Ehra White Book 2015 Web Final 1

Albania . Algeria . Armenia . Austria . Azerbaijan . Belarus . Belgium . Bosnia & Herzegovina . Bulgaria .
Croatia
Cyprus . Czech Republic . Denmark . Egypt . Estonia . Finland . France . Georgia . Germany . Greece . Hungary
Iceland . Ireland . Israel . Italy . Kazakhstan . Kosovo . Kyrgyzstan . Latvia . Lebanon . Libya . Lithuania . Luxembourg
Macedonia, FYR . Malta . Moldova . Montenegro . Morocco . Netherlands . Norway . Poland . Portugal . Romania
Russian Federation . San Marino . Serbia . Slovakia . Slovenia . Spain . Sweden . Switzerland . Syria . Tunisia . Turkey
Ukraine . United Kingdom
The EHRA White Book 2015

The Current Status of Cardiac Electrophysiology
in ESC Member Countries
K.-H. Kuck, G. Hindricks, L. Padeletti, P. Raatikainen, D.O. Arnar
www.escardio.org/EHRA
d7199 - EHRA Pub Membership New Design.indd 1 11/09/2014 12:18
Prof. Karl-Heinz Kuck Prof. Gerhard Hindricks
EHRA President (2013-2015) EHRA President Elect (2015-2017)
Prof. Luigi Padeletti Prof. Pekka Raatikainen

Chairman of the EHRA National Cardiac EHRA White Book 2015 Sub-Committee Chair,
Societies Committee (2013-2015) Member of the EHRA National Cardiac Societies
Committee (2013-2015)
Prof. David O. Arnar

EHRA White Book 2015 Sub-Committee
Co-Chair, Member of the EHRA National
Cardiac Societies Committee (2013-2015)
3 . The EHRA White Book 2015

Acknowledgements
EHRA would like to express its appreciation to BIOTRONIK SE & Co. KG
for their continuing support to the EHRA White Book.

Preface – The EHRA White Book 2015
The eighth edition of the White Book of the European Heart Rhythm Association (EHRA) provides comprehensive data on
electrophysiological procedures and implantation of cardiac implantable electronic devices (CIEDs) in the European Society of
Cardiology (ESC) area. The White Book has become a key reference for those seeking information about invasive arrhythmia
therapies. No other publication provides up-to-date information on the procedure numbers and educational requirements along
with key demographic information and national healthcare statistics.
Since its founding, the spirit and methodology of the White Book project has remained unchanged, although the questionnaire
and the data collected has been revised and refined each year.
The EHRA White Book represents a successful and tangible attempt by the leading European professional arrhythmia society to
serve its principal mission - to improve the quality of life of the European population by reducing the impact of cardiac arrhythmias
and reduce sudden cardiac death. The EHRA White Book is an important reference to monitor the yearly status of treatment of
arrhythmia in ESC countries as well as to identify possible obstacles to ESC Guidelines implementation in each country.
The data collection is mostly the result of voluntary participation of each National Working Group on Arrhythmias or the National
Cardiac Societies. In the vast majority of the ESC countries, well established centralized databases of both CIEDs and catheter
ablation procedures do exist. The databases are often created and maintained by the National Working Group on Arrhythmias
and Electrophysiology and/or the National Cardiac Society. However, in some ESC countries no registries are available and the data
may be limited. In these cases estimates are provided and clearly indicated where this is the case. The EHRA White Book might serve
as motivation and a template for these countries to adopt a systematic approach to collect key data on arrhythmia therapy. Despite
the heterogeneous source of information, there is consistency in the data collection over the years that enables comparison on
a year to year basis. EHRA is very grateful to all National Working Groups for their continuous support and contribution to White
Book. This year’s edition includes data from 52 countries of the 56 ESC countries.
The EHRA White Book has been made possible thanks to the efforts of several key contributors. Prof. Christian Wolpert and Prof.
Panos Vardas deserve special mention as the founding fathers of the EHRA White Book, the chairs and co-chairs of national
Working Groups / National Cardiac Societies of the 56 ESC countries, the EHRA staff at the European Heart House, and last but
not least the project sponsor, BIOTRONIK SE & Co. KG company and in particular Robert Wüstenberg and Anja Thümen. To all of
them, we extend our deepest gratitude and appreciation.
n Prof. Karl-Heinz Kuck, EHRA President (2013-2015)

n Prof. Gerhard Hindricks, EHRA President Elect (2015-2017)
n Prof. Luigi Padeletti, Chairman of the EHRA National Cardiac Societies Committee (2013-2015)
n Prof. Pekka Raatikainen, EHRA White Book 2015 Sub-Committee Chair,
Member of the EHRA National Cardiac Societies Committee (2013-2015)

n Prof. David O. Arnar, EHRA White Book 2015 Sub-Committee Co-Chair,
Member of the EHRA National Cardiac Societies Committee (2013-2015)

Table of Contents
1. List of Authors 8
2. Scope and Methodology 13
3. Sources for Demographic Information 15
4. ESC Countries Overview 18

Albania 19
Algeria 29
Armenia 39
Austria 49
Azerbaijan 59
Belarus 69
Belgium 79
Bosnia & Herzegovina 89
Bulgaria 99
Croatia 109
Cyprus 119
Czech Republic 129
Denmark 139
Egypt 149
Estonia 159
Finland 169
France 179
Georgia 189
Germany 199
Greece 209
Hungary 219
Iceland 229
Ireland 239
Israel 249

Table of Contents
Italy 259
Kazakhstan 269
Kosovo 279
Kyrgyzstan 289
Latvia 299
Lebanon 309
Libya 319
Lithuania 320
Luxembourg 330
Macedonia FYR 340
Malta 350
Moldova 360
Montenegro 361
Morocco 371
Netherlands 381
Norway 391
Poland 401
Portugal 411
Romania 421
Russian Federation 431
San Marino 441
Serbia 442
Slovakia 452
Slovenia 462
Spain 472
Sweden 482
Switzerland 492
Syria 502
Tunisia 503
Turkey 513
Ukraine 523
United Kingdom 533
5. Appendix – EHRA Certification 543

1. List of Authors

1. List of Authors
EHRA would like to express a sincere thank you to those below who took their time collecting,
researching and compiling valuable information about their current status of treatment of arrhythmias.
They should be considered coauthors of this book:
Albania
Dr. Naltin Shuka
with special thanks to: Dr. Vilma Paparisto, Prof. Artan Goda, Dr. Ormir Shurdha
Algeria
Prof. M.Tayeb Chentir Assoc. Amel Boudrifa
Armenia
Prof. Svetlana Grigoryan Prof. Ashot Hovhannisyan Dr. Zara Kartoyan
Austria
Dr. Markus Stühlinger Prof. Daniel Scherr
Azerbaijan
Assoc. Prof. Farid Aliyev
Belarus
Assoc. Prof. Alexandr Chasnoits
with special thanks to: Dr. Alexander Paceev
Belgium
Dr. Yves Vandekerckhove
Bosnia and Herzegovina

Prof. Boris Goronja Dr. Elnur Tahirovic Dr. Ivica Markota
with special thanks to: Dr. Dragan Uncanin, Prof. Elmir Jahic, Dr. Adnan Delic
Bulgaria
Prof. Svetoslav Iovev Prof. Tosho Balabanski
with special thanks to: Dr. Vassil B. Traykov
Croatia
Dr. Šime Manola RN, BSN, MSN Ivica Benko
Cyprus
Dr. Panayiotis Avraamides
with special thanks to: Dr. Pantelis Kourtelaris, Dr. Evagoras Economides, Dr. Eleftherios Nicolaides
Czech Republic
Dr. Robert Cihak Dr. Milos Taborsky Dr. Petr Neuzil

1. List of Authors
Denmark
Assoc. Prof. Henrik Kjaerulf Jensen
Egypt
Assoc. Prof. Mazen Tawfik Assoc. Prof. Tamer Fahmy Assoc. Prof. Rania Samir
with special thanks to: Prof. Wagdy Galal
Estonia
Dr. Jüri Voitk Dr. Indrek Roose
Finland
Prof. Pekka Raatikainen Dr. Sami Pakarinen
France
Dr. Olivier Piot
Georgia
Dr. Giorgi Papiashvili
Germany
Dr. Christopher Piorkowski
Greece
Assoc. Prof. Emmanuel Simantirakis
Hungary
Dr. Marcell Clemens Dr. Gábor Duray
Iceland
Dr. Sigfus Gizurarson Prof. David O. Arnar Johanna S. Gunnlaugsdottir
Ireland
Dr. David Keane
Israel
Dr. Roy Beinart
Italy
Dr. Giovanni Luca Botto Prof. Giuseppe Boriani Prof. Luigi Padeletti
with special thanks to: Alessandro Proclemer, Massimo Zecchin, Antonio D´Onofrio
Kazakhstan
Prof. Ayan Abdrakhmanov Prof. Salim Berkinbayev
Kosovo
Assoc. Prof. Gani Bajraktari Dr. Artan Ahmeti

1. List of Authors
Kyrgyzstan
Prof. Erkin Mirrakhimov Dr. Alina Kerimkulova
Latvia
Prof. Oskars Kalejs Dr. Maija Vikmane Dr. Kaspars Kupics
with special thanks to: Dr. Janis Pudulis, Dr. Aldis Strelnieks
Lebanon
Antoine Kossaify Nicolas Moussallem
Lithuania
Prof. Germanas Marinskis Prof. Aras Puodziukynas Dr. Ausrius Poviliunas
Luxembourg
Dr. Camille Pesch Dr. Carlo Dimmer Dr. Laurent Groben
Macedonia FYR
Dr. Nikola Gjorgov Dr. Lidija Poposka
Malta
Dr. Mark Sammut
with special thanks to: Joseph Debono, Dr. Terence Tilney, Michelle Cassar
Montenegro
Prof. Ljilja Music Dr. Mihailo Vukmirovic Ass. Vesna Kontic
with special thanks to: Enes Vatic
Morocco
Prof. Salima Abdelali Dr. Siham Essadki
with special thanks to: Dalila Douhab, Najat Bourhim, El Jai Hanane
Netherlands
Dr. Michael Scheffer Dr. Lucas Boersma
Norway
Dr. Erik Kongsgaard Dr. Eivind S. Platou
Poland
Prof. Jarosław Kazmierczak
Portugal
Dr. Francisco Morgado

1. List of Authors
Romania
Assoc. Prof. Alexandru Deutsch Dr. Mihaela Grecu Prof. Gheaorghe Andrei Dan
Russian Federation
Prof. Amiran Revishvili
Serbia
Prof. Siniša Pavlovic
Slovakia
Dr. Gabriela Kaliska Dr. Silvia Misikova Prof. Robert Hatala
Slovenia
Prof. Peter Rakovec
Spain
Dr. Angel Moya Dr. Ignacio Gil-Ortega Dr. Javier Alzueta
with special thanks to: Raul Coma Sanmartin
Sweden
Prof. Carina Blomström Lundqvist Dr. Milos Kesek Dr. Frederik Gadler
Switzerland
Prof. Christian Sticherling Dr. Istvan Babotai
Tunisia
Prof. Habib Haouala Prof. Abdeddayem Haggui
Turkey
Dr. Emin Evren Özcan Prof. Mesut Demir Prof. Dursun Aras
with special thanks to: Prof. Yücel Balbay
Ukraine
Prof. Oleg Sychov Dr. Artem Borodai
with special thanks to: Biskub I, Bondarchuk S, Bugaev M, Burkovskii S, Gritsai A,Doronin O, Ermuraki S,
Kachan O, Karpenko J, Klantsa A, Komiati V, Kushnir N, Lisohub S, Marcienko I, Matlah A, Malyarchuk R,
Matviichuk A, Melnitchuk M, Nikitan S, Notova G, Oleinik V, Pilipchuk V, Pohilko S, Popov S, Posudevskii S,
Pravosudovich S, Protsik V, Sakevich R, Sarazhin K, Vegulyar S, Volkov D, Zubenko K
United Kingdom
Dr. David Cunningham Dr. Nick Linker
with special thanks to: Morag Cunningham

2. Scope and Methodology

2. Scope and Methodology
The EHRA White Book 2015 is the 8th edition of a project that was launched in an attempt to understand the national
realities with regard to treatment of cardiac arrhythmias.
Every year EHRA invites all the countries member of the European Society of Cardiology to participate in this project.
Like in the past most of them have provided data for this year’s edition.
In this edition, the following sections are available for all participating countries:
1. Statistics information
2. Country
3. Healthcare system
4. Education
5. Pacemakers
6. Cardiac resynchronization therapy devices
7. Implantable cardiac defibrillator
8. Loop recorders
9. Lead extractions
10. Device specific information
11. Interventional electrophysiology
12. Guidelines
13. Sources
The 2015 EHRA White Book edition follows similar methodology as the previous editions from 2008-2014.
The data were collected by surveying national cardiology societies and working groups of cardiac pacing and
electrophysiology of each country.
The chairmen of the societies and/or working groups were responsible for compiling information about their country based
on a questionnaire. The data gathered by the societies and working groups were mainly from national registries and national
health institutions.
Simultaneously, a secondary investigation was conducted to cross verify and build the quantitative and qualitative information
contained in the book. Once the data collection was complete, the national societies or working groups were asked to
authorise the publication of the information.
All data were collected in the period from March 2015 to May 2015 and was the most recent available, at the time of the
publication. Unfortunately, some countries did not have available data for all of the sections of the book.

3. Sources for
Demographic Information

3. Sources for demographic information
The demographic information for each country was taken from the following sources:
Age pyramid
United States Census Bureau (Homepage)

URL: http://www.census.gov/ipc/www/idb/informationGateway.php
February 25, 2015
Healthcare data
∙ Hospitals (per 100 000 population)

European health for all database (HFA-DB)
URL: http://data.euro.who.int/hfadb/
February 26, 2015
∙ Beds (per 100 000 population)
February 26, 2015
∙ Density of physicians (per 1000 population)
February 26, 2015
∙ Density of nurses (per 1000 population)
February 26, 2015
Demographic information
∙ Population
February 27, 2015
∙ Population annual growth rate (%)
February 27, 2015
∙ Life expectancy at birth (in years)
February 27, 2015

3. Sources for demographic information
∙ Death rate (per 1000 population)

February 26, 2015
∙ Live births (per 1000 population)
February 26, 2015
Economic information
∙ Gross domestic product (U.S dollar-billions)

International Monetary Fund (IMF)
URL: http://www.imf.org/external/ns/cs.aspx?id=28
February 26, 2015
∙ Gross domestic product per capita (U.S dollar-units)
International Monetary Fund (IMF)
URL: http://www.imf.org/external/ns/cs.aspx?id=28
February 26, 2015
∙ Total expenditure on health as % of GDP
February 26, 2015
∙ General government expenditure on health as % of total expenditure on health
WHO -World Health Statistics Report 2013; Section 7;
February 25, 2015
∙ Private expenditure on health as % of total expenditure on health
WHO -World Health Statistics Report 2013; Section 7;
February 25, 2015

4. ESC Countries Overview

ALBANIA

Albania
1. Statistics
Age pyramid for Albania
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*
1990 or last available

Albania
Healthcare data
Hospitals (per 100.000 population) 1,4 2012
Beds (per 100.000 population) 259,3 2012
Density of physicians (per 1.000 population) 1,1 2012
Density of nurses (per 1.000 population) 5,1 1994
Population 3.020.209 2014
Population annual growth rate (%) 0,3 2014
Life expectancy at birth 78 2014
Death rate (per 1.000 population) 5,7 2004
Live births (per 1.000 population) 10,7 2011
Gross domestic product (U.S dollar-billions) 13,59 2014*
Gross domestic product per capita (U.S dollar-units) 4.900,00 2014*
Total expenditure on health as % of GDP 6,0 2012
General government expenditure on health
47,9 2011
as % of total expenditure on health
Private expenditure on health

52,1 2011
* IMF estimative

Albania
2. Country
Proportion of deaths resulting from cardiovascular disease

2013 2014
not available not available
3. Healthcare System
The central government with Ministry of Health is the overall responsible in the Albanian healthcare system. The
main actor is the National Health Insurance Fund Administration. The main source of health care financing
is the health insurance contributions. It is calculated as the 3.4% of basic salary. The contributes is 50% from
employer and 50% from employee.
Basic insurance availability Yes
Percentage of insured and uninsured citizens

2013 2014
Insured citizens not available 70%
Uninsured citizens not available 30%
Distribution of insurance modality

2013 2014
Public insurance company not available 100%
Private insurance company not available 0%
Private co-payment not available 0%
Possibility to subscribing to private health insurance plans No answer
Co-payment necessary for the following therapy

ICD devices No
Pacemakers No
Ablation No

Albania
Reimbursement availability for physicians and hospitals
Physician Physician does not Physician does No Hospital Hospital does not Hospital does No
receives per receive reimbursement, not receive answer receives per receive reimbursement, not receive answer
process reim- but incentives (e.g. reimbursement process but incentives (e.g. reimbursement
bursement more salary on the neither incentive reimbursement more budget on the neither
following year) following year) incentive
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Treatment availability
No restrictions 
No restrictions, but the indications have to follow the ESC guidelines 
No restrictions, but the indications have to follow the National guidelines 
Restricted to certain number of treatments/budget 
Not funded 
No answer 
4. Education
National certification availability

Yes, it´s Yes, but it´s No No answer
required for not required
practice for practice Official name
Device therapy    
Invasive electrophysiology    
Allied professionals    
Training centres    

Albania
National Cardiac Society supporting EHRA certification system
Yes, the Society demands EHRA certification for practice 
Yes, the Society advises EHRA certification and homologates national certification 
Yes, the Society advises EHRA certification, but it does not homologate national certification 
No 
No answer 
Specialist required for

Specialist
Catheter ablation Yes Cardiologist
ICD or pacemaker implants Yes Cardiologist
Official national competency guidelines for electrophysiological studies No

or catheter ablation
Required period of training to perform implantations Yes 2-3 years
Suggested period of training to perform implantations No
Training centres availability

Pacemaker 4
ICD implantation 3
CRT implantation 2
Electrophysiological studies and catheter ablation 1
Atrial fibrillation ablation 1
Number of universities (Schools of Medicine) 2

Albania
Percentage of academic centres among all practicing EP centres 50%
Percentage of academic centres among all practicing implanting devices centres 25%
5. Pacemakers
Pacemaker units implanted and number of implanting centres

2013 2014
Implanting centres not available 4
Total Pacemaker units implanted not available 134
Thereof, New implants not available 116
Thereof, Replacements not available 18
Specialist performing implants

Cardiologists Yes 100%
Surgeons No 0%
CRT units implanted and number of implanting centres

2013 2014
Total CRT units implanted not available 2
Thereof, CRT pacemaker not available 2
Thereof, CRT ICD not available 0

Surgeons No 0%

Albania
7. Implantable Cardiac Defibrillator
ICD units implanted and number of implanting centres

2013 2014
Total ICD units implanted not available 4
Thereof, Single chamber not available 4
Thereof, Dual chamber not available 0
First implants not available 4
Replacements not available 0

Surgeons No 0%
8. Loop recorders
Loop recorders implanted and number of implanting centres

2013 2014
Total loop recorders implanted not available 0
Specialist performing implants No implants
9. Lead extractions
Lead extractions procedures and and number of centers that performed lead extractions
2013 2014
Hospitals performed lead extractions not not
available available
Total lead extraction procedures not not
available available
Specialist performing lead extractions No extractions

Albania
10. Device specific
Availability of remote monitoring of devices Yes
National registry for

Official name
ICD No
Pacing No
Electrophysiology No
Availability of a national quality insurance system or complication registry No
Availability of a national institution coordinating and guiding device recalls and No

complications related to lead extractions

2013 2014
Number of ablations performed and number of centres
Number of ablation centres 4 1
Number of ablations performed not available not available
Mean number of ablations per centre not available not available
Number of AF ablations not available not available
Number of ablation centres (> 50 AF ablations) not available 1
Number of VT/VF ablations not available not available
Number of ablation centres (> 10 VT ablations on structural heart diseases) not available not available
Number of LAA closures not available not available
Number of centres (LAA closures) not available not available
Number of electrophysiologists
Number of electrophysiologists performed catheter ablation independently not available 1
Number of physicians under training to become independent not available 3
electrophysiologists

Albania
Availability of a national registry for interventional electrophysiology No
12. Guidelines
Guidelines adhered to ICD implants and pacemaker implants

National No answer
U.S. Yes
European Yes
Obstacles to guideline implementation Ranking of importance*

1 2 3 4 5
Lack of centres      6
Lack of reimbursement,      1
limited financial resources
Lack of referral      5
Lack of trained personnel      2
Low awareness of guidelines      4
Lack of operators      3
Others: Lack of long life strategy in the Healthcare System.
1 = no obstacle 5 = great obstacle * (1 = top; 6 = lowest)
13. Sources
Name of National Cardiac Society, National Working Group or arrhythmia body

∙∙ Albanian Society of Cardiology
All sources that were used to fill out the questionnaire for the EHRA White Book 2015
∙∙ EHRA White Book 2014
∙∙ Official statistics
∙∙ Survey from professional association
∙∙ Estimation

ALGERIA

Algeria
1. Statistics
Age pyramid for Algeria
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Algeria
Healthcare data
Hospitals (per 100.000 population) not available not available
Beds (per 100.000 population) not available not available
Density of physicians (per 1.000 population) not available not available
Density of nurses (per 1.000 population) not available not available
Population 38.813.722 2014
Death rate (per 1.000 population) not available not available
Live births (per 1.000 population) not available not available
Total expenditure on health as % of GDP not available not available
82,0 2011

18,0 2011
* IMF estimative

Algeria
2. Country

2013 2014
Mainly National Health System Private officesand clinics available.

Requirements for citizens to qualify for public insurance: social security for public or private jobs.

