Task Force 6: training in specialized electrophysiology, cardiac pacing, and arrhythmia management: endorsed by the Heart Rhythm Society.

摘要

Clinical cardiac electrophysiology and cardiac pacing have merged into a common cardiac subspecialty discipline. Today, complex cardiac arrhythmias are managed by physicians with special expertise in cardiac electrophysiology, the use of implantable pacemakers and implantablecardioverter-defibrillators (ICDs), and the application of other interventional techniques and treatments. Non-pharmacologic therapy also includes electrophysiologic mapping and subsequent catheter or surgical ablation as standard treatment for certain tachyarrhythmias.In addition, antiarrhythmic agents with diverse mechanisms of action are often used therapeuticallyalone or in conjunction with cardiac implantable electrical devices.In 1986, a Task Force 6 report on training in cardiac pacing was published as a result of Bethesda Conference 17 on adult cardiology training. In 1991, a training statement recommending guidelines for training in adult clinical cardiac electrophysiology was published. In 1995, a task force combined these two closely related disciplines to reflect the current merging of science, art, and the practice of clinical cardiac electrophysiology. In 2002, updated recommendations were published. The current task force is charged with updating these training guidelines based on changes in the pacing and cardiac electrophysiology field since that time.