Gonzalez Corcia M Cecilia, Cohen Mitchell I, Paul Thomas, Skinner Jonathan R, Shah Maully
Department of Paediatric Cardiology, Bristol Royal Hospital for Children, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Department of Pediatric Cardiology, Inova Children's Hospita, Virginia Commonwealth School of Medicine. Fairfax, VA, USA.
Cardiol Young. 2022 Dec;32(12):1989-1993. doi: 10.1017/S1047951122000014. Epub 2022 Apr 1.
The Pediatric and Congenital Electrophysiology Society (PACES) is a global organisation committed to the care of children and adults with CHD and arrhythmias.
To evaluate the global needs and potential inequities as it relates to cardiac implantable electronic devices.
ARROW (Assessment of Rhythm Resources arOund the World) is an online survey about cardiac implantable electronic devices, sent electronically to physicians within the field of Cardiology, Pediatric Cardiology, Electrophysiology and Pediatric Electrophysiology.
ARROW received 42 responders from 28 countries, 50% from low-/middle-income regions. The main differences between low-/middle- and high-income regions include availability of expertise on paediatric electrophysiology (50% versus 93%, p < 00.5) and possibility to perform invasive procedures (35% versus 93%, p < 0.005). Implant of devices in low-income areas relies significantly on patient's resources (71%). The follow-up of the devices is on the hands of paediatric cardiologist/electrophysiologist in higher resources centres (93% versus 50%, p < 0.05).
The ARROW survey represents an initial assessment of the geographical characteristics in the field of Pediatric Electrophysiology. The next step is to make this "state of the art" more extensive to other aspects of the expertise. The relevance of collecting this data before the World Congress of Pediatric Cardiology and Cardiac Surgery (WCPCCS) in 2023 in Washington DC was emphasised in order to share the resulting information with the international community and set a plan of action to assist the development of arrhythmia services for children within developing regions of the world.
儿科与先天性电生理学会（PACES）是一个致力于照顾患有先天性心脏病和心律失常的儿童及成人的全球性组织。
评估与心脏植入式电子设备相关的全球需求和潜在的不平等情况。
ARROW（全球心律资源评估）是一项关于心脏植入式电子设备的在线调查，通过电子邮件发送给心脏病学、儿科心脏病学、电生理学和儿科电生理学领域的医生。
ARROW收到了来自28个国家的42名受访者的回复，其中50%来自低收入/中等收入地区。低收入/中等收入地区与高收入地区之间的主要差异包括儿科电生理专业知识的可获得性（50%对93%，p<0.05）以及进行侵入性手术的可能性（35%对93%，p<0.005）。低收入地区的设备植入很大程度上依赖患者的资源（71%）。在资源更丰富的中心，设备的随访由儿科心脏病专家/电生理学家负责（93%对50%，p<0.05）。
ARROW调查代表了对儿科电生理学领域地理特征的初步评估。下一步是将这种“最新技术水平”扩展到专业知识的其他方面。强调了在2023年于华盛顿特区举行的儿科心脏病学和心脏外科学世界大会（WCPCCS）之前收集这些数据的相关性，以便与国际社会分享所得信息，并制定一项行动计划，以协助世界上发展中地区儿童心律失常服务的发展。