2013 2014
Insured citizens 70% 70%
Uninsured citizens 30% 30%

2013 2014
Public insurance company 100% 100%
Private insurance company 0% 0%
Private co-payment 0% 0%
Possibility to subscribing to private health insurance plans Yes

ICD devices No
Pacemakers No
Ablation No

Algeria
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: Physicians receive salaries as these interventios Hospitals providing these interventions pay
are provided by public hospitals. by theirselves according to their resources.
No restrictions 
No restrictions, but the indications have to follow the ESC guidelines 
Restricted to certain number of treatments/budget 
Not funded 
No answer 
4. Education

Training centres    

Algeria
No 
No answer 

Specialist

Required period of training to perform implantations No
Suggested period of training to perform implantations Yes 1 year

Pacemaker 11
ICD implantation 7
CRT implantation 1

Algeria
5. Pacemakers

2013 2014
Implanting centres 19 19
Total Pacemaker units implanted 2.480 2.508
Thereof, New implants 2.050 1.957
Thereof, Replacements 430 551

Surgeons Yes 1%

2013 2014
Total CRT units implanted 64 56
Thereof, CRT pacemaker 31 20
Thereof, CRT ICD 33 36

Surgeons No 0%

Algeria

2013 2014
Total ICD units implanted 38 60
Thereof, Single chamber 23 25
Thereof, Dual chamber 15 35
First implants 30 50
Replacements 8 10

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
Hospitals performed lead extractions not 2
available
Total lead extraction procedures not 56
available
Specialist performing lead extractions

Surgeons Yes 5%

Algeria
10. Device specific
Availability of remote monitoring of devices No answer

Official name
ICD No
Pacing No


2013 2014
Number of ablations performed 230 240
Mean number of ablations per centre 230 not available
Number of AF ablations 0 0
Number of ablation centres (> 50 AF ablations) 0 0
Number of VT/VF ablations not available 5
Number of ablation centres (> 10 VT ablations on structural heart diseases) 0 0
Number of LAA closures not available 0
Number of centres (LAA closures) not available 0

Algeria
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
Lack of centres      2
Lack of reimbursement,      3
Lack of trained personnel      4
Lack of operators      1
13. Sources

∙∙ Algerian Society of Cardiology Working Group on Cardiac arrhythmias
∙∙ Sample short survey
∙∙ Estimation

ARMENIA

Armenia
1. Statistics
Age pyramid for Armenia
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Armenia
Healthcare data
Population annual growth rate (%) -0,1 2014
52,2 2011

47,8 2011
* IMF estimative

Armenia
2. Country

2013 2014
47% 48%
The Armenian Health system containes of three parts: state, insurance and private. Medical care is financed by
state in following cases: 1) children 0-7 years old; 2) some emergency medical care (co-payment); 3) invalides II
and III groups and low income risk groups. Medical care is financed by inshurance for some parts of population.
Unfortunately both of health cares does not cover any kind of rhythm disturbance.
Basic insurance availability No

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Armenia
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: Hospital received reimbursement only for
insured patients.
No restrictions 
Not funded 
No answer 
4. Education

Allied professionals     Cardiologist

Armenia
No 
No answer 

Specialist
Catheter ablation No
ICD or pacemaker implants No


Pacemaker 3
ICD implantation 3
CRT implantation 3

Armenia
5. Pacemakers

2013 2014
Total Pacemaker units implanted 94 129
Thereof, New implants 59 101

Surgeons No 0%

2013 2014

Surgeons No 0%

Armenia

2013 2014
Replacements 12 11

Surgeons No 0%
8. Loop recorders

2013 2014
Total loop recorders implanted 6 12

Surgeons No 0%
9. Lead extractions
2013 2014
Hospitals performed lead extractions 1 0
Total lead extraction procedures 3 0

Surgeons No 0%

Armenia
10. Device specific
Availability of remote monitoring of devices No

Official name
ICD No
Pacing No


2013 2014
Mean number of ablations per centre 70 44

Armenia
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
Lack of centres      6
Lack of referral      1
Lack of trained personnel      2
13. Sources

∙∙ Armenian Arrhythmological Association
∙∙ Armenian Arrhythmological Association

AUSTRIA

Austria
1. Statistics
Age pyramid for Austria
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Austria
Healthcare data
75,3 2011

24,7 2011
* IMF estimative

Austria
2. Country

2013 2014
43% 43%
The Austrian healthcare system is characterized by the federalist structure of the country, the delegation of
competencies to self-governing stakeholders in the social insurance system as well as by cross-stakeholder
structures at federal and Länder level which possess competencies in cooperative planning, coordination and
financing. According to the Federal Constitution, almost all areas of the healthcare system are primarily the
regulatory responsibility of the federal government. The most important exception is the hospital sector. In this
area, the federal government is only responsible for enacting basic law; legislation on implementation and
enforcement is the responsibility of the nine Länder. In the outpatient sector, but also in the rehabilitation sector
and in the field of medicines, healthcare is organized by negotiations between the 21 health insurance funds
and the Federation of Austrian Social Insurance Institutions on the one hand and the chambers of physicians and
pharmacists (which are organized as public-law bodies) and the statutory professional associations of midwives
or other health professions on the other. The various sectors of the health care system have traditionally been
characterized by different stakeholders and regulation- and financing mechanisms. However, in recent years
there have been increased efforts to introduce decision-making and financing flows which are effective across
all sectors. Since 2002, all the Länder (except Vienna) as well as some of the private non-profit owners have
privatized their hospitals, mainly in the form of organizational privatizations. The various private operating
companies have one thing in common: they are responsible for the management of hospitals, whereas the
Länder or local authorities as (majority) owners usually act as a guarantor. The Austrian healthcare system has
developed almost completely into a model which is mainly based on decentralized contracts with all service
providers. [Health systems in transition, Hofmarcher 2006]

Requirements: All citizens of our country with a minimum salary of 300€ pay for the social security and there-
fore qualify for public insurance.

2013 2014
Insured citizens 98,2% 98%
Uninsured citizens 1,8% 2%

Austria
2013 2014

ICD devices No
Pacemakers No
Ablation No

Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 

Austria
4. Education


Yes, the Society advises EHRA certification, but it does not homologate national certification 
No 
No answer 

Specialist
ICD or pacemaker implants Yes Cardiologist or cardiac surgeon


Pacemaker not available
ICD implantation not available
CRT implantation not available
Electrophysiological studies and catheter ablation not available
Atrial fibrillation ablation not available

Austria
5. Pacemakers

2013 2014
Thereof, Replacements 2.136 2.328

Surgeons Yes 50%

2013 2014
Total CRT units implanted 1.178 1.236

Surgeons Yes 50%

Austria

2013 2014
Total ICD units implanted 1.296 1.362
Thereof, Single chamber not available not available
Thereof, Dual chamber not available not available
Replacements 322 386

Surgeons Yes 90%
8. Loop recorders

2013 2014

Surgeons Yes 20%
9. Lead extractions
2013 2014

Surgeons Yes 90%

Austria
10. Device specific

Official name
ICD Yes Austrian Pacemaker, ICD and Loop Recorder Registry (GOEG)
Pacing Yes Austrian Pacemaker, ICD and Loop Recorder Registry (GOEG)
Electrophysiology Yes Ablation Registry Austria (Austrian Society of Cardiology)
Availability of a national institution coordinating and guiding device recalls and Yes
Offical name: Austrian Pacemaker, ICD and Loop Recorder Registry (GOEG)

2013 2014
Number of ablations performed 2.421 2.622

Austria
Availability of a national registry for interventional electrophysiology Yes
Ablation Registry Austria (Austrian Society of Cardiology): 1 Center no reporting
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
Lack of operators      2
13. Sources

∙∙ Working Group of Rhythmology, Austrian Society of Cardiology
∙∙ Austrian Ministry of Health
∙∙ Austrian Society of Cardiology
∙∙ GOEG (Gesundheit Österreich GmbH)

AZERBAIJAN

Azerbaijan
1. Statistics
Age pyramid for Azerbaijan
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Azerbaijan
Healthcare data
21,6 2011

78,4 2011
* IMF estimative

Azerbaijan
2. Country

2013 2014
33% not available
Healthcare is free of charge for every citizen in public hospitals.

2013 2014

2013 2014

ICD devices Yes
Pacemakers No
Ablation Yes
Comments: Only in private sector.

Azerbaijan
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education


Azerbaijan
No 
No answer 

Specialist


Pacemaker 10
ICD implantation 7
CRT implantation 3

Azerbaijan
5. Pacemakers

2013 2014
Thereof, New implants 22 not available
Thereof, Replacements 109 not available

Surgeons Yes 36%

2013 2014

Surgeons No 0%

Azerbaijan

2013 2014
First implants 13 not available
Replacements 0 not available

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons No 0%

Azerbaijan
10. Device specific

Reasons why remote monitoring is not available: No information

Official name
ICD No
Pacing No


2013 2014
Number of physicians under training to become independent not available not available

Azerbaijan
12. Guidelines

National No
U.S. Yes
European Yes

1 2 3 4 5
Lack of centres     
Lack of reimbursement,     
Lack of referral     
Lack of trained personnel     
Low awareness of guidelines     
Lack of operators     
13. Sources

∙∙ Azerbaijan Society of Cardiology, Arrhythmia Working Group
∙∙ Estimations

BELARUS

Belarus
1. Statistics
Age pyramid for Belarus
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Belarus
Healthcare data
Hospitals (per 100.000 population) 6,0 2014**
Beds (per 100.000 population) 951,3 2014**
Density of physicians (per 1.000 population) 2,2 2014**
Density of nurses (per 1.000 population) 6,15 2014**
Death rate (per 1.000 population) 12,66 2014**
Live births (per 1.000 population) 12,5 2014**
70,5 2011

29,5 2011
* IMF estimative
** Source: http://belstat.gov.by/en/ofitsialnaya-statistika/otrasli-statistiki/naselenie/

Belarus
2. Country

2013 2014
52,7% 54,3%
National Health System.

Requirements for citizens to qualify for public insurance: Citizenship.

2013 2014

2013 2014
Private insurance company not available not available
Private co-payment not available not available

ICD devices No
Pacemakers No
Ablation No

Belarus
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Device therapy    
Invasive electrophysiology    
Allied professionals    

Belarus
No 
No answer 

Specialist
Catheter ablation Yes Roentgen-endovascular surgeon
ICD or pacemaker implants Yes Roentgen-endovascular surgeon

Required period of training to perform implantations Yes 4 months

Pacemaker 1
ICD implantation 1
CRT implantation 1

Belarus
5. Pacemakers

2013 2014

Cardiologists No 0%
Surgeons Yes 100%

2013 2014
Thereof, CRT pacemaker not available not available
Thereof, CRT ICD not available not available

Cardiologists No 0%
Surgeons Yes 100%

Belarus

2013 2014
Total ICD units implanted 153* 172
First implants not available not available
Replacements not available not available
* 2013 data updated

Cardiologists No 0%
Surgeons Yes 100%
8. Loop recorders

2013 2014

Cardiologists No 0%
Surgeons Yes 100%
9. Lead extractions
2013 2014
available

Cardiologists No 0%
Surgeons Yes 100%

Belarus
10. Device specific

Official name
ICD Yes IPG registry
Pacing Yes IPG registry


2013 2014
Number of electrophysiologists performed catheter ablation independently not available not available

Belarus
12. Guidelines

National Yes
U.S. No
European No

1 2 3 4 5
Lack of reimbursement,     
Lack of referral     
Lack of trained personnel     
Low awareness of guidelines     
Lack of operators     
13. Sources

∙∙ Belorussian Scientific Society of Cardiologists, Belorussian Heart Rhythm Association
∙∙ Estimation

BELGIUM

Belgium
1. Statistics
Age pyramid for Belgium
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Belgium
Healthcare data
Population 10.449.361 2014
75,9 2011

24,1 2011
* IMF estimative

Belgium
2. Country

2013 2014
National and obligatory for everybody.

Requirements for citizens to qualify for public insurance: citizenship.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation Yes

Belgium
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
Comments: ICD: presciption under national guidelines and limited budget per center; ILR: recorder
reimbursed for a limited nr per year, physician and hospital not reimbursed.
4. Education

Device therapy    
Invasive electrophysiology    

Belgium
Yes, the Society advises EHRA certification and homologates national certification 
No 
No answer 

Specialist
Catheter ablation Yes Cardiac surgery has to be on site
ICD or pacemaker implants Yes Cardiac surgery has to be on site
Official national competency guidelines for electrophysiological studies Yes

Ministry healthcare


Belgium
5. Pacemakers

2013 2014

Cardiologists Yes not available
Surgeons Yes not available

2013 2014


Belgium

2013 2014
Thereof, Single chamber 1.047 980
First implants 1.136 1.170

8. Loop recorders

2013 2014
Implanting centres 45 not available

9. Lead extractions
2013 2014
available available
available available


Belgium
10. Device specific

Official name
ICD Yes QERMID@DEFIBRILLATORS
Pacing Yes QERMID@PACEMAKERS


2013 2014
Number of AF ablations 2.352 2.560
Number of ablation centres (> 10 VT ablations on structural heart diseases) 7 not available

Belgium
Offical name: BEHRA national ablation database
12. Guidelines

National Yes
U.S. Yes
European Yes

1 2 3 4 5
Lack of centres     
Lack of referral     
Lack of trained personnel     
Low awareness of guidelines     
Lack of operators     
13. Sources

∙∙ BeHRA
∙∙ Estimation

BOSNIA & HERZEGOVINA

Bosnia & Herzegovina
1. Statistics
Age pyramid for Bosnia & Herzegovina
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Healthcare data
71,3 2011

28,7 2011
* IMF estimative

2. Country

2013 2014
52% 53%
The National healthcare system in BH is provided through an established network of health centers of Family
Medicine (primary care. As a secondary and tertiary care, General hospitals, University hospitals, University
Clinical centers and specialised institutions are providing services. A few private healthcares are incorporated to
the healthcare system.

2013 2014

2013 2014
Possibility to subscribing to private health insurance plans No

ICD devices No answer
Pacemakers No answer
Ablation No answer
Comments: It is mandatory the payment of 20% of all implant costs for patients under 65 years old.

Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Training centres    

No 
No answer 

Specialist
Catheter ablation No answer
ICD or pacemaker implants Yes Cardiologist, surgeon

Suggested period of training to perform implantations Yes 0,5 year*

* Pacemakers 0,5 year; ICDs 0,5 year; CRTs 0,5 year

Pacemaker 0
ICD implantation 0
CRT implantation 0

5. Pacemakers

2013 2014

Surgeons Yes 20%

2013 2014

Surgeons No 0%


2013 2014
Replacements 4 7

Surgeons Yes 20%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons Yes 50%

10. Device specific

Official name
ICD No
Pacing No


2013 2014

12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
Lack of reimbursement,      1
Lack of referral      5
Lack of trained personnel      3
Low awareness of guidelines      2
13. Sources

∙∙ Working Group for Cardiac Pacing / Association of Cardiologist in Bosnia and Herzegovina
∙∙ Cardiac Society of Rebublic of Srpska / Working Group for Cardiac Pacing

BULGARIA

Bulgaria
1. Statistics
Age pyramid for Bulgaria
> 65 years
Percent
2030
2014
1993*
40-64 years
2030
2014
1993*
20-39 years
2030
2014
1993*
< 20 years
2030
2014
1993*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Bulgaria
Healthcare data
55,3 2011

44,7 2011
* IMF estimative

Bulgaria
2. Country

2013 2014
60% 64%
The National Health system includes National Health System Fund and private eighteen insurance funds.

2013 2014

2013 2014

ICD devices Yes
Pacemakers No
Ablation Yes

Bulgaria
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
Comments: There is limited reimbursement for ICDs and CRT - D devices and the patient has to co-pay.
4. Education

The National standard for

Device therapy     device therapy and invasive
electrophysiology
Invasive electrophysiology     device therapy and invasive
electrophysiology
Allied professionals     device therapy and invasive
electrophysiology
Training centres     device therapy and invasive
electrophysiology

Bulgaria
No 
No answer 

Specialist

Comments: The National standard for device therapy and invasive electrophysiology.
Required period of training to perform implantations Yes 2 years
Suggested period of training to perform implantations Yes 2 years

Pacemaker 2
ICD implantation 2
CRT implantation 1

Bulgaria
5. Pacemakers

2013 2014

Surgeons Yes 1%

2013 2014

Surgeons No 0%

Bulgaria

2013 2014
Replacements 2 15

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons No 0%

Bulgaria
10. Device specific

Official name
ICD Yes Professional National Register – "Bg Pace"
Pacing Yes Professional National Register – "Bg Pace"
Electrophysiology Yes Professional National Register – "Bg Ephy"
Availability of a national quality insurance system or complication registry Yes

Official name: Professional National Register – "Bg Pace"; Professional National Register – "Bg Ephy"


2013 2014

Bulgaria
Offical name: Professional National Register – "Bg Ephy"
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
Lack of reimbursement,     
Lack of trained personnel     
13. Sources

∙∙ Professional association Electrophysiology and Cardiac Pacing
∙∙ Bulgarian Society of Cardiology, Professional National Register – "Bg Ephy",
Professional National Register – "Bg Pace"

CROATIA

Croatia
1. Statistics
Age pyramid for Croatia
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Croatia
Healthcare data
82,5 2011

17,5 2011
* IMF estimative

Croatia
2. Country

2013 2014
49% 49%
The Croatian healthcare system is based on the stately owned Health Insurance Institute in addition to poorly
developed private insurances.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Croatia
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Invasive electrophysiology    
Allied professionals    

Croatia
No 
No answer 

Specialist
ICD or pacemaker implants Yes Cardiologist or surgeon


Pacemaker 5
ICD implantation 5
CRT implantation 5

Croatia
5. Pacemakers

2013 2014

Surgeons Yes 9%

2013 2014

Surgeons Yes 6%

Croatia

2013 2014

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons Yes 33%

Croatia
10. Device specific

Official name
ICD No
Pacing No


2013 2014

Croatia
12. Guidelines

National No
U.S. No answer
European Yes

1 2 3 4 5
13. Sources

∙∙ Croatian Cardiac Society, Working Group for Arrhythmias and Cardiac Pacing
∙∙ Croatian Health Insurence Fund
∙∙ Croatian Cardiac Society, Working Group for Arrhythmias and Cardiac Pacing

CYPRUS

Cyprus
1. Statistics
Age pyramid for Cyprus
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Cyprus
Healthcare data
43,3 2011

56,7 2011
* IMF estimative

Cyprus
2. Country

2013 2014
30% 30%
Free medical care is provided by the state to civil servants and to citizens on income grounds. This covers
approximately 85% of the population. The rest are served by the private sector.

Requirements for citizens to qualify for public insurance: they qualify if their income is low
(below a specified level).

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No
Comments: free if it is performed in the public sector; payed for by the patient in the private sector.

Cyprus
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: this applies to the public sector; in the private the public hospitals are directly funded by the
sector the physician receives a fee. state; this includes salaries, devices and all other
expenses.
No restrictions 
Not funded 
No answer 
Comments: the indications unofficially follow the ESC guidelines.
4. Education


Cyprus
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist (electrophysiologist)


Pacemaker 2
ICD implantation 2
CRT implantation 2

Cyprus
5. Pacemakers

2013 2014
Thereof, New implants not available not available
Thereof, Replacements not available not available

Surgeons No 0%

2013 2014
Thereof, CRT pacemaker not available not available
Thereof, CRT ICD not available not available

Surgeons No 0%

Cyprus

2013 2014

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons No 0%

Cyprus
10. Device specific

Reasons why remote monitoring is not available: short distances preclude the need for remote monitoring.

Official name
ICD No
Pacing No


2013 2014

Cyprus
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
Lack of reimbursement,      2
Low awareness of guidelines      6
13. Sources

∙∙ Cyprus Working Group on Arrhythmia and Electrophysiology (of the Cyprus Society of Cardiology)
∙∙ Other

CZECH REPUBLIC

Czech Republic
1. Statistics
Age pyramid for Czech Republic
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Czech Republic
Healthcare data
Population 10.627.448 2014
84,2 2011

15,8 2011
* IMF estimative

Czech Republic
2. Country

2013 2014
National Health System

Requirements for citizens to qualify for public insurance: Czech citizenship.

2013 2014
Insured citizens 99,9% 99,9%
Uninsured citizens 0,1% 0,1%

2013 2014
Public insurance company 99,9% 99,8%
Private insurance company 0,1% 0,1%
Private co-payment not available 0,1%

ICD devices No
Pacemakers No
Ablation No

Czech Republic
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Device therapy     ICD and PM Accreditation
Invasive electrophysiology     EP Accreditation
Training centres    

Czech Republic
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist, licence for EP, licence for ablations
ICD or pacemaker implants Yes Cardiologist, licence for device implantations

Czech Society of Cardiology, Working Group on Arrhythmias and Cardiac Pacing
Required period of training to perform implantations Yes*

* Requires certain number of implantations.

