Effect of Single Bolus Injection of Hydrocortisone for Prevention of Atrial Fibrillation Recurrence after Radiofrequency Catheter Ablation

Introduction: There is no international data on allied professionals (APs) practice in electrophysiology (EP) and cardiac device management (CRM). Methods: A 38-item survey on: role identity, work, education and professionalism, was distributed. Regions were divided into 4 groups (G) (1=North America 2=Asia 3= Europe 4=Others). Group differences were compared. Thematic content analysis was conducted on concepts of practice. Results: There were 307 respondents (R) from 23 countries, 19 R were excluded. Of 288 R, there were more nurses in G1 G2 regions and more technologists in G4 (p<0.01), most learned by self study (64%) or on-the-job training (86%). Compared to G1, APs in other regions were more likely to be cross-trained from other areas (44% vs 77%) and spent less time in EP CRM work (83% vs 63%). This created a greater uncertainty in their job identity or remaining in the profession, and a larger sense of need for professional societies to elevate their practice. The strongest common theme across regions is the lack of recognition or experience, and the need for standardized education and continuous education due to technology advancements in the field. Conclusions: Regional differences exist in AP perceptions of practice. This is an opportunity for international collaboration to improve the professional identity and education in EP CRM.