Evidence map›Paper›PMID 37498147›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2023

Occupational radiation exposure of electrophysiology staff with reproductive potential and during pregnancy: an EHRA survey.

Raquel Adeliño, Katarzyna Malaczynska-Rajpold, Laura Perrotta, Martin Manninger, Philippe Vanduynhoven, Martina Nesti, Emilia-Violeta Goanță, Victor Waldmann, Nikola Pavlovic, Michal M Farkowski and 4 more

Open access · hybridAbstract readComment
In one paragraph

Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Digitally assisted learning in cardiac electrophysiology and cardiac implantable electronic devices: a Scientific Statement of the European Heart Rhythm Association of the ESC.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Review
  4. Fluoroscopy-minimization strategy for catheter ablation of Supraventricular Tachycardia by wOmen OPerators: the STOOP Multicentre Registry.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  5. [Compatibility of family and cardiac electrophysiology].Herzschrittmachertherapie & Elektrophysiologie · 2025
    Article
  6. Occupational Health Hazards in the Cardiac Catheterization Laboratory: Results of the 2023 SCAI Survey.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  7. Article
  8. Radiation Exposure and Protection for (Assumed) Pregnant Interventional Cardiologists and Electrophysiologists.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  9. Article
  10. Utilization of and perceived need for simulators in clinical electrophysiology: results from an EHRA physician survey.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  11. Utilization of and perceived need for simulators in clinical electrophysiology: results from an EHRA physician survey.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 14 institutions in 10 countries.

Raquel AdeliñoArrhythmia Unit, Cardiology Department, Vall d'Hebron University Hospital, Pg. de la Vall d'Hebron 119, 08035 Barcelona, Spain.ORCID 0000-0002-8843-9370
Katarzyna Malaczynska-RajpoldRoyal Brompton & Harefield Hospitals, Guy's & St Thomas (NHS Foundation Trust), Sydney st., London SW3 6NP, UK.ORCID 0000-0002-9049-546X
Laura PerrottaArrhythmia Unit, Department of Cardiothoracovascular Medicine, Careggi University Hospital, Largo Giovanni Alessandro Brambilla, 3, 50134 Florence, Italy.
Martin ManningerDivision of Cardiology, Department of Medicine, Medical University of Graz, Auenbruggerpl. 2, 8036 Graz, Austria.ORCID 0000-0002-0545-4373
Philippe VanduynhovenDepartment of Cardiology, Arrhythmia Clinic, Algemeen Stedelijk Ziekenhuis Aalst, Merestraat 80, 9300 Aalst, Belgium.ORCID 0000-0002-4630-7927
Martina NestiArrhythmia Unit, Fondazione Toscana Gabriele Monasterio, via Moruzzi 1, 56124 Pisa, Italy.ORCID 0000-0001-8995-3884
Emilia-Violeta GoanțăCardiology Department, 'Victor Babes' University of Medicine and Pharmacy, 2 Eftimie Murgu 2, Timisoara 300041, Romania.
Victor WaldmannCardiology Department, European Georges Pompidou Hospital, 20 Rue Leblanc, 75015 Paris, France.ORCID 0000-0001-8057-1900
Nikola PavlovicDepartment of Cardiology, Dubrava University Hospital, Avenija Gojka Šuška 6, 10000 Zagreb, Croatia.ORCID 0000-0001-9187-7681
Michal M FarkowskiII Department of Heart Arrhythmia, National Institute of Cardiology, Alpejska 42, 04-628 Warsaw, Poland.ORCID 0000-0003-1673-7712
Jose M GuerraDepartment of Cardiology, Hospital de la Santa Creu i Sant Pau, Sant Quintí, 89, 08025 Barcelona, Spain.ORCID 0000-0001-5397-9177
Diego PenelaHeart Institute, Teknon Medical Center, Vilana nº 12, 08022 Barcelona, Spain.ORCID 0009-0009-7221-4829
Serge BovedaCardiology-Heart Rhythm Management Department, Clinique Pasteur, 45 Avenue de Lombez - BP 27617 - 31076, 31300 Toulouse, France.ORCID 0000-0002-1280-7042
Julian K R ChunCardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Agaplesion Markus Krankenhaus, Im Prüfling 23, 60389 Frankfurt am Main, Germany.ORCID 0000-0002-2355-6015
Agaplesion Bethanien Krankenhaus · DEAzienda Ospedaliero-Universitaria Careggi · ITClinique Pasteur · FRFondazione Toscana Gabriele Monasterio · ITGuy's and St Thomas' NHS Foundation Trust · GBHôpital Européen Georges-Pompidou · FRHospital Quirón Teknon · ESInstitute of Cardiology · PLMedical University of Graz · ATOnze Lieve Vrouwziekenhuis Hospital · BEUniversitat Autònoma de Barcelona · ESUniversity Hospital Dubrava · HRVall d'Hebron Hospital Universitari · ESVictor Babeș University of Medicine and Pharmacy Timișoara · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsElectrophysiology (EP) is a growing field in cardiology, with an increasing involvement of young people. Nevertheless, concerns about radiation exposure and its impact on reproduction and pregnancy may discourage the choice of an EP career. The study is aimed at investigating the level of awareness and main sources of concern about the effects of radiation on reproductive potential and pregnancy, exploring the safety measures adopted in different EP labs, and verifying the adherence to the current guidelines. METHODS AND

resultsAn online survey was conducted using the European Heart Rhythm Association (EHRA) infrastructure from April to June 2022. A total of 252 EP personnel (42% women) participated, from 50 countries and different professional roles. Most participants expressed concerns regarding the effects of radiation on reproductive capacity (67.1%) and offspring diseases (68.2%). Only 37.9% of participants were aware of the EHRA 2017 consensus document about occupational radiation exposure. Most participants (80.9%) considered that occupational radiation during pregnancy is not safe. EP female staff were not allowed to work in the EP lab during pregnancy in 48.1% of cases. Zero-fluoroscopy was the preferred choice to continue working in the EP lab during pregnancy.

conclusionEP staff, including both men and women, have concerns about the effects of radiation on reproductive capacity. Despite the recommendations issued by international bodies, implementation of the policies regarding pregnancy and occupational radiation exposure is heterogeneous. Zero-fluoroscopy is the preferred approach to ensure safety during pregnancy in the EP lab.

Indexed as

Occupational ExposureRadiation ExposureRadiation InjuriesAdolescentCardiac ElectrophysiologyFemaleHumansMalePregnancyRadiation DosageReproductionSurveys and QuestionnairesEHRA surveyEP staffOccupational healthPregnancyRadiation exposureRadioprotectionReproductive capacityYoung electrophysiologists

Identifiers

PMID37498147
PMCPMC10401324
OpenAlexW4385295241

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.