Pacemaker 37
ICD implantation 17
CRT implantation 17

Czech Republic
Percentage of academic centres among all practicing EP centres not available
Percentage of academic centres among all practicing implanting devices centres not available
5. Pacemakers

2013 2014

Surgeons Yes 10%

2013 2014
Thereof, CRT ICD 1.281 1.456

Surgeons Yes 3%

Czech Republic

2013 2014
Total ICD units implanted 3.196* 2.138
Thereof, Single chamber 1.342 1.588
First implants 2.435* 1.618
Replacements 761* 520
* CRT-D units included

Surgeons Yes 5%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons Yes 20%

Czech Republic
10. Device specific

Official name
ICD Yes ICD online registry
Pacing Yes PM online registry
Electrophysiology Yes Catheter ablation registry

Offical name: State institute for drug control


2013 2014

Czech Republic
Offical name: Ablation online registry
12. Guidelines

National Yes
U.S. No
European Yes

1 2 3 4 5
13. Sources

∙∙ Czech Society of Cardiology Working Group on Arrhythmias and Cardiac Pacing
∙∙ Sales data
∙∙ Estimation
∙∙ Registries

DENMARK

Denmark
1. Statistics
Age pyramid for Denmark
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Denmark
Healthcare data
85,3 2011

14,7 2011
* IMF estimative

Denmark
2. Country

2013 2014
25%* not available
*data from 2012

Requirements: None.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Denmark
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
Comments: There is no restrictions for device implants only for ablations.
4. Education


Denmark
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist with special training/education
in electrophysiology
ICD or pacemaker implants Yes Cardiologist with special training in device

implantation


Pacemaker 11
ICD implantation 6
CRT implantation 5

Denmark
5. Pacemakers

2013 2014

Surgeons No 0%

2013 2014
Total CRT units implanted 1.001 965

Surgeons No 0%

Denmark

2013 2014

Surgeons No 0%
8. Loop recorders

2013 2014
Total loop recorders implanted not not
available available

Surgeons No 0%
9. Lead extractions
2013 2014
available available

Surgeons Yes 15%

Denmark
10. Device specific

Official name
ICD Yes Danish PM and ICD register
Pacing Yes Danish PM and ICD register
Electrophysiology Yes Ablation.dk

Offical name: Danish Health and Medicines Authority
Offical name: Re device recalls: Danish PM and ICD register; Re lead extractions: none

2013 2014

Denmark
Offical name: ablation.dk
12. Guidelines

National Yes
U.S. Yes
European Yes

1 2 3 4 5
Lack of referral     
13. Sources

∙∙ Danish Society of Cardiology
∙∙ Danish Working Group in Arrhythmias, Pacemakers and ICD
∙∙ Estimation
∙∙ Danish PM and ICD register
∙∙ ablation.dk

EGYPT

Egypt
1. Statistics
Age pyramid for Egypt
> 65 years
Percent
2030
2014
1996*
40-64 years
2030
2014
1996*
20-39 years
2030
2014
1996*
< 20 years
2030
2014
1996*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Egypt
Healthcare data
Population 86.895.099 2014
40,7 2011

59,3 2011
* IMF estimative

Egypt
2. Country

2013 2014
Egypt has a more or less heterogeneous health system: there are different public 7 private providers and financing
agents. The main agents are: the governmental sector (including ministry of health institutes, university and
teaching hospitals, the military and police hospitals), the public sector (known as health insurance organization,
the curative care organization) and finaly the private sector.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No
Comments: it depends on the insurance plan, in certain insurance plan the patient should pay certain
percentage of the bill of whatever medical service he’s receiving.

Egypt
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: Though in governmental & university hospitals Though the Hospital Reimbursement is quite
the re-imbursements are quite insufficient. insufficient.
No restrictions 
Not funded 
No answer 
4. Education

Invasive electrophysiology    

Egypt
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist/electrophysiologist, with the exception of one

centre, which is critical care unit, Cairo university, where
critical care specialist are allowed to train in & perform EP &
device implantation procedures.
Cardiologists or electrophysiologists, except in only

ICD or pacemaker implants Yes
one center which is critical care unit, Cairo university
where critical care specialists are allowed to train in &
practice device therapy.


Pacemaker 28
ICD implantation 13
CRT implantation 13

Egypt
5. Pacemakers

2013 2014
Thereof, New implants not available 3.040

Surgeons Yes 2%
Others: Critical Care Physicians, Cairo University Yes 22%

2013 2014

Surgeons No 0%

Egypt

2013 2014

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons No 0%

Egypt
10. Device specific

Official name
ICD No
Pacing No


2013 2014

Egypt
12. Guidelines

National No
U.S. No answer
European Yes

1 2 3 4 5
Others: Lack of medical awarness of the indications for device therapy.
13. Sources

∙∙ Egyptian Cardiac Rhythm Association (ECRA) – A community from the Egyptian Society of Cardiology and
the only EP organization in Egypt
∙∙ Sales data
∙∙ Estimation

ESTONIA

Estonia
1. Statistics
Age pyramid for Estonia
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Estonia
Healthcare data
80,5 2011

19,5 2011
* IMF estimative

Estonia
2. Country

2013 2014
54% not available
Estonian health insurance relies on the principle of solidarity. The Health Insurance Fund covers the costs of
health services required by the person in case of illness regardless of the amount of social tax paid for the person
concerned. The Fund uses the social tax paid for the working population, also for covering the cost of health
services provided to persons who have no income with regard to work activities. The employers are required by
the law to pay social tax for all persons employed, whereby the rate of this tax is 33% of the taxable amount, and
of which 20% is allocated for pension insurance and 13% for health insurance.

Requirements for citizens to qualify for public insurance: An insured person is a permanent resident of the
Republic of Estonia or a person living in Estonia by virtue of a temporary residence permit or by the right of
permanent residence, who pays the social tax for himself/herself or for whom the payer of social tax is requi-
red to pay social tax. Insured persons are: a person working on the basis of an employment contract; a public
servant; a member of the management or supervisory board of a legal entity; a person employed on the basis
of a contract under the law of obligations; a person registered at Estonian Unemployment Insurance Fund;
a person, who participated in the elimination of the consequences of a nuclear disaster, a conscript, the non-
working spouse of a diplomat or a public servant, the curator of a disabled person;, a person receiving child
care allowance, a dependant spouse, for whom the government pays social tax, a person receiving social
allowance. According to the Health Insurance Act persons for whom no social tax is paid are considered as
having equal status to the insured person. The persons having equal status are: a pregnant woman, a person
under 19 years of age, a person receiving state pension granted in Estonia, an insured person’s dependent
spouse, who is no more than 5 years away from attaining the age limit for old-age pension, pupils (there are
age limits), a student, who is permanent resident.

2013 2014

Estonia
2013 2014

ICD devices No
Pacemakers No
Ablation No

Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 

Estonia
4. Education


No 
No answer 

Specialist

Required period of training to perform implantations Yes 100 implantations

Pacemaker 2
ICD implantation 2
CRT implantation 2

Estonia
5. Pacemakers

2013 2014
Thereof, New implants 1.001 912

Surgeons No 0%

2013 2014

Surgeons No 0%

Estonia

2013 2014
Replacements 6 8

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
available available
available available

Surgeons No 0%

Estonia
10. Device specific

Official name
ICD No
Pacing No
Offical name: State Agency of Medicine

2013 2014

Estonia
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
13. Sources

∙∙ Estonian Society of Cardiology, Working Group of Arrhythmias

FINLAND

Finland
1. Statistics
Age pyramid for Finland
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Finland
Healthcare data
75,4 2011

24,6 2011
* IMF estimative

Finland
2. Country

2013 2014
39% 39%
Finland has a compulsory health care system which is tax based. It provides comprehensive coverage for the
entire population. The Ministry of Social Affairs and Health issues the legislation on health and social care policies
and monitors the implementation. At local level, the municipal health committee and council make decisions on
the planning and organization of healthcare.

Requirements for citizens to qualify for public insurance: Every citizen is qualified.

2013 2014

2013 2014
Public insurance company 75,2% 75,2%
Private co-payment 21,8% 21,8%

ICD devices No
Pacemakers No
Ablation No
Comments: The patients pay a nominal fee for hospital admission.

Finland
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: The physicians do not receive any additional The hospital charge the municipalities for
reimbursement for any procedures performed services according to annually set prices. Billing is
in the public health care hospitals. usually based on DRG, but per procedure billing
is used by some hospitals.
No restrictions 
Not funded 
No answer 
4. Education


Finland
No 
No answer 

Specialist

Suggested period of training to perform implantations Yes

Pacemaker 20
ICD implantation 19
CRT implantation 15

Finland
5. Pacemakers

2013 2014
Total Pacemaker units implanted 5.369 5.536*
Thereof, New implants 4.184 4.253*
Thereof, Replacements 1.185 1.283*
* CRT-P included

Surgeons Yes 5%*
Internal medicine Yes <1%
* mainly replacements

2013 2014

Surgeons No 0%

Finland

2013 2014
Total ICD units implanted 1.020 1.161*
First implants 734 839*
Replacements 286 322*
* CRT-D included

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
available

Surgeons Yes 50%

Finland
10. Device specific

Official name
ICD No
Pacing No

Official name: Finnish Medicines Agency
Official name: Finnish Medicines Agency and Valvira

2013 2014

Finland
12. Guidelines

National Yes
U.S. Yes
European Yes

1 2 3 4 5
Lack of reimbursement,      6
13. Sources

∙∙ The Finnish Cardiac Society, National Working Group for Arrhythmias and Pacing
∙∙ Statistics Finland
∙∙ Ministry of Social Affairs and Health
∙∙ Estimation

FRANCE

France
1. Statistics
Age pyramid for France
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

France
Healthcare data
Population 66.259.012 2014
Gross domestic product (U.S dollar-billions) 2.902,33 2014*
76,8 2011

23,2 2011
* IMF estimative

France
2. Country

2013 2014
not available 26%
National Health system, completed by private insurances.

Requirements for citizens to qualify for public insurance: Less than 3 months of residency.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

France
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Diplome Interuniversitaire
Device therapy     de Rythmologie et
Stimulation Cardiaque
Diplome Interuniversitaire
Invasive electrophysiology     de Rythmologie et
Stimulation Cardiaque

France
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist with dedicated certification
ICD or pacemaker implants Yes Cardiologist with dedicated certification

Piot O, Anselme F, Bovéda S, Chauvin M, Daubert JC, Defaye P, Deharo JC, Gras D, Hermida JS, Kacet S, Klug
D, Leenhardt A, le Heuzey JY, Mabo P, Pisapia A, Sadoul N, Salvador-Mazenq M, Cazeau S; on behalf of the
Cardiac Rhythm and Pacing Group. Guidelines issued by the French Society of Cardiology concerning the
competence, performance and environment required in the practice of diagnostic and interventional cardiac
electrophysiology. Arch Cardiovasc Dis. 2011 Nov;104:586-590.


France
5. Pacemakers

2013 2014

Surgeons Yes 5%

2013 2014
Total CRT units implanted not available 9.570
Thereof, CRT pacemaker not available 3.500
Thereof, CRT ICD not available 6.070

Surgeons No 0%

France

2013 2014
Total ICD units implanted not available 13.700
First implants not available 11.000
Replacements not available 2.700

Surgeons No 0%
8. Loop recorders

2013 2014
Total loop recorders implanted not available not available

Surgeons No 0%
9. Lead extractions
2013 2014
Total lead extraction procedures not 2.200
available

Surgeons Yes 20%

France
10. Device specific

Official name
ICD No
Pacing No

Official name: Agence Nationale de Sécurité des Médicaments et des Produits de Santé.


2013 2014
Number of ablation centres not available 130
Number of ablations performed not available 33.300
Mean number of ablations per centre not available 256
Number of AF ablations not available 11.000
Number of ablation centres (> 10 VT ablations on structural heart diseases) not available 50

France
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
Low awareness of guidelines      1
13. Sources

∙∙ Groupe de Rythmologie et de Stimulation de la Société Française de Cardiologie
∙∙ Sales data
∙∙ Estimation

GEORGIA

Georgia
1. Statistics
Age pyramid for Georgia
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Georgia
Healthcare data
18,1 2011

81,9 2011
* IMF estimative

Georgia
2. Country

2013 2014
not available 38%
National health system and private insurance.

Requirements for citizens to qualify for public insurance: Not have a private insurance.

2013 2014
Insured citizens not available not available
Uninsured citizens not available not available

2013 2014
Public insurance company not available not available

ICD devices Yes
Pacemakers Yes
Ablation Yes

Georgia
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Subspecialty cardiac
Device therapy     electrophysiology and
arrhythmia management
Subspecialty cardiac
Invasive electrophysiology     electrophysiology and
arrhythmia management

Georgia
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist (cardiac electrophysiologist)
ICD or pacemaker implants Yes Cardiologist (cardiac electrophysiologist)



Georgia
5. Pacemakers

2013 2014

Surgeons Yes 10%

2013 2014

Surgeons No 0%

Georgia

2013 2014
Replacements 4 4

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons No 0%

Georgia
10. Device specific

Official name
ICD No
Pacing No


2013 2014

Georgia
12. Guidelines

National No
U.S. Yes
European Yes

1 2 3 4 5
Lack of centres      6
Lack of referral      3
Low awareness of guidelines      2
13. Sources

∙∙ Georgian Heart Rhythm Association
∙∙ National statistics office of Georgia
∙∙ Georgian Heart Rhythm Association
Remarks
One centre didn‘t provide data.

GERMANY

Germany
1. Statistics
Age pyramid for Germany
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Germany
Healthcare data
Population 80.996.685 2014
76,5 2011

23,5 2011
* IMF estimative

Germany
2. Country

2013 2014
not available 40%
Classical insurance model (Bismarck): working people are primarily insured, financed through salary dependent
subscriptions, organized by independent, partially private, or self organized institutions.

Requirements for citizens to qualify for public insurance: None.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Germany
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

DGK Zertifizierung Spezielle

Device therapy     Rhythmologie – Kardiale
Devicetherapie
Invasive electrophysiology     Rhythmologie – Invasive
Elektrophysiologie
Training centres     Rhythmologie

Germany
No 
No answer 

Specialist

DGK, AG Rhythmologie


Germany
5. Pacemakers

2013 2014
Implanting centres 1.010 980


2013 2014
Thereof, CRT pacemaker not available 1.294


Germany

2013 2014
Total ICD units implanted 27.241* 48.595*
Thereof, Dual chamber 8.105 6.365
First implants 20.175* 29.620*
Replacements 7.066* 18.975*
*
CRT-D units included

8. Loop recorders

2013 2014
Implanting centres not available not available
Total loop recorders implanted 0 not available

9. Lead extractions
2013 2014
available
Total lead extraction procedures 0 4.963


Germany
10. Device specific

Official name
ICD No
Pacing No

Official name: BQS


2013 2014
Number of ablations performed 33.420* 60.000
Number of AF ablations 11.697* 40.000
Number of LAA closures not available 3.500
* strongly estimated

Germany
12. Guidelines

National Yes
U.S. No
European Yes

1 2 3 4 5
Lack of referral      6
13. Sources

∙∙ Deutsche Gesellschaft für Kardiologie, Arbeitsgruppe Rhythmologie
∙∙ Sales data
∙∙ Estimation

GREECE

Greece
1. Statistics
Age pyramid for Greece
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Greece
Healthcare data
Population 10.775.557 2014
66,1 2011

33,9 2011
* IMF estimative

Greece
2. Country

2013 2014
The Greek healthcare system is characterized by the coexistence of NHS, a compulsory social insurance and a
voluntary private health insurance system. The NHS provides universal coverage to the population and offers
equal access to health services for all and social cohesion. (WHO 2004)

Requirements for citizens to qualify for public insurance: Citizens have to pay every year their contribution to
the public insurance system.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No
Comments: Yes, only in the private sector.

Greece
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

National accreditation for
pacemaker and ICD therapy.
Device therapy     It is required a minimum of
one year of training at an
implanting centre.

Greece
No 
No answer 

Specialist

Required period of training to perform implantations Yes 1 year

Pacemaker 15
ICD implantation 8
CRT implantation 8

Greece
5. Pacemakers

2013 2014

Surgeons Yes 3%

2013 2014

Surgeons Yes 2%

Greece

2013 2014

Surgeons Yes 2%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons Yes 10%

Greece
10. Device specific

Official name
ICD No
Pacing No
Electrophysiology Yes Working Group on Cardiac Pacing and Electrophysiology


2013 2014

Greece
Offical name: Working Group on Cardiac Pacing and Electrophysiology
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
Lack of trained personnel      6
13. Sources

∙∙ Hellenic National Working Group on Cardiac Pacing and Electrophysiology
∙∙ Sales data
∙∙ Estimation

HUNGARY

Hungary
1. Statistics
Age pyramid for Hungary
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Hungary
Healthcare data
65,0 2011

35,0 2011
* IMF estimative

Hungary
2. Country

2013 2014
The Hungarian Healthcare System is organised through a National Health Insurance Fund which is available for
all citizens registered at the Fund.

Requirements for citizens to qualify for public insurance: Age under 18 or retired; or valid job contract;
or regular payment of the insurance fee.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Hungary
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Arrhythmologist Licence for

Device therapy     Pacemaker/ICD/CRT
(Device Therapy)
Arrhythmologist Licence for
Invasive electrophysiology     Cardiac Electrophysiology
and Ablation
Arrhythmologist Licence
for Pacemaker/ICD/CRT
Allied professionals     (Device Therapy) for Allied
Professionals

Hungary
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist, cardiologist fellow
ICD or pacemaker implants Yes Cardiologist, cardiologist fellow, heart surgeon,
anaesthesiologist

Hungarian Society of Cardiology

Pacemaker 6
ICD implantation 6
CRT implantation 6

Hungary
5. Pacemakers

2013 2014

Surgeons Yes 5%
Others: Anaesthesiologists Yes 5%

2013 2014

Surgeons Yes 2%

Hungary

2013 2014

Surgeons Yes 2%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons Yes 5%

Hungary
10. Device specific

Official name
ICD Yes Hungarian Online Pacemaker Registry
Pacing Yes Hungarian Online Pacemaker Registry

Official name: Hungarian Online Pacemaker Registry and individual paper based data collection from centers.
Official name: National Health Insurance Fund.

2013 2014
Number of AF ablations 859 1.081

Hungary
12. Guidelines

National Yes
U.S. Yes
European Yes

1 2 3 4 5
13. Sources

∙∙ Working Group on Cardiac Arrhythmias and Pacing, Hungarian Society of Cardiology
∙∙ Official statistics - National Health Insurance Fund
∙∙ Survey from professional association - Working Group on Cardiac Arrhythmias and Pacing, Hungarian
Society of Cardiology

ICELAND

Iceland
1. Statistics
Age pyramid for Iceland
> 65 years
Percent
2030
2014
1994*
40-64 years
2030
2014
1994*
20-39 years
2030
2014
1994*
< 20 years
2030
2014
1994*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Iceland
Healthcare data
Population 317.351 2014
80,7 2011

19,3 2011
* IMF estimative

Iceland
2. Country

2013 2014
45% 45%
National Health System with universal access.

Requirements for citizens to qualify for public insurance: Permanent resident.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Iceland
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education


Iceland
No 
No answer 

Specialist
ICD or pacemaker implants Yes Cardiologist/Cardiac Surgeon


Pacemaker 0
ICD implantation 0
CRT implantation 0

Iceland
5. Pacemakers

2013 2014

Surgeons Yes 50%

2013 2014

Surgeons Yes 25%

Iceland

2013 2014
Replacements 23 4

Surgeons Yes 50%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons Yes 50%

Iceland
10. Device specific

Official name
ICD No
Pacing No


2013 2014

Iceland
12. Guidelines

National No answer
U.S. No
European Yes

1 2 3 4 5
Low awareness of guidelines      6
13. Sources

∙∙ Icelandic Cardiac Society
∙∙ Hospital Statistics

IRELAND

Ireland
1. Statistics
Age pyramid for Ireland
> 65 years
Percent
2030
2014
1996*
40-64 years
2030
2014
1996*
20-39 years
2030
2014
1996*
< 20 years
2030
2014
1996*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Ireland
Healthcare data
67,0 2011

33,0 2011
* IMF estimative

Ireland
2. Country

2013 2014
National Health System and Private Healthcare.

Requirements for citizens to qualify for public insurance: All citizens entitled to national health service.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Ireland
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: Above answers apply to the national health Ser- Above answers apply to the national health Ser-
vice where physicians are salaried in the private vice which operate under a fixed budget. In the
healthcare system physicians are reimbursed private healthcare system the private hospitals
per procedure. are reimbursed per procedure.
No restrictions 
Not funded 
No answer 
4. Education

Majority are trained in USA

Device therapy     in accredited programs
Majority are trained in USA

Invasive electrophysiology     in accredited programs
Allied professionals     HRS exam is encouraged
Training centres     RCPI

Ireland
No 
No answer 

Specialist
Catheter ablation Yes Majority are trained in USA in accredited programs
ICD or pacemaker implants Yes Majority are trained in USA in accredited programs

Comments: Majority are trained in USA in accredited programs - accredited by ACC - HRS. There is not a
separate accreditation process for the subspecialty of cardiac electrophysiology in Oreland as majority are
trained in USA.

Cardiology training program

Cardiology training program

Pacemaker 10
ICD implantation 10
CRT implantation 10

Ireland
5. Pacemakers

2013 2014
Total Pacemaker units implanted 2.288 not available

Surgeons No 0%

2013 2014
Total CRT units implanted 378 not available
Thereof, CRT pacemaker 67 not available
Thereof, CRT ICD 311 not available

Surgeons No 0%

Ireland

2013 2014
Total ICD units implanted 732 not available

Surgeons No 0%
8. Loop recorders

2013 2014
Total loop recorders implanted 505 not available

Surgeons No 0%
9. Lead extractions
2013 2014
available available

Surgeons Yes 50%

Ireland
10. Device specific

Official name
ICD Yes G-pace / Heart Rhythm Ireland but not 100% participation
Pacing Yes G-pace / Heart Rhythm Ireland but not 100% participation
Availability of a national quality insurance system or complication registry No answer
Offical name: Irish Medicines Board

2013 2014
Number of ablations performed 1.000 not available
Mean number of ablations per centre 83 not avalable
Number of AF ablations 450 not available
Number of ablation centres (> 50 AF ablations) 2 not available

Ireland
12. Guidelines

National No answer
U.S. Yes
European No answer

1 2 3 4 5
13. Sources

∙∙ EP Subgroup of Irish Cardiac Society
∙∙ Central Statistics Office, Health Insurance Authority Report
∙∙ Department of Health, Department of Finance
∙∙ Industry

ISRAEL

Israel
1. Statistics
Age pyramid for Israel
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Israel
Healthcare data
61,2 2011

38,8 2011
* IMF estimative

Israel
2. Country

2013 2014
National Health Care system; National Insurance; Private sector supplements.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Israel
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
No restrictions, but the indications have to follow the National guidelines 
Not funded 
No answer 
Comments: ESC/EHRA/ACC/AHA
4. Education

Allied professionals     Ministry of Health
Training centres     Ministry of Health

Israel
No 
No answer 

Specialist
Catheter ablation Yes Electrophysiologist


Pacemaker 1
ICD implantation 1
CRT implantation 1

Israel
5. Pacemakers

2013 2014

Surgeons Yes 2%

2013 2014
Thereof, CRT ICD 997 1.250

Surgeons No 0%

Israel

2013 2014

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
available

Surgeons Yes 20%

Israel
10. Device specific

Official name
ICD Yes Israeli ICD registry
Pacing No


2013 2014
Number of AF ablations not available 550
Number of physicians under training to become independent not available
1

Israel
12. Guidelines

National Yes
U.S. Yes
European Yes

1 2 3 4 5
13. Sources

∙∙ Israeli Working Group for Pacing and Electrophysiology
∙∙ Sales data
∙∙ Estimation

ITALY

Italy
1. Statistics
Age pyramid for Italy
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Italy
Healthcare data
Population 61.680.122 2014
77,8 2011

22,2 2011
* IMF estimative

Italy
2. Country

2013 2014
National Health Care System with the possibility of Private Insurance.

