Russo Vincenzo, Nesti Martina, Brunacci Michele, Tola Gianfranco, Santobuono Vincenzo Ezio, Dendramis Gregory, Picciolo Giuseppe, Lucciola Maria Teresa, D'Onofrio Antonio, Ricci Renato, de Ponti Roberto
University of Campania 'Luigi Vanvitelli' - Monaldi Hospital, Naples.
San Donato Hospital of Arezzo, Arezzo.
J Cardiovasc Med (Hagerstown). 2021 Oct 1;22(10):744-750. doi: 10.2459/JCM.0000000000001169.
Over the past three decades, cardiac electrophysiology and pacing, including device therapy and catheter ablation of arrhythmias, has rapidly developed as a subspecialty in cardiology. Currently, there is no clear perception about the needs in cardiac electrophysiology and pacing among early-career cardiologists.
To address these concerns, the Young Committee of the Italian Association of Arrhythmology and Cardiac Pacing (AIAC) carried out a survey among those under the age of 40 years to obtain detailed information on practical activities and formal lessons during the fellowship in cardiology and their satisfaction and proficiency level at the end of the fellowship.
We obtained 334 answers to the survey. In invasive cardiac electrophysiology and pacing, the percentage of participants attending the activity for a longer time (3-6 months) is lower compared with those in noninvasive subspecialties. About 40% of participants did not receive lessons on interventional cardiology, cardiac electrophysiology and pacing. On the contrary, 71% of participants received an adequate number of lessons on clinical arrhythmology. The vast majority of the participants expressed satisfaction for the education received in the echocardiographic, cardiac interventional laboratories and clinical arrhythmology, but about half of the participants were unsatisfied with the education received in cardiac electrophysiology and pacing. In interventional arrhythmology, the majority of the participants declare their lack of proficiency with two peaks for more complex procedures, namely interventional electrophysiology procedures (82%) and cardiac resynchronization therapy (CRT) procedures (76%).
The present survey among Italian early-career cardiologists suggests that the majority of participants consider themselves not confident in performing cardiac electrophysiology and pacing procedures. Due to the complexity of the treatment for heart rhythm disorders and the long learning curve, structured additional training in cardiac electrophysiology and pacing procedures is required after cardiology fellowship.
在过去三十年中，心脏电生理学与起搏，包括器械治疗和心律失常的导管消融，已迅速发展成为心脏病学的一个亚专业。目前，早期职业心脏病专家对心脏电生理学与起搏方面的需求尚无清晰认识。
为解决这些问题，意大利心律失常与心脏起搏协会（AIAC）青年委员会对40岁以下的人员进行了一项调查，以获取有关心脏病学进修期间实际活动和正规课程的详细信息，以及他们在进修结束时的满意度和熟练程度。
我们获得了334份调查问卷的回复。在有创心脏电生理学与起搏方面，参与时间较长（3 - 6个月）的参与者比例低于无创亚专业的参与者。约40%的参与者未接受过介入心脏病学、心脏电生理学与起搏方面的课程。相反，71%的参与者接受了足够数量的临床心律失常课程。绝大多数参与者对在超声心动图、心脏介入实验室和临床心律失常方面接受的教育表示满意，但约一半的参与者对心脏电生理学与起搏方面接受的教育不满意。在介入性心律失常方面，大多数参与者表示自己在更复杂的手术方面缺乏熟练程度，其中两个高峰分别是介入电生理手术（82%）和心脏再同步治疗（CRT）手术（76%）。
本次对意大利早期职业心脏病专家的调查表明，大多数参与者认为自己在进行心脏电生理学与起搏手术方面缺乏信心。由于心律紊乱治疗的复杂性和较长的学习曲线，心脏病学进修后需要在心脏电生理学与起搏手术方面进行有组织的额外培训。
