现有效且安全的工作流程。最后，心律失常专家与转诊医生及医院之间的联网等组织要求对于患者招募和高质量出院后患者护理至关重要。在这样一个创新且快速发展的心脏病学领域，为医生、护士和技术人员开展定期教育项目至关重要。