Requirements for citizens to qualify for public insurance: Italian citizen.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Italy
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

AIAC (Italian Heart Rhythm

Device therapy     Association) Certification

Invasive electrophysiology     Association) Certification
Allied professionals     EHRA Certification

Training centres     Association) Certification

Italy
No 
No answer 

Specialist



Italy
5. Pacemakers

2013 2014
Thereof, New implants 44.361* 44.409
Thereof, Replacements 17.837* 19.033
* 2013 data updated

Surgeons No 0%

2013 2014
Thereof, CRT pacemaker 2.010 2.112

Surgeons No 0%

Italy

2013 2014
Replacements 4.018 4.393

Surgeons No 0%
8. Loop recorders

2013 2014
Total loop recorders implanted 3.700 3.900

Surgeons No 0%
9. Lead extractions
2013 2014
available vailable
available available

Surgeons No 0%

Italy
10. Device specific

Official name
ICD Yes RIP&RID
Pacing Yes RIP&RID
Electrophysiology Yes AIAC (Italian Heart Rhythm Association) EPS Registry
Official name: Italian Ministry of Health

2013 2014
Number of ablation centres not available not available
Number of ablation centres (> 50 AF ablations) not available not available

Italy
Official name: AIAC Registry (starting in 2015)
12. Guidelines

National Yes
U.S. No
European Yes

1 2 3 4 5
Lack of operators      5
13. Sources

∙∙ AIAC – Associazione Italiana Aritmologia e Cardiostimolazione (Italian Heart Rhythm Association)
∙∙ Sales data
∙∙ Estimation

KAZAKHSTAN

Kazakhstan
1. Statistics
Age pyramid for Kazakhstan
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Kazakhstan
Healthcare data
Population 17.948.816 2014
57,9 2011

42,1 2011
* IMF estimative

Kazakhstan
2. Country

2013 2014
27% 23,5%
Health care in Kazakhstan is provided by a network of primary, secondary and tertiary care facilities. Health care
facilities are largely owned and operated by the public sector represented by the Ministry of Health. Health
insurance is now primarily provided by the government in the public sector.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Kazakhstan
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: The only limit for reimbursement is not to have 2
or more hospitalizations of one patient in period
of 1 month.
No restrictions 
Not funded 
No answer 
4. Education


Kazakhstan
No 
No answer 

Specialist
Catheter ablation Yes Interventional cardiologist or cardiac surgeon,
specially trained for catheter ablation
ICD or pacemaker implants Yes Interventional cardiologist or cardiac surgeon,

specially trained for device implantation


Pacemaker 2
ICD implantation 2
CRT implantation 2

Kazakhstan
5. Pacemakers

2013 2014
Thereof, New implants 1.396 not available

Cardiologists not available not available
Surgeons not available not available

2013 2014
Thereof, CRT pacemaker 26 not available
Thereof, CRT ICD 183 not available


Kazakhstan

2013 2014
Thereof, Single chamber 52 not available
Thereof, Dual chamber 169 not available

8. Loop recorders

2013 2014

9. Lead extractions
2013 2014
available
Specialist performing lead extractions No

Kazakhstan
10. Device specific

Official name
ICD No
Pacing No


2013 2014

Kazakhstan
12. Guidelines

National No answer
U.S. No answer
European Yes

1 2 3 4 5
Lack of referral      4
Lack of operators      1
1 = no obstacle
13. Sources

∙∙ Association of Cardiologists of Kazakhstan, Kazakh Arrhythmological Society

KOSOVO

Kosovo
1. Statistics
Age pyramid for Kosovo
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Kosovo
Healthcare data
Gross domestic product per capita (U.S dollar-units) not available not available

* IMF estimative

Kosovo
2. Country

2013 2014
Public Health Services. Health care system in Kosovo is organized in three sectors including: primary, secondary
and tertiary health care. The highest health care authority in Kosovo is Ministry of Health of Kosovo.

2013 2014

2013 2014

ICD devices No answer
Pacemakers No answer
Ablation No answer

Kosovo
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education


Kosovo
No 
No answer 

Specialist

Required period of training to perform implantations No answer
Suggested period of training to perform implantations No answer

Pacemaker 2
ICD implantation 1

Kosovo
5. Pacemakers

2013 2014
Thereof, New implants not available 120

Surgeons No 0%

2013 2014

Cardiologists No 0%
Surgeons No 0%

Kosovo

2013 2014

Surgeons No 0%
Others: Electrophysiology technical specialist Yes 40%
8. Loop recorders

2013 2014

Cardiologists No 0%
Surgeons No 0%
9. Lead extractions
2013 2014
available
available

Cardiologists No 0%
Surgeons No 0%

Kosovo
10. Device specific

Official name
ICD No
Pacing No


2013 2014
Number of ablations performed not available 0

Kosovo
12. Guidelines

National No answer
U.S. No answer
European Yes

1 2 3 4 5
Lack of centres      3
13. Sources

∙∙ Kosovo Society of Cardiology (KSC)
∙∙ Ministry of Health
∙∙ Information from centres

KYRGYZSTAN

Kyrgyzstan
1. Statistics
Age pyramid for Kyrgyzstan
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Kyrgyzstan
Healthcare data
59,9 2011

40,1 2011
* IMF estimative

Kyrgyzstan
2. Country

2013 2014
not available 50%

2013 2014

2013 2014

ICD devices Yes
Pacemakers Yes
Ablation Yes

Kyrgyzstan
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education


Kyrgyzstan
No 
No answer 

Specialist
ICD or pacemaker implants Yes Cardiosurgeon
Official national competency guidelines for electrophysiological studies No answer


Pacemaker 2
ICD implantation 2
CRT implantation 1

Kyrgyzstan
5. Pacemakers

2013 2014

Cardiologists No not available

2013 2014
Specialist performing implants no implants

Kyrgyzstan

2013 2014
Specialist performing implants no implants
8. Loop recorders

2013 2014

Surgeons No not available
9. Lead extractions
2013 2014
available available
available available


Kyrgyzstan
10. Device specific
Availability of remote monitoring of devices No answer

Official name
ICD No answer
Pacing No answer
Availability of a national institution coordinating and guiding device recalls and No answer

2013 2014

Kyrgyzstan
Availability of a national registry for interventional electrophysiology No answer
12. Guidelines

National No answer
U.S. No answer
European No answer

1 2 3 4 5
13. Sources

∙∙ Kyrgyz Society of Cardiology
∙∙ WHO

LATVIA

Latvia
1. Statistics
Age pyramid for Latvia
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Latvia
Healthcare data
57,1 2011

42,9 2011
* IMF estimative

Latvia
2. Country

2013 2014
53,2% 53,4%
National Health system

2013 2014

2013 2014

ICD devices Yes
Pacemakers Yes
Ablation No

Latvia
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Device therapy     National Society of Cardiology
Invasive electrophysiology     National Society of Cardiology
Allied professionals     National Society of Cardiology
Training centres     National Society of Cardiology

Latvia
No 
No answer 

Specialist
ICD or pacemaker implants Yes Cardiologist, cardiac surgeon

National Society of Cardiology

Pacemaker 1
ICD implantation 1
CRT implantation 1

Latvia
5. Pacemakers

2013 2014
Thereof, New implants 996 1.023

Surgeons Yes 30%

2013 2014

Surgeons Yes 30%

Latvia

2013 2014
Replacements 10 8

Surgeons Yes 30%
8. Loop recorders

2013 2014

Surgeons Yes 30%
9. Lead extractions
2013 2014

Cardiologists No 0%
Surgeons Yes 100%

Latvia
10. Device specific

Official name
National Register of Implantable Devices and EP procedures.
ICD Yes

Pacing Yes

Electrophysiology Yes

Official name: National Healthcare system in collaboration with Nacional Society of Cardiology
Official name: National Healthcare system in collaboration with Nacional Society of Cardiology

2013 2014

Latvia
Offical name: National Register. National Society of Cardiology
12. Guidelines

National Yes
U.S. No
European Yes

1 2 3 4 5
13. Sources

∙∙ Latvian National Society of Cardiology, Working Group of Arrhythmology

LEBANON

Lebanon
1. Statistics
Age pyramid for Lebanon
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Lebanon
Healthcare data
38,0 2011

62,0 2011
* IMF estimative

Lebanon
2. Country

2013 2014
National Health System ~ 35%, Private insurance ~ 15%, Ministry of Health ~ 20%, Non insured ~ 30%

Requirements for citizens to qualify for public insurance: being an employee or requesting a personal demand.

2013 2014

2013 2014

ICD devices Yes
Pacemakers Yes
Ablation Yes
Comments: Yes, only in the private sector and with private companies.

Lebanon
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
Comments: Ministry of Health, National Social security
4. Education

Training centres    

Lebanon
No 
No answer 

Specialist


Pacemaker 5
ICD implantation 5
CRT implantation 5

Lebanon
5. Pacemakers

2013 2014

Surgeons Yes 20%
Other: General surgeons Yes 5%

2013 2014

Surgeons No 0%

Lebanon

2013 2014

Surgeons Yes 25%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
available available

Surgeons Yes 20%

Lebanon
10. Device specific

Official name
ICD No
Pacing No


2013 2014
Number of ablation centres (> 50 AF ablations) 0 not available

Lebanon
12. Guidelines

National No
U.S. Yes
European Yes

1 2 3 4 5
Lack of trained personnel     
Low awareness of guidelines     
13. Sources

∙∙ Lebanese Society of Cardiology
∙∙ Arrhythmia Working Group
∙∙ Sales data
∙∙ Estimation

LIBYA
Data not submitted.

LITHUANIA

Lithuania
1. Statistics
Age pyramid for Lithuania
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Lithuania
Healthcare data
71,4 2011

28,6 2011
* IMF estimative

Lithuania
2. Country

2013 2014
Provision of health services is regulated by National Health insurance Fund under the ministry of Health.

Requirements for citizens to qualify for public insurance: All permanent residents and officially employed
non-permanent residents have basic insurance.

2013 2014
Insured citizens 100% not available
Uninsured citizens 0% not available

2013 2014
Public insurance company 98% not available
Private insurance company 2% not available
Private co-payment 0% not available

ICD devices No
Pacemakers No
Ablation No

Lithuania
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education


Lithuania
No 
No answer 

Specialist
ICD or pacemaker implants Yes Cardiologist or cardiac surgeon


Pacemaker 2
ICD implantation 2
CRT implantation 2

Lithuania
5. Pacemakers

2013 2014

Surgeons Yes 1%

2013 2014

Surgeons No 0%

Lithuania

2013 2014
Replacements 22 37

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons Yes 17%

Lithuania
10. Device specific

Official name
ICD No
Pacing No

Official name: State Healthcare Accreditation Agency
Offical name: State Healthcare Accreditation Agency

2013 2014

Lithuania
12. Guidelines

National Yes
U.S. No
European Yes

1 2 3 4 5
Lack of centres     
Lack of referral     
Lack of operators     
13. Sources

∙∙ Lithuanian Society of Cardiology, Heart Rhythm Working Group

LUXEMBOURG

Luxembourg
1. Statistics
Age pyramid for Luxembourg
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Luxembourg
Healthcare data
84,1 2011

15,9 2011
* IMF estimative

Luxembourg
2. Country

2013 2014
31,8* not available
* 2013 data have been updated.

Requirements for citizens to qualify for public insurance: Payed 1/2 by yourself and 1/2 by your employer.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Luxembourg
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education


Luxembourg
No 
No answer 

Specialist
Catheter ablation Yes Trained Cardiologist
ICD or pacemaker implants Yes Trained Cardiologist


Pacemaker 0
ICD implantation 0
CRT implantation 0

Luxembourg
5. Pacemakers

2013 2014

Surgeons Yes 15%

2013 2014

Surgeons Yes 5%

Luxembourg

2013 2014
Replacements 13 17

Surgeons Yes 3%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
available

Cardiologists No 0%
Surgeons Yes 100%

Luxembourg
10. Device specific

Official name
ICD Yes INCCI (Institut National de Chirurgie Cardiaque et
de Cardiologie Invasive)
Pacing No
Electrophysiology Yes INCCI (Institut National de Chirurgie Cardiaque et
de Cardiologie Invasive)
Offical name: Ministry of Health

2013 2014

Luxembourg
Offical name: INCCI (Institut National de Chirurgie Cardiaque et de Cardiologie Invasive)
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
13. Sources

∙∙ SLC (Société Luxembourgeoise de Cardiologie)

MACEDONIA FYR

Macedonia FYR
1. Statistics
Age pyramid for Macedonia FYR
> 65 years
Percent
2030
2014
1994*
40-64 years
2030
2014
1994*
20-39 years
2030
2014
1994*
< 20 years
2030
2014
1994*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Macedonia FYR
Healthcare data
63,6 2011

36,4 2011
* IMF estimative

Macedonia FYR
2. Country

2013 2014
52% 52%

Requirements: Employment, social welfare, unemployment benefits, international health coverage for
foreigners.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No
Comments: Co-payment is not required in public hospitals, co-payment is required in private hospitals.

Macedonia FYR
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: In private hospital physicians receive per process
reimbursement.
No restrictions 
Not funded 
No answer 
Comments: No restrictions in private hospitals, but indications follow ESC guidelines.
4. Education


Macedonia FYR
No 
No answer 

Specialist

Comments: Until proficiency and independent work is achieved.

Pacemaker 2
ICD implantation 2
CRT implantation 2

Macedonia FYR
5. Pacemakers

2013 2014

Surgeons No 0%

2013 2014

Surgeons No 0%

Macedonia FYR

2013 2014
First implants 8 9
Replacements 4 2

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Cardiologists No 0%
Surgeons Yes 100%

Macedonia FYR
10. Device specific

Official name
ICD Yes National ICD Registry
Pacing No


2013 2014

Macedonia FYR
12. Guidelines

National No answer
U.S. No answer
European Yes

1 2 3 4 5
13. Sources

∙∙ Macedonian Society of Cardiology
∙∙ Estimation

MALTA

Malta
1. Statistics
Age pyramid for Malta
> 65 years
Percent
2030
2014
1996*
40-64 years
2030
2014
1996*
20-39 years
2030
2014
1996*
< 20 years
2030
2014
1996*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Malta
Healthcare data
63,9 2011

36,1 2011
* IMF estimative

Malta
2. Country

2013 2014
34% 40%
National Health System financed by public funding.

Requirements for citizens to qualify for public insurance: Maltese residents.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Malta
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Device therapy     EHRA certification exam
Invasive electrophysiology     EHRA certification exam
Allied professionals     Local certification system

Malta
No 
No answer 

Specialist
ICD or pacemaker implants Yes Invasive cardiologist


Pacemaker 1
ICD implantation 1
CRT implantation 1

Malta
5. Pacemakers

2013 2014

Surgeons No 0%

2013 2014

Surgeons No 0%

Malta

2013 2014
Replacements 20 10

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons No 0%

Malta
10. Device specific

Official name
ICD No
Pacing No
Electrophysiology Yes Atrial fibrillation


2013 2014

Malta
12. Guidelines

National No answer
U.S. Yes
European Yes

1 2 3 4 5
13. Sources

∙∙ Maltese Cardiac Society
∙∙ Estimation

MOLDOVA
Data not submitted.

MONTENEGRO

Montenegro
1. Statistics
Age pyramid for Montenegro
> 65 years
Percent
2030
2014
1992*
40-64 years
2030
2014
1992*
20-39 years
2030
2014
1992*
< 20 years
2030
2014
1992*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Montenegro
Healthcare data
58,2 2011

41,8 2011
* IMF estimative

Montenegro
2. Country

2013 2014
54% 54%
First of all we have primary health system with family doctors, 7 general hospitals and one Clinical Center where
we perform angiography, electrophysiology procedures and cardiovascular surgery.

Requirements for citizens to qualify for public insurance: All employees, farmers, priests, unemployed persons
registered at the Employment Bureau, retirees.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No
Comments: Absolutely there is no necessary for co-payment for implantation any devices.

Montenegro
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: We have remnants socialism in We have remnants socialism in
regulating system. regulating system.
No restrictions 
Not funded 
No answer 
Comments: Montenegro Society of Cardiology, supports ESC Guideliness. Montenegro is a country in
transition and must be adapted to the actual situation.
4. Education

Educations and practice in Institute for

cardiovascular disease Dedinje in Belgrade,
Device therapy     Serbia Educations and practice in Center for
pace maker Clinical center Serbia Belgrade
Educations and practice in Institute for

Invasive electrophysiology     Srebia, Educations and practice in Center for
pace maker Clinical center Serbia Belgrade
Allied professionals from Institute for
Allied professionals     Srebia, Allied professionals from Center
for electophysiology Clinical center Serbia
Belgrade
Institute for cardiovascular disease Dedinje
Training centres     Belgrade, Srebia, Center for pacemaker
Clinical center Serbia, Belgrade

Montenegro
No 
No answer 
Comments: We have only two young cardiologist which have just started with procedures.

Specialist
ICD or pacemaker implants Yes Cardiologist, vascular surgeon


Pacemaker 1
ICD implantation 1
CRT implantation 1

Montenegro
5. Pacemakers

2013 2014

Surgeons Yes 40%

2013 2014

Surgeons No 0%

Montenegro

2013 2014
Replacements 8 6

Surgeons Yes 50%
8. Loop recorders

2013 2014

Surgeons Yes 50%
9. Lead extractions
2013 2014

Cardiologists No 0%
Surgeons No 0%
Comments: we do not perform lead extractions.

Montenegro
10. Device specific

Reasons why remote monitoring is not available: It is very expensive version for us.

Official name
ICD No
Pacing No
Offical name: The Agency for Drugs and Medical Devices

2013 2014

Montenegro
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
Other obstacles to guideline implementation: Yes, there are obstacles to guidelines implementations.
13. Sources

∙∙ Montenegrian Society of Cardiology
∙∙ Institute for Public Health
∙∙ The Tax Administration

MOROCCO

Morocco
1. Statistics
Age pyramid for Morocco
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Morocco
Healthcare data
Beds (per 100.000 population) 110 2014**
Population 33.478.299 2014
Total expenditure on health as % of GDP 7,0 2014**
33,1 2011

66,9 2011
* IMF estimative
** Source: Economic and Health ministry

Morocco
2. Country

2013 2014
40% 40%
National Health System; two types of health insurance 1 public and 1 private.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Morocco
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: only in private hospital. if ICD primary prevention accorded reimburse-
ment is received in private and public hospital.
No restrictions 
Not funded 
No answer 
Comments: for primary prevention there is restriction regarding national health budget.
4. Education

Device therapy     DEU of Cardiac Pacing
DEU of Invasive
Invasive electrophysiology     Electrophysology
Allied professionals    

Morocco
No 
No answer 
Comments: All electrophysiologists have European DEU.

Specialist

Required period of training to perform implantations Yes minimum 1 year
Suggested period of training to perform implantations Yes minimum 1 year

Pacemaker 11
ICD implantation 7
CRT implantation 6

Morocco
5. Pacemakers

2013 2014

Surgeons Yes 2%

2013 2014

Surgeons Yes 1%

Morocco

2013 2014

Surgeons Yes 2%
8. Loop recorders

2013 2014
Implanting centres not not
available available

available available

9. Lead extractions
2013 2014

Surgeons Yes 1%

Morocco
10. Device specific

Reasons why remote monitoring is not available: infrastructure not available.

Official name
ICD Yes SMC Registry
Pacing Yes SMC Registry
Electrophysiology Yes SMC Registry


2013 2014

Morocco
Offical name: SMC Registry
12. Guidelines

National Yes
U.S. Yes
European Yes

1 2 3 4 5
Lack of centres      6
Others: The price of ICD
13. Sources

∙∙ SMC: société marocaine de cardiologie
∙∙ Sales data
∙∙ Estimation

NETHERLANDS

Netherlands
1. Statistics
Age pyramid for Netherlands
> 65 years
Percent
2030
2014
1995*
40-64 years
2030
2014
1995*
20-39 years
2030
2014
1995*
< 20 years
2030
2014
1995*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Netherlands
Healthcare data
Population 16.877.351 2014
79,5 2011

13,4 2011
* IMF estimative

Netherlands
2. Country

2013 2014
25% 33%
There is a system of obligatory health insurance, with private health insurance companies. These insurance
companies are obliged to provide a package with a defined set of insured treatments.

Requirements for citizens to qualify for public insurance: Resident in the Netherlands.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Netherlands
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments The hospital receives the total amount of The hospital receives the total amount of
reimbursement of the Insurance compagnies. reimbursement of the Insurance compagnies.
Physician receives from the hospital a Physician receives from the hospital a
honorarium for each procedure done. honorarium for each procedure done.
No restrictions 
Not funded 
No answer 
4. Education

Device therapy     EHRA or IBHRE certification
Invasive electrophysiology     EHRA certification
Allied professionals     EHRA certification

NVVC practice guidelines and
Training centres     NHRA educational document
for invasive electrfysiology

Netherlands
Yes, the Society demands EHRA certification for practice 
No 
No answer 

Specialist
Cardiologist is named in the NHRA (Netherlands
Catheter ablation Yes
Heart Rhythm Association) documents
Cardiologist is named in the NHRA (Netherlands

ICD or pacemaker implants Yes
Heart Rhythm Association) documents

NHRA

Pacemaker 17
ICD implantation 12
CRT implantation 12

Netherlands
5. Pacemakers

2013 2014

Surgeons Yes 5%
Others: Allied professionals Yes 5%

2013 2014

Surgeons Yes 5%

Netherlands

2013 2014

Surgeons Yes 5%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons Yes 10%

Netherlands
10. Device specific

Official name
NCDR (National Cardiovascular Data Registry),
ICD Yes
DIPR (Dutch ICD and Pacemaker registry)
NCDR (National Cardiovascular Data Registry),

Pacing Yes
DIPR (Dutch ICD and Pacemaker registry)
Electrophysiology Yes NCDR (National Cardiovascular Data Registry), NHRA registry

Offical name: NCDR (National Cardiovascular Data Registry)
Offical name: Device committee from the NHRA

2013 2014

Netherlands
Offical name: NHRA
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
13. Sources

∙∙ NHRA: Netherlands Heart Rhythm Association
∙∙ Estimation
∙∙ NCDR National Cardiovascular Data Registry

NORWAY

Norway
1. Statistics
Age pyramid for Norway
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Norway
Healthcare data
85,1 2011

14,9 2011
* IMF estimative

Norway
2. Country

2013 2014
32% not available

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Norway
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education


Norway
No 
No answer 
Comments: There is no national certification, but EHRA certification is recommended.

Specialist
Official national competency guidelines for electrophysiological studies No answer


ICD implantation 4
CRT implantation 4

Norway
5. Pacemakers

2013 2014

Cardiologists Yes 99,55%
Surgeons Yes 0,45%

2013 2014

Surgeons No 0%

Norway

2013 2014

Surgeons No 0%
8. Loop recorders

2013 2014

Cardiologists not available
Surgeons not available
9. Lead extractions
2013 2014

Surgeons No 0%

Norway
10. Device specific

Official name
ICD Yes The Norwegian pacemaker- and ICD registry
Pacing Yes The Norwegian pacemaker- and ICD registry
Electrophysiology No answer


2013 2014

Norway
12. Guidelines

National No answer
U.S. No answer
European Yes

1 2 3 4 5
13. Sources

∙∙ Norwegian Society of Cardiology
∙∙ The Norwegian pacemaker- and ICD registry
∙∙ Estimation

POLAND

Poland
1. Statistics
Age pyramid for Poland
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Poland
Healthcare data
Population 38.346.279 2014
70,3 2011

29,2 2011
* IMF estimative

Poland
2. Country

2013 2014
45% 46%
National Health Fund.

Requirements for citizens to qualify for public insurance: It is mandatory for employee.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Poland
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Certification of the Heart

Device therapy     Rhythm Section of Polish
Cardiac Society
Invasive electrophysiology     Rhythm Section of Polish
Cardiac Society
Allied professionals     Rhythm Section of Polish
Cardiac Society

Poland
No 
No answer 

Specialist


Pacemaker 45
ICD implantation 25
CRT implantation 15

Poland
5. Pacemakers

2013 2014

Surgeons Yes 1%
Others: Internists Yes 1%

2013 2014

Surgeons Yes 1%

Poland

2013 2014
Implanting centres 118* 120
Total ICD units implanted 8.978* 8.399
First implants 7.178* 6.687
Replacements 1.800* 1.712
*
2013 data updated

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons Yes 5%

Poland
10. Device specific

Official name
ICD No
Pacing No


2013 2014

Poland
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
13. Sources

∙∙ Heart Rhythm Section of Polish Cardiac Society (Sekcja Rytmu Serca Polskiego Towarzystwa
Kardiologicznego)
∙∙ National Health Fund
∙∙ National Consultant

PORTUGAL

Portugal
1. Statistics
Age pyramid for Portugal
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Portugal
Healthcare data
Population 10.813.834 2014
65,0 2011

35,0 2011
* IMF estimative

Portugal
2. Country

2013 2014
NHS

Requirements for citizens to qualify for public insurance: No requirement.

2013 2014

2013 2014
Public insurance company 100% not available
Private insurance company 0% not available

ICD devices No
Pacemakers No
Ablation No

Portugal
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: In public hospitals the salary is irrespective to
the number of procedures.
No restrictions 
Not funded 
No answer 
4. Education

Device therapy    

Portugal
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist and Electrophysiologist


Pacemaker 12
ICD implantation 5
CRT implantation 6

Portugal
5. Pacemakers

2013 2014

Surgeons Yes 1%

2013 2014

Surgeons No 0%

Portugal

2013 2014
Total ICD units implanted not available not available
First implants 1.138 819

Surgeons Yes 1%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
available available


Portugal
10. Device specific

Official name
ICD Yes APAPE - Portuguese Association of Arrhythmology Pacing and Electrophysiology
Pacing Yes APAPE - Portuguese Association of Arrhythmology Pacing and Electrophysiology
Electrophysiology Yes APAPE - Portuguese Association of Arrhythmology Pacing and Electrophysiology


2013 2014

Portugal
Official name: APAPE – Portuguese Association of Arrhythmology Pacing and Electrophysiology
12. Guidelines

National No
U.S. Yes
European Yes

1 2 3 4 5
13. Sources

∙∙ APAPE – Portuguese Association of Arrhythmology Pacing and Electrophysiology
∙∙ Estimation

ROMANIA

Romania
1. Statistics
Age pyramid for Romania
> 65 years
Percent
2030
2014
1992*
40-64 years
2030
2014
1992*
20-39 years
2030
2014
1992*
< 20 years
2030
2014
1992*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Romania
Healthcare data
Population 21.729.871 2014
79,2 2011

20,8 2011
* IMF estimative

Romania
2. Country

2013 2014
50% 60%
National Healthcare System, some private systems, some of them receiving partial founds from NHS
(The Ministry of Health is the coordinator of Health System).

Requirements for citizens to qualify for public insurance: to be employed, social assisted or to be retired.

2013 2014

2013 2014

ICD devices Yes
Pacemakers Yes
Ablation Yes
Comments: Yes, only in private hospitals.

Romania
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: National Programs are available in selected
centers, but limited by budget.
No restrictions 
Not funded 
No answer 
Comments: National Programms are available in selected centers, but limited by budget.
4. Education


Romania
No 
No answer 
Comments: We are planning to have National Certification and to homologate EHRA certification.

Specialist


Pacemaker 9
ICD implantation 9
CRT implantation 7

Romania
5. Pacemakers

2013 2014

Surgeons Yes 1%

2013 2014

Surgeons No 0%

Romania

2013 2014

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons No 0%

Romania
10. Device specific

Official name
ICD No
Pacing No


2013 2014

Romania
12. Guidelines

National No
U.S. No answer
European Yes

1 2 3 4 5
Others: Lack of National Guidelines
13. Sources

∙∙ Romanian Society of Cardiology, Working Group of Arrhythmias, Electrophysiology and Implantable Devices
∙∙ Sales data
∙∙ Estimation

RUSSIAN FEDERATION

Russian Federation
1. Statistics
Age pyramid for Russian Federation
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Russian Federation
Healthcare data
Population 142.470.272 2014
59,8 2011

40,2 2011
* IMF estimative

Russian Federation
2. Country

2013 2014
55% 53%

Requirements for citizens to qualify for public insurance: all citizens.

2013 2014

2013 2014

ICD devices No
Pacemakers Yes
Ablation No

Russian Federation
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
Comments: NICE; Ministry of Health
4. Education

Device therapy     NSA

Invasive electrophysiology     NSA
Training centres     NSA

Russian Federation
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist, surgeon

NSA

Pacemaker 10
ICD implantation 7
CRT implantation 7
Number of universities (Schools of Medicine) not available

Russian Federation
5. Pacemakers

2013 2014

Surgeons Yes 30%

2013 2014
Total CRT units implanted 1.012 863

Surgeons Yes 40%

Russian Federation

2013 2014

Surgeons Yes 30%
8. Loop recorders

2013 2014

9. Lead extractions
2013 2014
available available
available available


Russian Federation
10. Device specific

Official name
ICD Yes NSA
Pacing Yes NSA
Electrophysiology Yes NSA
Offical name: Federal center for Interventional and Surgical Arrhythmology

2013 2014
Number of VT/VF ablations not available 2.408

Russian Federation
Offical name: NSA
12. Guidelines

National Yes
U.S. No answer
European Yes

1 2 3 4 5
13. Sources

∙∙ National (Russian) Society of Arrhythmology (NSA)
∙∙ National (Russian) Society of Arrhythmology

SAN MARINO
Data not submitted.

SERBIA

Serbia
1. Statistics
Age pyramid for Serbia
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Serbia
Healthcare data
62,1 2011

37,9 2011
* IMF estimative

Serbia
2. Country

2013 2014
56% 56%

Requirements for citizens to qualify for public insurance: no special restrictions in health care.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Serbia
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: Under the existing law the patient covers 5%
of the cost value of appliances that are perma-
nently installed.
No restrictions 
Not funded 
No answer 
4. Education

National referral
Device therapy    
pacemaker center
National referral
pacemaker center

Serbia
No 
No answer 

Specialist


Pacemaker 7
ICD implantation 5
CRT implantation 3

Serbia
5. Pacemakers

2013 2014

Surgeons Yes 5%

2013 2014

Surgeons No 0%

Serbia

2013 2014

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons Yes 20%

Serbia
10. Device specific

Official name
ICD Yes National referral pacemaker center
Pacing Yes National referral pacemaker center
Offical name: National referral pacemaker center

2013 2014
Number of ablations performed 1.010 815

Serbia
12. Guidelines

National Yes
U.S. Yes
European Yes

1 2 3 4 5
13. Sources

∙∙ Serbian Cardiology Society

SLOVAKIA

Slovakia
1. Statistics
Age pyramid for Slovakia
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Slovakia
Healthcare data
70,9 2011

29,1 2011
* IMF estimative

Slovakia
2. Country

2013 2014
47% 47%
National health system with universal health insurance coverage, major hospitals (incl. university hospitals)
owned and operated by government, regional hospitals mostly non-profit organizations or privately owned.
General practitioners and most specialists work in private offices (on the basis of agreements with insurance
companies, no (or very little) cash contribution from the patients. There is no patient financial contribution for
arrhythmia devices or interventions, but co-payment is necessary for most drugs.

Requirements for citizens to qualify for public insurance: All permanent residents with citizenship are qualified.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Slovakia
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: Restricted by budget; Number of hospitals
offering these therapies limited by insurance
companies
No restrictions 
Not funded 
No answer 
4. Education

Certified activity for implanting

Device therapy     cardiac impulse generators
(Ministry of Health)
Certificate in „Intensive care of
Allied professionals     adults“ (Ministry of Health)

Slovakia
No 
No answer 

Specialist


Pacemaker 3
ICD implantation 3
CRT implantation 3

Slovakia
5. Pacemakers

2013 2014

Surgeons Yes 30%

2013 2014

Surgeons No 0%

Slovakia

2013 2014

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014

Surgeons No 0%

Slovakia
10. Device specific

Official name
ICD Yes SLOVIMPULZ
Pacing Yes SLOVIMPULZ
Electrophysiology Yes SLOVABLO
Offical name: SUKL – State Institute for Drug Control

2013 2014

Slovakia
Offical name: SLOVABLO registry of the Slovak Heart Rhythm Association (SHRA)
12. Guidelines

National Yes
U.S. No answer
European Yes

1 2 3 4 5
13. Sources

∙∙ Slovak Heart Rhythm Association
∙∙ Sales data
∙∙ Estimation

SLOVENIA

Slovenia
1. Statistics
Age pyramid for Slovenia
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Slovenia
Healthcare data
73,7 2011

26,3 2011
* IMF estimative

Slovenia
2. Country

2013 2014
NHS Fund.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Slovenia
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education


Slovenia
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist, internist
ICD or pacemaker implants Yes Surgeon, internist, cardiologist


Pacemaker 2
ICD implantation 2
CRT implantation 2

Slovenia
5. Pacemakers

2013 2014

Surgeons Yes 90%

2013 2014

Surgeons No 0%

Slovenia

2013 2014
Replacements 7 18

Surgeons Yes 65%
8. Loop recorders

2013 2014

9. Lead extractions
2013 2014
Hospitals performed lead extractions 1 not
available
available available

Cardiologists No 0%
Surgeons Yes 100%

Slovenia
10. Device specific

Official name
ICD Yes WG on Arrhythmias, Slovenian Society of Cardiology
Pacing Yes WG on Arrhythmias, Slovenian Society of Cardiology
Electrophysiology Yes WG on Arrhythmias, Slovenian Society of Cardiology

Official name: Agency of the Republic of Slovenia for Medicines and Medical Devices
Official name: Agency of the Republic of Slovenia for Medicines and Medical Devices

2013 2014

Slovenia
Official name: WG on Arrhythmias, Slovenian Society of Cardiology
12. Guidelines

National No
U.S. No
European Yes

1 2 3 4 5
13. Sources

∙∙ Working Group on Arrhythmias, Slovenian Society of Cardiology
∙∙ Estimation

SPAIN

Spain
1. Statistics
Age pyramid for Spain
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Spain
Healthcare data
Population 47.737.941 2014
73,0 2011

27,0 2011
* IMF estimative

Spain
2. Country

2013 2014
32% 33%
System Spanish healthcare is based on a national health system that covers almost all population. Regional
autonomous communities have their own budget and decide how to organize and deliver resources. Private
insurance companies offer complementary heatlthcare coverage.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Spain
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Cardiac stimulation accre-

Device therapy     ditation (Acreditación en
estimulación cardiaca)
Acreditación de formación
especifica de excelencia para
Invasive electrophysiology     la práctica en Electrofisiologia
Cardiaca Intervencionista
Acreditación de centros para la
Training centres     formación en Electrofisiologia

Spain
No 
No answer 

Specialist

Spanish Society of Cardiology

Pacemaker 0
ICD implantation 0
CRT implantation 0

Spain
5. Pacemakers

2013 2014
Thereof, Replacements not available 9.080

Surgeons Yes 24%
Others: Intensive Care specialists Yes 4%

2013 2014

Surgeons Yes 2%

Spain

2013 2014

Surgeons Yes 8%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
available available

Surgeons Yes 80%

Spain
10. Device specific

Official name
Spanish Implantable Cardioverter-defibrillator Registry. Tenth Official Report of the
Spanish Society of Cardiology Electrophysiology and Arrhythmias Section (2013).
ICD Yes
Esp Cardiol (Engl Ed). 2014 Nov;67(11):936-47. doi: 10.1016/j.rec.2014.08.001.
Epub 2014 Oct 1. Alzueta J1, Pedrote A2, Fernández Lozano I
Spanish Pacemaker Registry. Eleventh official report of the Spanish Society of
Cardiology Working Group on Cardiac Pacing (2013) Esp Cardiol (Engl Ed). 2014
Pacing Yes
Dec;67(12):1024-38. doi: 10.1016/j.rec.2014.08.004. Epub 2014 Nov 11. Coma
Samartín R1, Cano Pérez Ó2, Pombo Jiménez M3.
Spanish Catheter Ablation Registry. 13th Official Report of the Spanish Society of
Cardiology Working Group on Electrophysiology and Arrhythmias (2013). Esp
Electrophysiology Yes Cardiol (Engl Ed). 2014 Nov;67(11):925-35. doi: 10.1016/j.rec.2014.07.009. Epub
2014 Sep 30. Ferrero de Loma-Osorio A1, Gil-Ortega I2, Pedrote-Martínez A2;
Spanish Catheter Ablation Registry collaborators.
Offical name: Ministry of Health in collaboration with Working Group of Arrhythmia and Pacing

2013 2014

Spain
12. Guidelines

National Yes
U.S. No
European Yes

1 2 3 4 5
Lack of reimbursement,     
13. Sources

∙∙ Sección de Electrofisiologia y Arritmias de la Sociedad Española de Cardiologia (Arrhythmia Working Group
of the Spanish Society of Cardiology)
∙∙ Sección de Estimulación Cardiaca de la Sociedad Española de Cardiología (Working Group of Cardiac
Pacing of the Spanish Society of Cardiology)
∙∙ Estimation

SWEDEN

Sweden
1. Statistics
Age pyramid for Sweden
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Sweden
Healthcare data
81,6 2011

18,4 2011
* IMF estimative

Sweden
2. Country

2013 2014

Requirements for citizens to qualify for public insurance: as a tax.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Sweden
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: Money spent on health care different for diffe-
rent regions.
No restrictions 
Not funded 
No answer 
Comments: The National Board of Health and Welfare.
4. Education


Sweden
No 
No answer 

Specialist


Pacemaker 15
ICD implantation 15
CRT implantation 15

Sweden
5. Pacemakers

2013 2014

Others: Anesthetist Yes not available

2013 2014


Sweden

2013 2014
Thereof, Dual chamber 1.531 not available

8. Loop recorders

2013 2014

9. Lead extractions
2013 2014


Sweden
10. Device specific

Official name
ICD Yes Swedish ICD and pacemaker registry
Pacing Yes Swedish ICD and pacemaker registry
Electrophysiology Yes Swedish catheter ablation registry
Official name: The National Board of Health and Welfare, Medical Product Agency

2013 2014

Sweden
Official name: Swedish Catheter Ablation Registry
12. Guidelines

National Yes
U.S. No
European No

1 2 3 4 5
13. Sources

∙∙ Heart Rhythm Group (HRG) of the Swedish Society of Cardiology
∙∙ Swedish pacemaker and catheter ablation registry
∙∙ Swedish national Board of healthcare and well being
∙∙ Estimation
∙∙ Other

SWITZERLAND

Switzerland
1. Statistics
Age pyramid for Switzerland
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Switzerland
Healthcare data
64,9 2011

35,1 2011
* IMF estimative

Switzerland
2. Country

2013 2014
35% 35%
Compulsory general healthcare insurance for all citizens. Voluntary complementary private insurances (used by
apprx. 26-28%). The individual additional self contribution adds up to max. 3200 CHF annually.

Requirements for citizens to qualify for public insurance: Obligatory membership.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Switzerland
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
4. Education

Published Guidelines of the
Working Group Pacing and
Cardiac Electrophhsiology.
Device therapy     Self declaration by the members
of the Working Group on the
www.pacemaker.ch
Cardiac Electrophysiology.
Invasive electrophysiology     Self declaration by the members
www.pacemaker.ch
Cardiac Electrophysiology.
Training centres     Self declaration by the members
www.pacemaker.ch

Switzerland
Yes, the Society demands EHRA certification for practice 
No 
No answer 

Specialist
Catheter ablation Yes Cardiologist, specific training in EP
ICD or pacemaker implants Yes Cardiologist, Cardiac Surgeon

Published Guidelines of the Working Group Pacing and Cardiac Electrophysiology.

Self declaration by the members of the Working Group on the www.pacemaker.ch
Suggested period of training to perform implantations Yes*

* 100 device implantations as a first operator within a period of 24 consecutive months.

Pacemaker 76
ICD implantation 52
CRT implantation 30

Switzerland
5. Pacemakers

2013 2014

Surgeons Yes 2%

2013 2014

Surgeons No 0%

Switzerland

2013 2014
Thereof, Dual chamber 269 not available

Surgeons Yes 1%
8. Loop recorders

2013 2014
Implanting centres not not
available available

available available

Cardiologists not available
Surgeons not available
9. Lead extractions
2013 2014

Surgeons Yes 50%

Switzerland
10. Device specific

Official name
ICD Yes CHPACE WEB www.pacemaker.ch
Pacing Yes CHPACE WEB www.pacemaker.ch
Electrophysiology Yes CHPACE WEB www.pacemaker.ch
Offical name: Working Group „Cardiac Pacing and Electrophysiology“

2013 2014

Switzerland
Offical name: CHPACE WEB www.pacemaker.ch
12. Guidelines

National Yes
U.S. No
European Yes

1 2 3 4 5
13. Sources

∙∙ “Arbeitsgruppe Herzschrittmacher und Elektrophysiologie“
∙∙ Working Group on Cardiac Pacing and Electrophysiology
∙∙ Estimation
∙∙ www.pacemaker.ch

SYRIA
Data not submitted.

TUNISIA

Tunisia
1. Statistics
Age pyramid for Tunisia
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Tunisia
Healthcare data
Population 10.937.521 2014
59,4 2011

40,6 2011
* IMF estimative

Tunisia
2. Country

2013 2014
National health system for the majority of citizens.

Requirements for citizens to qualify for public insurance: Citizens have to subscribe to the national health
system (CNAM).

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

Tunisia
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
Comments: There is a package for each procedure payed
by CNAM.
No restrictions 
Not funded 
No answer 
4. Education

DIU de rythmologie et de
Device therapy    
stimulation cardiaque
DIU de rythmologie et de
stimulation cardiaque

Tunisia
No 
No answer 

Specialist


Pacemaker 10
ICD implantation 8
CRT implantation 8

Tunisia
5. Pacemakers

2013 2014
Total Pacemaker units implanted not available 2.200

Surgeons Yes 5%

2013 2014

Surgeons No 0%

Tunisia

2013 2014

Surgeons No 0%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
available
available

Surgeons Yes 60%

Tunisia
10. Device specific

Reasons why remote monitoring is not available: The number of patients implanted is not high to require
monitoring sytem and each patient is followed by the center where he was implanted.

Official name
ICD No
Pacing No


2013 2014

Tunisia
12. Guidelines

National No
U.S. Yes
European Yes

1 2 3 4 5
13. Sources

∙∙ Tunisian Society of Cardiology and Cardiolvascular Surgery
∙∙ Sales data
TURKEY

Turkey
1. Statistics
Age pyramid for Turkey
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Turkey
Healthcare data
Population 81.619.392 2014
72,7 2011

27,3 2011
* IMF estimative

Turkey
2. Country

2013 2014
National Health Care System (Social Security Institution -SSI) covers almost all population. Private insurance
companies offer complementary health care.

Requirements for citizens to qualify for public insurance: working population that has acquired policy and
their family, retired population.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No
Comments: Yes, only in private sector.

Turkey
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
Comments: Health Application Instructions; Social Security Institution publish a guideline called ‚‘Health Ap-
plication Instructions‘‘ which reports the indications and the amount of reimbursement for each procedure.
Indications follow ESC guidelines.
4. Education


Turkey
No 
No answer 

Specialist
ICD or pacemaker implants Yes Cardiologist, cardiovascular surgeon



Turkey
5. Pacemakers

2013 2014
Total Pacemaker units implanted not available 7.300
Thereof, Replacements not available 1.100

Surgeons Yes 3%

2013 2014
Total CRT units implanted not available 2.460
Thereof, CRT ICD not available 2.150

Surgeons Yes 1%

Turkey

2013 2014
Total ICD units implanted not available 6.300
Thereof, Single chamber not available 2.600
Thereof, Dual chamber not available 3.700

Surgeons Yes 1%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
available available
available

Surgeons Yes 25%

Turkey
10. Device specific

Official name
ICD No
Pacing No


2013 2014
Number of ablation centres not available not available

Turkey
12. Guidelines

National Yes
U.S. Yes
European Yes

1 2 3 4 5
13. Sources

∙∙ Turkish Society of Cardiology, Working Group on Arrhythmias
∙∙ Sales data
∙∙ Estimation

UKRAINE

Ukraine
1. Statistics
Age pyramid for Ukraine
> 65 years
Percent
2030
2014
1990*
40-64 years
2030
2014
1990*
20-39 years
2030
2014
1990*
< 20 years
2030
2014
1990*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

Ukraine
Healthcare data
Population 44.291.413 2014
55,7 2011

44,3 2011
* IMF estimative

Ukraine
2. Country

2013 2014
66,5% not available
Ministry of Public Health of Ukraine, National Academy of Medical Sciences of Ukraine (National Scientific Centres
– 36 in total), profile institutional hospitals (hospital of the Ministry of Internal Affairs, hospital of the Ministry of
Defence so on), State sanitary and epidemiological service,State Administration of Ukraine on medical products,
State service of Ukraine on HIV/AIDS and other socially dangerous diseases. National health system provides all
citizens of Ukraine with the free medical and preventive help in accordance to acting legislation by: emergency,
outpatient (ambulatory-policlinic) help, stationary (general profile and specialized) help.

2013 2014

2013 2014

Ukraine
ICD devices No
Pacemakers No
Ablation No
Comments: Co-payment is not necessary when NHS funds are available in a hospital. In any other case,
patient must cover all expenses from own budget.

Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 

Ukraine
4. Education

Invasive and non invasive

Device therapy     arrhythmology
Invasive and non invasive

Invasive electrophysiology     arrhythmology

No 
No answer 

Specialist
Catheter ablation Yes Cardiovascular surgeon or cardiologist
ICD or pacemaker implants Yes Cardiovascular surgeon or cardiologist
Official national competency guidelines for electrophysiological studies

Yes
Рекомендації Ассоціації Кардіологів України/Recommendations of Association of Cardiologists of Ukraine/
Рекомендації Ассоціації Аритмологів України/Recommendations of Association of Arrhythmologists of
Ukraine

Pacemaker 4
ICD implantation 2
CRT implantation 2

Ukraine
Percentage of academic centres among all practicing EP centres 33,3%
Percentage of academic centres among all practicing implanting devices centres 11,4%
5. Pacemakers

2013 2014
Thereof, Replacements 1.056 959

Cardiologists Yes 10,3%
Surgeons Yes 89,7%

2013 2014

Cardiologists No 0%
Surgeons Yes 100%

Ukraine

2013 2014
Replacements 14 10

Cardiologists No 0%
Surgeons Yes 100%
8. Loop recorders

2013 2014

Cardiologists No 0%
Surgeons Yes 100%
9. Lead extractions
2013 2014

Cardiologists No 0%
Surgeons Yes 100%

Ukraine
10. Device specific

Official name
ICD No
Pacing No


2013 2014

Ukraine
12. Guidelines

National Yes
U.S. Yes
European Yes

1 2 3 4 5
13. Sources

∙∙ Association of Arrhythmologists of Ukraine
∙∙ State Statistics Service of Ukraine: http://www.ukrstat.gov.ua, Ministry of Health of Ukraine:
http://www.moz.gov.ua/
∙∙ Survey from Association of Arrhythmologists of Ukraine

UNITED KINGDOM

United Kingdom
1. Statistics
Age pyramid for United Kingdom
> 65 years
Percent
2030
2014
1991*
40-64 years
2030
2014
1991*
20-39 years
2030
2014
1991*
< 20 years
2030
2014
1991*
30 25 20 15 10 5 0 0 5 10 15 20 25 30
Male Female
*

United Kingdom
Healthcare data
Population 63.742.977 2014
82,8 2011

17,2 2011
* IMF estimative

United Kingdom
2. Country

2013 2014
28,4% 22%
National Health service free at point of care. Optional private health care.

Requirements for citizens to qualify for public insurance: All UK citizens included automatically.

2013 2014

2013 2014

ICD devices No
Pacemakers No
Ablation No

United Kingdom
Internal loop
       
recorders
ICD primary
       
prevention
ICD seconda-
       
ry prevention
CRT devices        
Ablation        
No restrictions 
Not funded 
No answer 
Comments: NICE, BHRS, ESC
4. Education

Certificate of Completion of Specialist Training

(with subspecialty Training in Device/EP) issued
by Joint Royal Colleges of Physicians Training
Device therapy     Board is mandatory; Accreditation by British Heart
Rhythm Society/HRS/EHRA is encouraged but not
mandatory
Certificate of Completion of Specialist Training
(with subspecialty Training in Device/EP) issued
Invasive by Joint Royal Colleges of Physicians Training
    Board is mandatory; Accreditation by British Heart
electrophysiology
Rhythm Society/HRS/EHRA is encouraged but not
mandatory
Allied professionals     Society for Cardiological Science and Technology
British Heart Rhythm Society has Guidelines for
Training centres for device Management (Basic,
Training centres     advanced) and EP (Basic, advanced) but these are
not mandatory

United Kingdom
No 
No answer 
Comments: Whilst BHRS supports EHRA certification, our national certification predates EHRA certification and
has a more extensive requirement, in terms of a detailed logbook. We also have a specific section targeting
arrhythmia nurses in addition to physiologists and doctors.

Specialist
Catheter ablation Yes Cardiac electrophysiologist

Comments: BHRS has produced a Standards document that covers training, number of procedures (for
doctors, allied professionals and for centres) and mandates data submission to the national CRM database.

Comments: Minimum of 4 years.

Comments: 4 years as this is detailed in the training curriculum for cardiology.

Pacemaker 0
ICD implantation 0
CRT implantation 0

United Kingdom
5. Pacemakers

2013 2014

Surgeons Yes 1%

2013 2014
Thereof, CRT pacemaker 3.792 4.144

Surgeons Yes 1%

United Kingdom

2013 2014

Surgeons Yes 2%
8. Loop recorders

2013 2014

Surgeons No 0%
9. Lead extractions
2013 2014
available available

available available


United Kingdom
10. Device specific

Official name
ICD Yes NICOR CRM National Audit
Pacing Yes NICOR CRM National Audit
Electrophysiology Yes NICOR CRM National Audit

Offical name: NICOR CRM National Audit
Offical name: Medicine and Healthcare Regulatory Authority (MHRA)

2013 2014

United Kingdom
Offical name: NICOR CRM National Audit
12. Guidelines

National Yes
U.S. No
European Yes

1 2 3 4 5
13. Sources

∙∙ British Heart Rhythm Society
∙∙ NICOR CRM National Audit
∙∙ British Heart Rhythm Society

5. Appendix

5. Appendix
CERTIFICATION
EHRA Certification
The EHRA offers the first European certification of professional excellence, in three areas:
- Electrophysiology
- Cardiac Pacing & Device Therapy
- Allied Professionals
The EHRA is pleased to publish the list, starting from 2005, of professionals who are officially fully certified,
as well as that of the candidates who have passed the written part of the certification process. «Join us in
congratulating them!»
Candidates successful to the exam need to have their logbook assessed by an EHRA grader to be fully certified.
EHRA Certification is valid for 10 years.
Electrophysiology
EHRA EP Certified professionals

ACENA RAMOS Marta Spain 2014
ADIYAMAN Ahmet Netherlands 2014
ALCALDE RODRIGUEZ Oscar Spain 2012
ALI Hussam Italy 2015
ALZAND B. Netherlands 2012
ANDERSON Mark H. United Kingdom 2010
ANGUERA CAMOS Ignacio Spain 2009
ANNE Wim Belgium 2013
ARBELO Elena Spain 2009
ARCOCHA TORRES Maria Fe Spain 2012
ARIAS PALOMARES Miguel Angel Spain 2013
ARMENTA PASTOR Juan Fernandez Spain 2012
AVELLA Andrea Italy 2009
ÁVILA ALONSO Pablo Spain 2013
AYALA PAREDES Felix Canada 2009
BALTA Osman Germany 2013
BARRERA CORDERO Alberto Spain 2005
BAYRAK Duhan Fatih Belgium 2012
BEAUPORT Joelle Germany 2013
BELOTTI Giuseppina Italy 2008
BENCSIK Gabor Hungary 2009

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

BERRUEZO SANCHEZ Antonio Spain 2010
BERTOMEU-GONZALEZ Vicente Spain 2012
BONANNO Carlo Italy 2014
BRUGADA Josep Spain 2009
BUERKLE Gerd Austria 2011
BUN Sok-Sithikun France 2012
BURRI Haran Switzerland 2008
CALVO CUERVO David Spain 2013
CALVO GALIANO Naiara Spain 2012
CANO PEREZ Oscar Spain 2011
CASTRO URDA Victor Spain 2012
CATANCHIN Andrei Australia 2012
CHATTERJEE Debjit United Kingdom 2013
CHONG Daniel Singapore 2013
COZAR LEON Rocio Spain 2012
DATINO Tomas Spain 2012
DAVOODI Gholamreza Ireland 2008
DE FILIPPO Paolo Italy 2012
DE GROOT Joris R. Netherlands 2012
DE JONG Jonas Netherlands 2013
DE MEYER Grim Belgium 2014
DE RIVA SILVA Marta Spain 2013
DELGADO Hugo Emilio Argentina 2014
DEUTSCH Alexandru Romania 2012
DJAJADISASTRA Achmad Iskandar Germany 2012
DOMINGUEZ MAFE Eloy Spain 2014
DURAY Gabor Zoltan Germany 2008
DYRDA Katia Canada 2012
EISENBERGER Martin Czech Republic 2012
EL KADRI Moutaz United Kingdom 2013
ELDER Douglas United Kingdom 2013
EWERTSEN Niels Christian Germany 2014
FERNANDEZ LOZANO Ignacio Spain 2005
FONTENLA Adolfo Spain 2012
FORCLAZ Andrei Switzerland 2012

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

FOSCH Javier Spain 2015
FRANCK Harald Germany 2011
GALLARDO LOBO Rodrigo Spain 2012
GARCIA MORAN Emilio Spain 2005
GAROFALO FORTE Daniel Spain 2015
GAWRYSIAK Marcin Poland 2013
GLOWNIAK Andrzej Poland 2012
GONZALEZ VASSEROT Maria del Mar Spain 2009
GONZALEZ-ENRIQUEZ Susana Spain 2012
GOPALAMURUGAN A. B. United Kingdom 2014
GRECU Mihaela Romania 2007
GRUBB Neil United Kingdom 2014
GUGUCHEV Pavel United States of America 2010
HEMELS Martin Netherlands 2012
HERCZKU Csaba Hungary 2012
HERREROS GUILARTE Benito Spain 2005
HLIVAK Peter Slovakia 2012
HUYBRECHTS Wim Belgium 2009
INFUSINO Tommaso Italy 2013
JANDA Igor Germany 2012
JANSEN Ward Netherlands 2010
JASTRZEBSKI Marek Poland 2008
JILEK Clemens Germany 2012
JOHAR Sofian United Kingdom 2012
JONES David Gareth United Kingdom 2012
KACZMAREK Krzysztof Poland 2013
KARDOS Attila Hungary 2012
KEMME Michiel Netherlands 2009
KILISZEK Marek Poland 2010
KONSTANTINIDOU Melanie Germany 2013
KOOPMAN Pieter Belgium 2014
KOSTOPOULOU Anna Greece 2014
KRISTENSEN Jens Denmark 2014
KUHNE Michael Switzerland 2012
LANG Christopher United Kingdom 2014

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

LAURENZI Francesco Italy 2009
LE POLAIN DE WAROUX Jean-Benoit Belgium 2015
LERCHER Peter Austria 2012
LETSAS Konstantinos Greece 2009
LOUW Ruan South Africa 2014
LUBINSKI Andrzej Poland 2005
LUEDORFF Guido Germany 2012
LUERMANS Justin Netherlands 2014
MADRID Antonio Spain 2008
MARINI Massimiliano Italy 2011
MARTINEK Martin Austria 2010
MARTINEZ ALDAY Jesus Daniel Spain 2005
MARTINEZ SANDE Jose Luis Spain 2012
MATIA FRANCES Roberto Spain 2011
MATIELLO Maria Spain 2011
MAZUR Alexander Israel 2005
MORENO REVIRIEGO Sara Spain 2014
MOYA I MITJANS Angel Spain 2005
MUELLER Stephan Andreas Switzerland 2012
MUNDEL Markus Germany 2013
NAGEH-ARMANIOS Maged United States of America 2012
NAVARRETE CASAS Antonio Javier United States of America 2008
NENTWICH Karin Germany 2013
NOVAK Jan United Kingdom 2013
ORMAETXE MERODIO Jose Miguel Spain 2005
OSCA ASENSI Joaquin Spain 2010
ÖZCAN Emin Evren Turkey 2014
PACHON Marta Spain 2014
PADFIELD Gareth United Kingdom 2015
PAPIASHVILI Giorgi Georgia 2009
PASTOR FUENTES Agustin Spain 2005
PAVLOVIC Nikola Croatia 2014
PEINADO Rafael Spain 2005
PEREZ ALVAREZ Luisa Spain 2014
PEREZ CASTELLANO Nicasio Spain 2005

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

PEREZ DIEZ Diego Spain 2012
PEREZ-VILLACASTIN Julian Spain 2005
PISON Laurent Netherlands 2013
POELSLER Robert Germany 2014
POZZETTI Daniela Italy 2007
PUCHOL Alberto Hungary 2012
REBELLATO Luca Italy 2012
RICCIARDI Danilo Belgium 2013
RIVAS GANDARA Nuria Spain 2013
RIVERA Santiago Canada 2013
ROCA LUQUE Ivo Spain 2014
RODRIGUEZ MANERO Moises Belgium 2013
RORDORF Roberto Italy 2012
ROSSI Andrea Italy 2014
ROSSI Luca Italy 2014
ROTEN Laurent Switzerland 2009
ROUX Antoine France 2013
SABATE DE LA CRUZ Xavier Spain 2005
SALGADO ARANDA Ricardo Spain 2014
SALGUERO BODES Rafael Spain 2009
SAMO AYOU Romeo Sweden 2011
SAUSE Armin Germany 2009
SCHIMPF Rainer Germany 2012
SCHOONDERWOERD Bas Netherlands 2012
SEBAG Frederic France 2014
SEGRETI Luca Italy 2013
SEGURA VILLALOBOS Federico Spain 2012
SEILER Jens Switzerland 2013
SEOW Swee-Chong Singapore 2007
SERVATIUS Helge Switzerland 2014
SGARITO Giuseppe Italy 2014
SILISTE Calin Italy 2013
SKENE Christopher United Kingdom 2014
SMIT Jaap Jan Netherlands 2009
STANLEY Anthony South Africa 2014

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

STEFFEL Jan Switzerland 2012
STUEHLINGER Markus Austria 2010
SZABO Albin Arpad Hungary 2012
SZEPLAKI Gabor Hungary 2012
TEIJEIRA FERNANDEZ Elvis United Kingdom 2012
TOMAN Ondrej Czech Republic 2013
TOQUERO RAMOS Jorge Spain 2005
TRINES Serge Alexander Ivo Petrus Netherlands 2008
TUTDIBI Osman Germany 2013
TZEIS Stylianos Greece 2010
UCER Ekrem Germany 2012
VACCARI Diego Italy 2013
VALVERDE ANDRE Irene Spain 2013
VAN CASTEREN Lieve Belgium 2012
VAN OPSTAL Jurren Netherlands 2014
VATASESCU Radu-Gabriel Romania 2009
VENABLES Paul United Kingdom 2013
VILLUENDAS SABATE Roger Spain 2013
VITALE Raffaele Italy 2012
VOCKE Wolfgang Germany 2013
VOSS Frederik Germany 2009
VUKAJLOVIC Dejan Germany 2010
WETZEL Renate Ulrike Germany 2015
WINTER Siegmund Austria 2012
YEO Wee Tiong Singapore 2013
ZELJKO Hrvojka Marija Croatia 2013
ZELLERHOFF Stephan Germany 2015
ZOPPO Franco Italy 2008
ZUCCHELLI Giulio Italy 2012

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology
EP Certification candidates who have successfully completed the exam

ABALEA Jerome France 2014
ABEDIN Zainul United States of America 2007
ÁBRAHAM Pál Hungary 2013
ACOSTA MARTINEZ Juan Spain 2014
ACOU Willem-Jan Belgium 2013
AHMED TAHER MAHMOUD Ahmed Egypt 2013
AHUMADA MIGUEL Spain 2013
AL BUNNI Muhamad Italy 2007
ALGARRA CULLELL Maria Spain 2013
ALI Hussam Italy 2014
ALIYEV Farid Turkey 2010
ALZAND B. Netherlands 2012
AMET Denis France 2011
ANGUERA CAMOS Ignacio Spain 2008
ANIC Ante Croatia 2013
ARCOCHA TORRES Maria Fe Spain 2009
ARGUEDAS-JIMENEZ Hugo Spain 2014
ARMENTA PASTOR Juan Fernandez Spain 2011
ARND Christoph Germany 2014
ATTA Salah Eldin Sayed Saudi Arabia 2010
ÁVILA ALONSO Pablo Spain 2013
AYALA PAREDES Felix Canada 2007
AZEM Tareq Germany 2014
BALT Jippe Netherlands 2013
BARDYSZEWSKI Aleksander Poland 2014
BARRERA CORDERO Alberto Spain 2005

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

BARRY James United Kingdom 2012
BASTIAN Dirk Germany 2014
BAUERNFEIND Tamas Hungary 2013
BEDNAREK Jacek Poland 2011
BEHAR Nathalie France 2014
BENEZET MAZUECOS Juan Spain 2014
BERRUEZO SANCHEZ Antonio Spain 2006
BERTAGNOLLI Livio Italy 2013
BERTERO Giovanni Italy 2012
BIANCHI Francesca Italy 2014
BISBAL Felipe Belgium 2014
BLAAUW Yuri Netherlands 2011
BLANDINO Alessandro Italy 2013
BOGDAN Stefan Nicolae Romania 2014
BOHORA Shomu India 2012
BORDIGNON Stefano Italy 2013
BORREGO BERNABE Luis Spain 2013
BOTROS Maichel Sobhy Naguib Egypt 2014
BOULLIN Julian Paul United Kingdom 2010
BROCKMEIER Johannes Paul Germany 2013
BROUZET thomas Spain 2012
BRUGADA Josep Spain 2007
BUCHHOLZ Jochen Germany 2013
BURKHARDT Dietmar Germany 2014
CABANAS GRANDIO Pilar Spain 2014
CABRERA GOMEZ Sandra Spain 2014

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

CALVANESE Raimondo Italy 2014
CALVO GALIANO Naiara Spain 2011
CAMPOS GARCIA Bieito Spain 2010
CAÑADAS GODOY Maria Victoria Spain 2013
CANO PEREZ Oscar Spain 2009
CASTILLO Jesús Spain 2013
CASTREJON CASTREJON Sergio Spain 2012
CASTRO URDA Victor Spain 2009
CATANCHIN Andrei Australia 2008
CLEMENS Marcell Hungary 2012
CLEMENTY Nicolas France 2010
CORTEZ-DIAS Nuno Portugal 2013
COZAR LEON Rocio Spain 2011
DAR Mehboob Saudi Arabia 2013
DATINO Tomas Spain 2011
DAVOODI Gholamreza Ireland 2007
DE DIEGO Carlos Spain 2012
DE FILIPPO Paolo Italy 2011
DEL CASTILLO ARROJO Silvia Spain 2006
DELGADO Hugo Emilio Argentina 2013
DEUTSCH Alexandru Romania 2009
DI CORI Andrea Italy 2012
DICHTL Wolfgang Austria 2011
DINOV Borislav Germany 2012
DJAJADISASTRA Achmad Iskandar Germany 2011
DOMINGUEZ MAFE Eloy Spain 2012
DUTHOIT Guillaume France 2010

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

EIJSBOUTS Sabine Netherlands 2014
EISENBERGER Martin Czech Republic 2008
ESTRADA Alejandro Spain 2013
EVERTZ Reinder Netherlands 2014
EWERTSEN Niels Christian Germany 2013
FERNANDEZ LOZANO Ignacio Spain 2005
FERNANDEZ PASTOR Julia Spain 2012
FICHTNER Stephanie Germany 2014
FIGUEROA Jorge Alejandro Argentina 2014
FILGUEIRAS RAMA David Spain 2012
FORCLAZ Andrei Switzerland 2009
FOSCH Javier Spain 2013
FRANZINI Christine Switzerland 2014
GANDJBAKHCH Estelle France 2013
GARCIA MORAN Emilio Spain 2005
GAROFALO FORTE Daniel Spain 2013
GAWRYSIAK Marcin Poland 2009
GLOWNIAK Andrzej Poland 2009
GODA Sherif Egypt 2014
GOMEZ Federico Spain 2014
GONZALEZ FERRER Juan Jose Spain 2012
GONZALEZ VASSEROT Maria del Mar Spain 2007
GOPALAMURUGAN A. B. United Kingdom 2011
GOURRAUD Jean Baptiste France 2014
GRANIER Mathieu France 2011
GRIECO Domenico Italy 2014
GRUBB Neil United Kingdom 2014

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

GUY-MOYAT Benoit France 2010
HENDRICKS Neil South Africa 2012
HOBBS William Julian United Kingdom 2007
HOFFMANN Andrzej Poland 2012
HOGLUND Niklas Sweden 2008
HOOFT VAN HUYSDUYNEN Bart Netherlands 2011
HORDYNSKI Grzegorz Poland 2012
HUEMER Martin Germany 2013
INFUSINO Tommaso Italy 2011
IORGULESCU Corneliu-Nicolae Romania 2012
JAN Matevz Slovenia 2014
JANDA Igor Germany 2009
JARMAN Julian United Kingdom 2012
JAUREGUI ABULARACH Miguel Eduardo Spain 2010
JIMENEZ JAIMEZ Juan Spain 2013
JIMENEZ-DIAZ Javier Spain 2013
JOST Colin Germany 2012
KANDIL Mehmet Germany 2011
KARDOS Attila Hungary 2010
KILISZEK Marek Poland 2009
KIRUBAKARAN Senthil United Kingdom 2012
KOCH Lydia Germany 2012

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

KONRAD Torsten Germany 2014
KONSTANTINIDOU Melanie Germany 2011
KRIVOLAPOV Sergey Russia 2013
KUHNE Michael Switzerland 2011
LALLEMAND Benedicte France 2012
LANG Christopher United Kingdom 2012
LANGBEIN Anke Germany 2014
LAURENZI Francesco Italy 2008
LE POLAIN DE WAROUX Jean-Benoit Belgium 2012
LETSAS Konstantinos Greece 2008
LEVENTOPOULOS Georgios Greece 2014
LINDE Antonio Spain 2013
LOUW Ruan South Africa 2014
LUBINSKI Andrzej Poland 2005
LUQUE Antonio Spain 2014
MADRAZO DELGADO Ines Spain 2012
MADRID Antonio Spain 2008
MAKOWSKI Karol Portugal 2010
MANTZIARI Aglaia-Angeliki (lilian) United Kingdom 2013
MARTINEZ ALDAY Jesus Daniel Spain 2005
MASSIN Francois France 2009
MATIA FRANCES Roberto Spain 2009
MATIELLO Maria Spain 2007
MAZUR Alexander Israel 2005
MCCREADY James United Kingdom 2010
MEJIA Elena Spain 2014

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

MELLOR Greg United Kingdom 2013
MEYER Christian Germany 2011
MORENO Jose Spain 2013
MORENO REVIRIEGO Sara Spain 2011
MOYA I MITJANS Angel Spain 2005
MUELLER Dirk Germany 2008
MUNTEAN Bogdan Germany 2013
NAVARRETE CASAS Antonio Javier United States of America 2007
NAVARRO Javier Spain 2012
NG Fu Siong United Kingdom 2014
NOTI Fabian Switzerland 2013
NOVAK Jan United Kingdom 2013
OLORIZ SANJUAN Teresa Spain 2013
ORMAETXE MERODIO Jose Miguel Spain 2005
OSCA ASENSI Joaquin Spain 2006
ÖZCAN Emin Evren Turkey 2013
PACHON Marta Spain 2011
PAISEY John United Kingdom 2008
PANCHETTI Luca Italy 2014
PAPIASHVILI Giorgi Georgia 2007
PARK Chan-Il Switzerland 2014
PASTOR FUENTES Agustin Spain 2005
PAURIAH Maheshwar United Kingdom 2012
PAVLOVIC Nikola Croatia 2014
PAWLIK Tomasz Poland 2013
PEINADO Rafael Spain 2005
PELAEZ GONZALEZ Antonio Spain 2012
PENELA Diego Spain 2014
PEREZ Armando Spain 2010

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

PEREZ-VILLACASTIN Julian Spain 2005
PERROTTA Laura Italy 2014
PISON Laurent Netherlands 2010
POOSAPADDI RAJA Bhima Shankar India 2012
PUCHOL Alberto Hungary 2009
QURESHI Norman United Kingdom 2013
RAMANNA Hemanth Netherlands 2008
RIAHI Leila Tunisia 2013
RIVERA Santiago Canada 2013
ROSER Mattias Germany 2012
SABATE DE LA CRUZ Xavier Spain 2005
SALGUERO BODES Rafael Spain 2007
SAMMUT Mark Adrian Malta 2012
SAMO AYOU Romeo Sweden 2010
SANCHEZ GOMEZ Juan Miguel Spain 2013
SANDILANDS A. United Kingdom 2010
SANZO Antonio Italy 2014
SARRIAS Axel Spain 2013
SAUSE Armin Germany 2008
SCHERR Daniel Austria 2013

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

SCHIMPF Rainer Germany 2012
SCHOENBAUER Robert Austria 2011
SEBAG Frederic France 2014
SIEIRA RODRIGUEZ-MORET Juan Antonio Spain 2014
SIELSKI Slawomir Poland 2007
SILBERBAUER John United Kingdom 2013
SILISTE Calin Italy 2011
SKENE Christopher United Kingdom 2013
SKODA Jan Czech Republic 2008
SMIT Jaap Jan Netherlands 2008
SPADACINI Gianmario Italy 2006
STANLEY Anthony South Africa 2012
STEC Sebastian Poland 2014
STOECKEL Holger Switzerland 2012
SUMAN HORDUNA Irina United Kingdom 2008
SZABO Albin Arpad Hungary 2010
SZEPLAKI Gabor Hungary 2011
TAHAPARY Giovanni Netherlands 2013
TEIJEIRA FERNANDEZ Elvis United Kingdom 2012
TEMPLE Ian United Kingdom 2013
TER BEKKE Rachel M. A. Netherlands 2013
TOMAN Ondrej Czech Republic 2012
TOMLINSON D. United Kingdom 2008
TONIOLO Mauro Italy 2014
TOQUERO RAMOS Jorge Spain 2005
TORCIVIA Riccardo Italy 2012

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

TRAN Van Nam Switzerland 2014
TRAYKOV Vassil B Hungary 2010
TREGUER Frederic France 2009
TRINES Serge Alexander Ivo Petrus Netherlands 2006
TRUCCO DE RINAUDO María Emilce Spain 2013
TURRENI Federico Italy 2014
TUTDIBI Osman Germany 2012
TUTUIANU Cristina Romania 2014
TZEIS Stylianos Greece 2009
URBAN Lubos Slovakia 2009
VALVERDE ANDRE Irene Spain 2010
VAN ALEM Anouk Netherlands 2012
VAN DER HEIJDEN Jeroen Netherlands 2013
VAN HEUVERSWYN Frederic Belgium 2012
VAN OOSTROM Antonie Netherlands 2012
VATASESCU Radu-Gabriel Romania 2007
VEASEY Rick United Kingdom 2014
VEGA OLVERA Mercedes Spain 2012
VERNOOY Kevin Netherlands 2014
VILLANUEVA SANCHEZ José Ginés Spain 2013
VITALI SERDOZ Laura Italy 2013
VOCKE Wolfgang Germany 2010
VUKAJLOVIC Dejan Germany 2009
WATANABE Masaya Netherlands 2014
WESTRA Sjoerd Netherlands 2012
WETZEL Renate Ulrike Germany 2013
WIJCHERS Sip Belgium 2012

5. Appendix
CERTIFICATION
EHRA Certification
Electrophysiology

WYNN Gareth United Kingdom 2014
ZELLERHOFF Stephan Germany 2011
ZHELYAKOV Eugeny Russian Federation 2012
ZUBERI Zia United Kingdom 2013
Cardiac Pacing & Device Therapy
EHRA CP Certified professionals

AARDEMA Margriet W. Netherlands 2014
AL-HASHIMI Hisham Netherlands 2015
ALZAND Bakr Netherlands 2012
APOSTOLOPOULOS Theodoros Greece 2007
AYALA PAREDES Felix Alejandro Canada 2009
BACCHIONI Giuseppe Italy 2012
BAHGAT Amr Kamal Egypt 2012

5. Appendix
CERTIFICATION
EHRA Certification

BIJSTERVELD Nick Netherlands 2012
BISSINGER Andrzej Poland 2007
BOHM Adam Hungary 2009
BOOS Christopher United Kingdom 2009
BORGER VAN DER BURG Alida Elisabeth Netherlands 2009
BORRELLI Alessio Italy 2012
BORRELLO Francesco Italy 2013
BOUWELS Leon H. R. Netherlands 2009
BREULS Nico Netherlands 2010
BROERS Bernard Netherlands 2010
CALZOLARI Vittorio Italy 2007
CANADAS Victoria Spain 2013
CARAVATI Fabrizio Italy 2012
CHONG YU Eric Singapore 2013
CHRISTOPHE Arnd Germany 2014
CIPOLLETTA Laura Italy 2014
CROSATO Martino Italy 2009
CURNIS Antonio Italy 2007
DAVOODI Gholamreza Iran (Islamic 2005
Republic of)
DE DOELDER Marieke Netherlands 2012

DE LA FUENTE Sam Netherlands 2010

5. Appendix
CERTIFICATION
EHRA Certification

DILAVERIS Polychronis Greece 2007
DINH Trang Netherlands 2013
DOMENICHINI Giulia Spain 2014
DORMAN Reinhart Netherlands 2013
DULBECCO Massimo Italy 2013
EHRLICH Joachim Germany 2012
EISENBERGER Martin Czech republic 2011
EIVINDSON Gunvald Norway 2009
ENGBERS Jos G. Netherlands 2011
ESCHEN Ole Denmark 2012
EVERTZ Reinder Spain 2012
FACCHIN Domenico Italy 2013
FOLDESI Csaba Laszlo Hungary 2012
FOLEY Paul United Kingdom 2012
FOLKERINGA Richard Netherlands 2009
FRANCOIS Bart Belgium 2012
GARCIA BOLAO Jose Ignacio Spain 2005
GARWEG Christophe Belgium 2014
GERRITSEN Jean Georges Netherlands 2013
GHANI Abdul Netherlands 2012
GIANNOLA Gabriele Italy 2012
GIL Ricardo Portugal 2013
GIL ORTEGA Ignacio Spain 2013
GJESTVANG Finn Tore Norway 2009
GRADAUS Rainer Germany 2007

5. Appendix
CERTIFICATION
EHRA Certification

HAMEL John John Switzerland 2011
HAUER Arnaud Netherlands 2015
HAUER Herbert Netherlands 2012
HAYES Chris United Kingdom 2012
HAZELEGER Ronald Netherlands 2012
HEIB KlausDieter Germany 2010
HJORTSHOJ Soren Denmark 2010
HORNSTEN Jonas Sweden 2007
HURLIMANN David Switzerland 2012
IONNIDIS Panagiotis Greece 2007
IORGULESCU Corneliu Romania 2012
JACON Peggy France 2012
JAMALYAN Smbat Armenia 2011
JANSEN Annemieke Netherlands 2011
KARABINOS Ilias K. Greece 2009
KETELS Stefan Belgium 2009
KLEIN Gunnar Germany 2007
KLEIN Norbert Germany 2013
KOEPFLI Pascal Switzerland 2010
KOEPP Ulf Norway 2009

5. Appendix
CERTIFICATION
EHRA Certification

KORANTZOPOULOS Panagiotis Greece 2011
KOULOURIS Spyridon Greece 2010
KOUROUKLIS Spyridon Greece 2012
KRAVCHUK Borys Ukraine 2012
KRUPA Wojciech Poland 2010
LANGERAK Susan Netherlands 2013
LEWANDOWSKI Michael Poland 2015
LIPCHENCA Igor Ariel Israel 2009
LITTERFELDT Ingrid Sweden 2011
LOUW Ruan Belgium 2014
LUBBERTVERBERKMOES Addy Netherlands 2013
LUTHJE Lars Germany 2013
MAC GILLAVRY Melvin Netherlands 2011
MACIAG Aleksander Poland 2009
MADEIRA Joao Portugal 2012
MARGULESCU Andrei Dumitru Romania 2014
MASCIOLI Giosue Italy 2007
MASSA Thomas Germany 2011
MEINE Mathias Netherlands 2010
MERKELY Bela Hungary 2007
MICHAELSEN Jochen Germany 2011
MITKOWSKI Przemyslaw Poland 2005
MOLLNAU Hanke Germany 2014
MONNINK Stefan Netherlands 2012
MORENO PLANAS Javier Spain 2005
MORTSELL David Sweden 2013

5. Appendix
CERTIFICATION
EHRA Certification

MUNTINGA Harm-Jans Netherlands 2012
NEVEN Kars Netherlands 2008
NOVAK Jan Switzerland 2013
NOVIKOV Dmitry Russian Federation 2013
OMAR Salama Egypt 2012
OOMEN Ad Netherlands 2015
OREZIAK Artur Poland 2015
ORSIDA Daniela Italy 2014
OSMAN Faizel United Kingdom 2007
OUSS Alexandre Netherlands 2014
PATWALA Ashish United Kingdom 2012
PAULUSSEN Guido Netherlands 2007
PENA HERNANDEZ Jose Luis Spain 2011
PETRACCI Barbara Italy 2012
PETTIT Stephen United Kingdom 2013
PINDADO RODRIGUEZ Javier Spain 2010
PLUTA Slawomir Poland 2012
PORRO Rosa Spain 2010
PREDOVSKI Milen Bulgaria 2013
PROIETTI Riccardo Italy 2014
PRUSKI Maciej Poland 2013
PRZYBYLSKI Andrzej Poland 2008
PUCHOL Alberto Spain 2012
PUGH Peter United Kingdom 2009
PYATT Jason United Kingdom 2012
RAO Archana United Kingdom 2009
RASSIAS Ioannis Greece 2014

5. Appendix
CERTIFICATION
EHRA Certification

RESTLE Christian Germany 2013
RIENSTRA Michiel Netherlands 2014
ROBERT Jens Switzerland 2014
ROSA Antonio Switzerland 2013
ROUKAS Kriton-Ioannis Greece 2012
RUZICKA Petr United Kingdom 2013
SAFAK Erdal Germany 2014
SCHÄR Beat Andreas Switzerland 2013
SCHAUMANN Anselm Germany 2012
SCHEFFER Michael G. Netherlands 2011
SCHREVE-STEENSMA Ariadne Midori Netherlands 2014
SEDLACEK Kamil Czech Republic 2013
SEMICHON Marc France 2014
SEPSI Milan Czech Republic 2014
SIMEONIDOU Eftihia Greece 2007
SJOBLOM Johanna Sweden 2009
SKENE Chris United Kingdom 2014
SKIADAS Ioannis Greece 2012
SMILDE Tom Netherlands 2012
SONESSON Linus Sweden 2014

5. Appendix
CERTIFICATION
EHRA Certification

SPIERENBURG Han Netherlands 2009
STATESCU Cristian Romania 2012
STEEN Torkel Norway 2013
STEFAN Liliana Czech Republic 2012
STEFAN NICOLEA Bogdan Romania 2012
STERLINSKI Marciej Poland 2009
STOCKBURGER Martin Germany 2012
SZAMLEWSKI Piotr Sweden 2011
TEIJEIRA FERNANDEZ Elvis Spain 2014
TER BEKKE Rachel Netherlands 2013
TIELEMAN Robert Netherlands 2012
TIMMERS Liesbeth Belgium 2015
TORN Marieke Netherlands 2012
TRAYKOV Vassil B. Bulgaria 2011
TUINENBURG Anton Netherlands 2013
TUININGA Ype Netherlands 2011
TUREL Baybars Turkey 2012
VALK Suzanne Netherlands 2011
VALZANIA Cinzia Italy 2010
VAMOS Mate Hungary 2014
VAN DEN BOS EwoutJan Netherlands 2011
VAN DEN BRINK Olivier WV Netherlands 2014
VAN DER HEIJDEN Dirk Netherlands 2011
VAN DER HEIJDEN Robert Netherlands 2011
VAN KRAAIJ Dave Netherlands 2010

5. Appendix
CERTIFICATION
EHRA Certification

VAN REIJ Frank Netherlands 2012
VAN SCHAARDENBURGH Pepijn Netherlands 2012
VAN VLIES Bob Netherlands 2013
VAN WOERKENS Leon Netherlands 2012
VASILOPOULOS Charalambos Greece 2007
VATASESCU Radu- Gabriel Romania 2007
VERGARA Pasquale Italy 2010
VET Thijs Netherlands 2011
VIERGEVER Eric Paul Netherlands 2012
VRAZIC Hrvoje Croatia 2014
WESTENDORP Iris Netherlands 2009
WETZEL Ulrike Renate Germany 2015
WILLEMS Albert Richard Netherlands 2012
WOLLMANN Christian Austria 2012
YAP Sing-Chien Netherlands 2014
ZAKY Hosam United Arab Emirates 2007
ZALEVSKY Valery P. Ukraine 2011
ZERVOPOULOS George Greece 2007
ZIMA Endre Hungary 2012

5. Appendix
CERTIFICATION
EHRA Certification
CP Certification candidates who have successfully completed the exam

AARDEMA Margriet W. Netherlands 2006
ABRAHAM Pal Hungary 2011
ADDONISIO Luigi Italy 2012
AERTS Arnaud Netherlands 2009
AL ANANY Alaa Allah Mohamed Egypt 2013
ALBERTSEN Andi Eie Denmark 2010
ALDERGARD Niklas Sweden 2007
ALDHOON Bashar Czech Republic 2011
ALGALARRONDO Vincent France 2009
AL-HASHIMI Hisham Netherlands 2011
ALIYEV Farid Turkey 2010
ALIZADEH DEHNAVI Reza Netherlands 2013
ALMEIDA Sofia Portugal 2014
ALZAND Bakr Netherlands 2011
AMET Denis France 2011
AMMON Michael Switzerland 2014
APOSTOLOPOULOS Theodoros Greece 2006
ARNOLD Alfred E. R. Netherlands 2012
ARO Aapo Finland 2013
ASSELMAN Maarten Netherlands 2012
AYALA PAREDES Felix Alejandro Canada 2006
AYDIN Alper Turkey 2014
AZEM Tareq Germany 2013
BACCHIONI Giuseppe Italy 2008
BADRAN Haitham Egypt 2013

5. Appendix
CERTIFICATION
EHRA Certification

BAHGAT Amr Kamal Egypt 2009
BALMER Christian Switzerland 2013
BARKER Diane United Kingdom 2011
BAROUDI Rabah France 2014
BARSAMIAN Sergei Armenia 2013
BARTHEZ Olivier France 2009
BEDNAREK Jacek Poland 2013
BELVITO chiara Italy 2013
BENEZET MAZUECOS Juan Spain 2014
BERTE Benjamin Belgium 2012
BHELEEL Osama Libya 2013
BIJSTERVELD Nick Netherlands 2009
BISSINGER Andrzej Poland 2006
BLICHARZ Jaroslaw Poland 2011
BLOMGREN Jan Sweden 2012
BOHM Adam Hungary 2008
BONCOMPAGNI Andrea Italy 2014
BOOS Christopher United Kingdom 2008
BORGER VAN DER BURG Alida Elisabeth Netherlands 2007
BORGHOUTS Virginie Netherlands 2014
BORGQUIST Rasmus Sweden 2013
BORREGO BERNABE Luis Spain 2013
BORRELLI Alessio Italy 2009
BORRELLO Francesco Italy 2013
BOS Hans Netherlands 2012
BOSKER Hans Netherlands 2012

5. Appendix
CERTIFICATION
EHRA Certification

BOUWELS Leon H. R. Netherlands 2007
BRAAM Richard Netherlands 2010
BREULS Nico Netherlands 2009
BROERS Bernard Netherlands 2009
BUGA Laszlo United Kingdom 2012
BULUT Suat Netherlands 2010
CABANAS GRANDIO Pilar Spain 2014
CALZOLARI Vittorio Italy 2006
CAMPOS GARCIA Bieito Spain 2010
CANADAS Victoria Spain 2010
CANDEIAS Rui Portugal 2008
CARAVATI Fabrizio Italy 2010
CASSIDY Christopher John United Kingdom 2014
CASTREJON CASTREJON Sergio Spain 2013
CHAMBERS John United Kingdom 2013
CHENEVARD Remy Switzerland 2012
CHONG YU Eric Singapore 2013
CHRISTOPHE Arnd Germany 2011
CHRISTOU Apostolos Greece 2014
CIPOLLETTA Laura Italy 2014
CLAPPERS Nick Netherlands 2014
CLEMENS Marcell Hungary 2012
COSER Alessio Italy 2011
CROSATO Martino Italy 2008
CSONTOS Pal Hungary 2009
CURNIS Antonio Italy 2006
DAVID Laura-Alice Romania 2012
DAVOODI Gholamreza Iran (Islamic 2005
Republic of)

5. Appendix
CERTIFICATION
EHRA Certification

DE CLERCQ An Netherlands 2013
DE DIEGO RUS Carlos Spain 2013
DE DOELDER Marieke Netherlands 2010
DE GROOT Cornelis Andreas Netherlands 2012
DE JONG Jeroen Netherlands 2006
DE JONG Richard M. Netherlands 2007
DE LA FUENTE Sam Netherlands 2009
DE LEEUW Martin Netherlands 2008
DE LUCIA Raffaele Italy 2014
DE MARIA Elia Italy 2012
DE POTTER Tom Belgium 2008
DE SENSI Francesco Italy 2013
DE WAARD Daan Netherlands 2007
DE WEERD Gerjan Netherlands 2009
DEMONIERE Fabrice Martinique 2011
DERNDORFER Michael Austria 2013
DI CORI Andrea Italy 2012
DIAB Ihab Gomaa United Kingdom 2009
DIAZ BUSCHMANN Isabel Spain 2011
DIDENKO Maxim Roumania 2010
DIJKMAN Barbara Netherlands 2012
DILAVERIS Polychronis Greece 2006
DINH Trang Netherlands 2012
DOMENICHINI Giulia Spain 2011
DORMAN Reinhart Netherlands 2012
DULBECCO Massimo Italy 2010
DUNCKER David Germany 2013
DUSCEAC Dinu Sweden 2014
DUTHOIT Guillaume France 2010

5. Appendix
CERTIFICATION
EHRA Certification

EHL Niklas Florestan Switzerland 2014
EHRLICH Joachim Germany 2011
EISENBERGER Martin Czech republic 2008
EIVINDSON Gunvald Norway 2008
EL KADIKI AbdelHadi Lebanon 2014
ELICES TEJA Juliana Spain 2013
ENGBERS Jos G. Netherlands 2009
ERCKERT Martin Italy 2006
ERIKSEN Ulrik Hedegaard Denmark 2011
ERNTELL Hans Sweden 2011
ESCHEN Ole Denmark 2009
ESMAIL Shani United Kingdom 2011
EURLINGS Luc Netherlands 2014
EVERTZ Reinder Spain 2012
EXPOSITO Victor Spain 2013
FACCHIN Domenico Italy 2010
FEDORCO Marian Czech Republic 2011
FERNANDEZ-ARMENTA PASTOR Juan Spain 2014
FERNANDEZ LOZANO Juan Antonio Spain 2013
FIROUZI Mehran Netherlands 2011
FLEVARI Panayota Greece 2008
FOLDESI Csaba Laszlo Hungary 2009
FOLEY Paul United Kingdom 2009
FOLKERINGA Richard Netherlands 2007
FRANCA PEREIRA Roberto United States of America 2007
FRANCOIS Bart Belgium 2011
FRANZINI Christine Switzerland 2014
FREUND Niclas Germany 2013

5. Appendix
CERTIFICATION
EHRA Certification

FROMMEYER Gerrit Germany 2014
FRYKMANN Viveka Sweden 2007
FUNK Sabine Switzerland 2010
FURNISS Guy United Kingdom 2014
GABRIEL Mario Netherlands 2011
GANDJBAKHCH Estelle France 2013
GANIERE Vincent Switzerland 2010
GARCIA Rodrigue France 2014
GARCIA ALMAGRO Francisco Jose Spain 2013
GARCIA BOLAO Jose Ignacio Spain 2005
GARNIER Fabien France 2013
GARWEG Christophe Belgium 2011
GEBETSBERGER Franz Austria 2008
GERMANS Tjeerd Morocco 2013
GERRITSEN Jean Georges Netherlands 2011
GHANI Abdul Netherlands 2012
GIANNOLA Gabriele Italy 2008
GIL Ricardo Portugal 2010
GIL ORTEGA Ignacio Spain 2011
GIORGI Davide Italy 2014
GJESTVANG Finn Tore Norway 2008
GONZALEZ FERRER Juan Jose Spain 2012
GORLO Adam Poland 2012
GRABOWSKI Marcin Poland 2014
GRADAUS Rainer Germany 2006
GRAUSS Robert Willem Netherlands 2012
GROSFELD Marcel Netherlands 2013
GRUBER Norbert Germany 2013
GUTLEBEN Klaus Juergen Germany 2011
HAEMERS Peter Belgium 2013

5. Appendix
CERTIFICATION
EHRA Certification

HAGGUI Abdeddayem Tunisia 2014
HAJKO Erik Hungary 2013
HAMEL John John Switzerland 2010
HAMRAOUI Karim Netherlands 2010
HARTOG Jasper Netherlands 2014
HARTOG Johannes Netherlands 2011
HASSAN Ahmed Abdulwadoud Netherlands 2012
HASSINK Rutger Netherlands 2014
HAUER Arnaud Netherlands 2013
HAUER Herbert Netherlands 2009
HAUGAN Ketil Denmark 2014
HAWKINS Nathaniel Mark United Kingdom 2012
HAYAT Sajad United Kingdom 2012
HAYES Chris United Kingdom 2009
HAZELEGER Ronald Netherlands 2010
HEGGELUND Geir Norway 2013
HEIB KlausDieter Germany 2009
HELLIGE Gerrit Switzerland 2014
HENKENS Ivo Netherlands 2013
HERRING Neil United Kingdom 2013
HERSBACH Ferry Netherlands 2014
HJORTSHOJ Soren Denmark 2008
HOEKSTRA Eduard Henk Netherlands 2011
HOFFMANN Mario Switzerland 2014
HOLM Katja Fiedler Denmark 2014
HOOFT VAN HUYSDUYNEN Bart Netherlands 2010
HORNSTEN Jonas Sweden 2007
HUANG Sung-Hao China 2014
HUIJSKES Raymond Netherlands 2012

5. Appendix
CERTIFICATION
EHRA Certification

HURLIMANN David Switzerland 2009
IONNIDIS Panagiotis Greece 2006
IORGULESCU Corneliu Romania 2008
ISAKSEN Tor Olav Norway 2014
JACON Peggy France 2010
JAMALYAN Smbat Armenia 2010
JANSEN Annemieke Netherlands 2008
JANSSENS Cornelis Netherlands 2006
JARMAN Julian United Kingdom 2012
JAUREGUI ABULARACH Miguel Eduardo Spain 2010
JELANI Anwar D. Canada 2010
JOHANSEN Mette Norway 2014
JOHANSSON Peter Sweden 2008
JONSSON Jon Erik Sweden 2010
KALLIANOS Christos Greece 2011
KARABINOS Ilias K. Greece 2007
KATARIA Vikas India 2014
KATSIKAS Christos Greece 2012
KETELS Stefan Belgium 2007
KJELLMAN Bjorn Sweden 2007
KLAUSZ Gergely Hungary 2013
KLEIN Gunnar Germany 2007
KLEIN Lucas Netherlands 2013
KLEIN Norbert Germany 2011
KNOPS Reinoud Netherlands 2008
KOEPFLI Pascal Switzerland 2007
KOEPP Ulf Norway 2008

5. Appendix
CERTIFICATION
EHRA Certification

KOL Amir Italy 2013
KOLB Chistophe Germany 2010
KOLLIAS Georgios Greece 2013
KOMANOVA Erika Slovakia 2011
KOOMEN Egbert M. Netherlands 2010
KORANTZOPOULOS Panagiotis Greece 2009
KORTZ Mikael Netherlands 2010
KOULOURIS Spyridon Greece 2007
KOURGIANNIDIS Georgios Greece 2007
KOUROUKLIS Spyridon Greece 2011
KOUTSOGEORGIS Ilias Greece 2014
KOVACS Andras Hungary 2012
KRAVCHUK Borys Ukraine 2007
KRIJNE Rudolf Netherlands 2012
KRONBORG Mads Brix Denmark 2011
KRUPA Wojciech Poland 2006
KRYZE Lukas Czech Republic 2013
KRZYZANOWSKI Krystian Poland 2014
KUIJPER Aaf Netherlands 2011
KUJAWSKI Tomasz Switzerland 2013
KWASNIEWSKI Wojciech Poland 2013
LAN Rongfang China 2014
LANGERAK Susan Netherlands 2012
LEBEDEVA Viktoriia Russia 2013
LERNER Martin Robert Sweden 2010
LEVENTOPOULOS Georgios Greece 2014
LEWANDOWSKI Michael Poland 2012
LIEUW-A-FA Mariska Netherlands 2009
LINDE Antonio Spain 2012
LINDELL Peter Sweden 2007
LINDGREEN Ulf Denmark 2008

5. Appendix
CERTIFICATION
EHRA Certification

LIPCHENCA Igor Ariel Israel 2008
LIPOLDOVA Jolana Czech Republic 2009
LIPTON Jonathan Netherlands 2012
LITTERFELDT Ingrid Sweden 2008
LOUW Ruan Belgium 2013
LUBBERTVERBERKMOES Addy Netherlands 2010
LUQUE Antonio Spain 2014
LUTHJE Lars Germany 2011
LUZI Mario Italy 2008
MAASS Alexander Netherlands 2007
MAC GILLAVRY Melvin Netherlands 2008
MACIAG Aleksander Poland 2007
MADEIRA Joao Portugal 2011
MAGNUSSON Peter Sweden 2007
MAHFOUD Mohanad France 2010
MANUSAMA Randy Netherlands 2011
MARGATO Renato Portugal 2013
MARGULESCU Andrei Dumitru Romania 2013
MARICONTI Barbara Italy 2008
MARTENS Eimo Germany 2013
MARTIN Alix France 2013
MASCIOLI Giosue Italy 2006
MASSA Thomas Germany 2008
MAXIM George Razvan Romania 2014
MAZZUCCO Raffaele Italy 2009
MEDINA PALOMO Maria Del Carmen Spain 2013
MEILTZ Alexandre Switzerland 2009
MEINDERSMA Esther Netherlands 2013
MEINE Mathias Netherlands 2007
MELANDER Kjell Sweden 2008

5. Appendix
CERTIFICATION
EHRA Certification

MELMAN Paul G. Netherlands 2011
MENNE Jochen Germany 2014
MERKELY Bela Hungary 2007
MICHAELSEN Jochen Germany 2010
MIHALCZ Attila Austria 2011
MIRANDA Rita Portugal 2014
MITKOWSKI Przemyslaw Poland 2005
MLCOCHOVA Hanka Czech Republic 2009
MOLHOEK Sander G. Netherlands 2008
MOLLNAU Hanke Germany 2013
MONDESERT Blandine Canada 2014
MONNARD Simon Switzerland 2011
MONNINK Stefan Netherlands 2011
MOORE Philip R. United Kingdom 2014
MORENO Jose Spain 2012
MORENO PLANAS Javier Spain 2005
MORTSELL David Sweden 2012
MORTTADA Ayman Egypt 2012
MUELLER Dirk Germany 2008
MUELLER Iris Irmgard Germany 2014
MUNTEAN Bogdan Germany 2011
MUNTINGA Harm-Jans Netherlands 2009
MUTSCHELKNAUSS Marcus Switzerland 2013
MUTTER Michael Switzerland 2013
NAGARAJAN Darbhamulla United Kingdom 2007
NERI Gianfilippo Italy 2007
NEVEN Kars Netherlands 2007
NG Sunanto Netherlands 2011
NG KAM CHUEN Marie Jennyfer United Kingdom 2013
NICASTIA Deborah Netherlands 2009
NICOLAIDES Eleftherios United Kingdom 2007

5. Appendix
CERTIFICATION
EHRA Certification

NOTI Fabian Switzerland 2012
NOVAK Jan Switzerland 2011
NOVIKOV Dmitry Russian Federation 2012
NÜSSLI Dominique Switzerland 2013
ODLAND Hans Henrik Norway 2009
OIKARINEN Lasse Finland 2008
OMAR Salama Egypt 2010
OOMEN Ad Netherlands 2011
OREZIAK Artur Poland 2011
ORSIDA Daniela Italy 2013
OSMAN Faizel United Kingdom 2006
OSTROWSKA Bozena Sweden 2007
OSZTHEIMER István Hungary 2013
OUSS Alexandre Netherlands 2012
PACHON IGLESIAS Marta Spain 2012
PAISEY John United Kingdom 2008
PAPACHRISTIDIS Alexandros United Kingdom 2014
PARAVOLIDAKIS Konstantinos Greece 2008
PASCALE Patrizio Switzerland 2009
PATWALA Ashish United Kingdom 2010
PAULUSSEN Guido Netherlands 2006
PAVACI Herribert Albania 2014
PAWLIK Tomasz Poland 2012
PENA HERNANDEZ Jose Luis Spain 2008
PENTEADO Jose Otavio P. Brazil 2012
PERIK Patrick Netherlands 2010
PERNA Francesco Italy 2014
PERROTTA Laura Italy 2012
PETKAR Sanjiv United Kingdom 2008
PETRACCI Barbara Italy 2009
PETRU Jan Czech Republic 2009

5. Appendix
CERTIFICATION
EHRA Certification

PETTIT Stephen United Kingdom 2011
PHILBERT / JENSEN Berit Thornvig Denmark 2010
PHLIPS Thomas Belgium 2014
PINDADO RODRIGUEZ Javier Spain 2009
PLASEK Jiri Czech Republic 2014
PLUTA Slawomir Poland 2010
POGGI Alessio Italy 2014
PORRO Rosa Spain 2009
POS Lambertus Netherlands 2013
PRASAD Rachana United Kingdom 2013
PREDOVSKI Milen Bulgaria 2011
PRISECARU Raluca Belgium 2014
PROIETTI Riccardo Italy 2013
PRONK Arjen Netherlands 2010
PRUSKI Maciej Poland 2010
PRZYBYLSKI Andrzej Poland 2007
PSYCHARI Stavroula Greece 2011
PUCHOL Alberto Spain 2009
PUDULIS Janis Latvia 2014
PUETZ Vanessa Germany 2013
PUGH Peter United Kingdom 2008
PYATT Jason United Kingdom 2011
RAHEL Braim M. Netherlands 2011
RAMANNA Hemanth Netherlands 2008
RAMCHURN Hemant Belgium 2011
RAO Archana United Kingdom 2007
RASSIAS Ioannis Greece 2013
RESTLE Christian Germany 2009
REVERDIN Stephane Switzerland 2013
RIAHI Leila Tunisia 2014
RICCIARDI Giuseppe Gilberto Italy 2013

5. Appendix
CERTIFICATION
EHRA Certification

RIENSTRA Michiel Netherlands 2013
ROBERT Jens Switzerland 2012
ROBERTSON Alan James United Kingdom 2014
ROBLES DE MEDINA Ramon Mariano Netherlands 2011
ROCHA Sérgia Portugal 2013
RODE Susanne Germany 2013
ROHNER Andreas Switzerland 2014
ROSA Antonio Switzerland 2011
ROUKAS Kriton-Ioannis Greece 2011
RUSSO Giovanni Italy 2009
RUZICKA Petr United Kingdom 2011
SAFAK Erdal Germany 2011
SALAHSHOURI Pegah United Kingdom 2011
SALIM Belgin Romania 2014
SANDIN-FUENTES Maria de Gracia Spain 2013
SANTOS Nuno Portugal 2013
SANTOS CALLE Francisco José Spain 2013
SARRIAS Axel Spain 2013
SAURER Georg Austria 2013
SCHÄR Beat Andreas Switzerland 2013
SCHAUMANN Anselm Germany 2009
SCHEFFER Michael G. Netherlands 2008
SCHMUTZ Mathieu Thomas André Switzerland 2013
Hermann Ghislain
SCHOLZ Brit Germany 2011


5. Appendix
CERTIFICATION
EHRA Certification

SCHRAGO Gregoire Switzerland 2010
SCHREVE-STEENSMA Ariadne Midori Netherlands 2012
SCHUKRO Christoph Austria 2011
SCHURMANS Joris Belgium 2013
SCHWAGTEN Bruno Belgium 2008
SCHWERG Marius Germany 2014
SCIARAFFIA Elena Sweden 2011
SEDLACEK Kamil Czech Republic 2010
SEIFERT Martin Germany 2013
SEMICHON Marc France 2013
SENOUF David Switzerland 2009
SEPSI Milan Czech Republic 2011
SIELSKI Slawomir Poland 2005
SILBERBAUER John United Kingdom 2013
SIMEONIDOU Eftihia Greece 2006
SJOBLOM Johanna Sweden 2008
SKENE Chris United Kingdom 2013
SKIADAS Ioannis Greece 2011
SKRETTEBERG Per Torger Skretteberg Norway 2013
SLOOTWEG Andries Netherlands 2014
SLOTTE Fredrik Finland 2014
SMEELE Frank Netherlands 2011
SMEETS Frans Netherlands 2011
SMILDE Tom Netherlands 2011
SMITS Jeroen Netherlands 2012
SOM Zoltan Hungary 2014
SONESSON Linus Sweden 2013
SPIERENBURG Han Netherlands 2008
STARTARI Umberto Italy 2014

5. Appendix
CERTIFICATION
EHRA Certification

STATESCU Cristian Romania 2009
STEEN Torkel Norway 2007
STEFAN Liliana Czech Republic 2010
STEFAN NICOLEA Bogdan Romania 2009
STERLINSKI Marciej Poland 2006
STEVENHAGEN Jeroen Netherlands 2008
STOCKBURGER Martin Germany 2011
STOECKEL Holger Switzerland 2012
STRANDERS Ischa Netherlands 2011
STRIKWERDA Sipke Netherlands 2009
SUN Qi China 2014
SUPRYN Rafal Poland 2014
SUTER Yves Martin Switzerland 2013
SWART Hp Netherlands 2009
SZAMLEWSKI Piotr Sweden 2010
SZILAGYI Szabolcs Hungary 2013
SZTANISZLAV Áron Hungary 2013
TAKENS Lambertus H. Netherlands 2014
TEIJEIRA FERNANDEZ Elvis Spain 2013
TER BEKKE Rachel Netherlands 2010
TEUBL Alexander Austria 2009
THEIß Söhnke Germany 2013
TIELEMAN Robert Netherlands 2009
TIMMERS Liesbeth Belgium 2011
TOMASI Luca Italy 2012
TOMLINSON D. United Kingdom 2009
TORN Marieke Netherlands 2009
TOSSEBRO Morten Shoren Norway 2009
TRAYKOV Vassil B. Bulgaria 2010
TREGUER Frederic France 2009
TRINES Serge Netherlands 2008

5. Appendix
CERTIFICATION
EHRA Certification

TRUCCO Maria Emilce Spain 2012
TUINENBURG Anton Netherlands 2011
TUININGA Ype Netherlands 2009
TUREL Baybars Turkey 2009
TURK Ugur Onsel Turkey 2011
TUTUIANU Cristina Ioana Romania 2013
URBAN Lubos Slovakia 2009
VALK Suzanne Netherlands 2010
VALZANIA Cinzia Italy 2007
VAMOS Mate Hungary 2014
VAN BEMMEL Marnix Netherlands 2014
VAN DE POLL Sweder Netherlands 2013
VAN DEN AKKER-BERMAN Lily Netherlands 2011
VAN DEN BERGH Paulus Netherlands 2013
VAN DEN BOS EwoutJan Netherlands 2009
VAN DEN BRINK Olivier W. V. Netherlands 2013
VAN DER GALIEN Albert Netherlands 2012
VAN DER HEIJDEN Dirk Netherlands 2010
VAN DER HEIJDEN Robert Netherlands 2010
VAN DER KLEY Tim Netherlands 2011
VAN DER MEER Peter Netherlands 2013
VAN DER VEEN Maurits Netherlands 2012
VAN DER WAL Henriette Netherlands 2010
VAN DER WEERDT Arno Peter Netherlands 2007
VAN DEURSEN Caroline Netherlands 2012
VAN DIJK Vincent Netherlands 2013
VAN DOORN Dirk Jan Netherlands 2011
VAN EMPEL Vanessa Netherlands 2010
VAN ES Robert Netherlands 2011
VAN GASTEL Henk Christiaan Netherlands 2010

5. Appendix
CERTIFICATION
EHRA Certification

VAN GENT Marco Netherlands 2012
VAN HAELST Paul Netherlands 2012
VAN HERENDAEL Hugo Belgium 2009
VAN HEUVERSWIJN Frederic Belgium 2011
VAN HORSSEN Elisabeth Veronica Netherlands 2013
VAN KRAAIJ Dave Netherlands 2009
VAN MALDEREN Sophie C. H. Belgium 2013
VAN NOORD Trudeke Netherlands 2007
VAN OFWEGEN-HANEKAMP Clara Emilia Emese Netherlands 2013
VAN PETEGHEM Sylvie Belgium 2014
VAN POPELE Nicole Netherlands 2013
VAN REIJ Frank Netherlands 2010
VAN ROOSMALEN Radboud Netherlands 2011
VAN SCHAARDENBURGH Pepijn Netherlands 2009
VAN SCHAIKVAN DER WIELEN MarieLouise Netherlands 2009
VAN VLIES Bob Netherlands 2010
VAN WIJK Leendert M. Netherlands 2013
VAN WOERKENS Leon Netherlands 2011
VANDUYNHOVEN Philippe Belgium 2014
VASILOPOULOS Charalambos Greece 2006
VATASESCU Radu- Gabriel Romania 2006
VELTMANN Christian Germany 2014
VERBUNT Robert Netherlands 2011
VERGARA Pasquale Italy 2009
VET Thijs Netherlands 2008
VICENTINI Alessandro Italy 2009
VIERGEVER Eric Paul Netherlands 2010
VIJN Arie Gerhard Netherlands 2010
VOLKOV Dmytro Ukraine 2013

5. Appendix
CERTIFICATION
EHRA Certification

VON BARY Christian Germany 2011
VRAZIC Hrvoje Croatia 2011
VRIEND Joris Netherlands 2011
WALHOUT Ronald Netherlands 2011
WALKER Alexander Josef Switzerland 2014
WEBERNDÖRFER Christina Vanessa Switzerland 2013
WERETKA Slawomir Germany 2011
WESTENDORP Iris Netherlands 2006
WETZEL Ulrike Renate Germany 2013
WHINNETT Zachary United Kingdom 2011
WIDDERSHOVEN Josef Jos Netherlands 2009
WILLEMS Albert Richard Netherlands 2009
WOLF Michael Belgium 2014
WOLLMANN Christian Austria 2011
WONG Ka Lam China 2013
YAP Sing-Chien Netherlands 2012
ZAGKLI FANI Greece 2013
ZAJAC Dariusz Poland 2012
ZAKY Hosam United Arab Emirates 2007
ZALEVSKY Valery P. Ukraine 2007
ZEMAN Kamil Czech Republic 2013
ZERVOPOULOS George Greece 2006
ZIMA Endre Hungary 2009
ZYCINSKI Pawel Poland 2014

5. Appendix
CERTIFICATION
EHRA Certification
Allied Professionals
Certified Allied Professionals

ANTENBRINK Johannes Fredericus Netherlands 2011
ARTS Germaine Netherlands 2011
ARUMUGAM Paul Ayyappan United Kingdom 2014
BATSIKAS Kimon Greece 2013
BERTOLI Fabrizio Switzerland 2013
BESTEN DEN Truus Netherlands 2013
BIJVOET Eleonora Netherlands 2011
BRAAM Nort Netherlands 2014
BRANTS Ruud Netherlands 2014
BROENINK Ingrid Netherlands 2014
BRUEGGEMANN Thomas Germany 2013
BURGOS Jesús Spain 2013
BUSKES marjo Netherlands 2014
CARRERO David Spain 2014
DE BLAAUW Mariska Netherlands 2014
DE CLERCQ Katrien Belgium 2014
DE GRAAF Hendrik Netherlands 2014
DE KEYZER-VAN MUIJLWIJK Klara Netherlands 2012
DE MELKER Robert Netherlands 2012
DE ROVER Vincent Netherlands 2013
DE VRIES - VAN DER MOLEN Carla Netherlands 2014
DE WINTER Peter Netherlands 2014
DEBIE Luuk Netherlands 2013
EDENS Joran Netherlands 2011
ENGELAER Paulus Johannes Maria Germany 2013
FOGH JONNASSON Pernille Denmark 2014
GERCAMA Ale Netherlands 2012
GOPINATH Binoob United Kingdom 2013
GOUGH Jacqueline Netherlands 2012
GRASDIJK Michel Netherlands 2013
GRAUENKAMP Caspar Netherlands 2012
GRIFFITHS Jon United Kingdom 2014
GRIMBERG Arenda Netherlands 2013
GROEN Henk Netherlands 2014
GROVE Ulrik Denmark 2014

5. Appendix
CERTIFICATION
EHRA Certification

HAAS DE Oudshoorn Netherlands 2013
HAMOEN Marinus Netherlands 2014
HAUGDAL Martin Aar Denmark 2013
HENDRIKS Thijs Netherlands 2013
HOFSTEDE Jan Netherlands 2013
HOJGAARD Susanne Denmark 2014
HOP Henri Marco Netherlands 2011
HUSKENS Paul Netherlands 2013
IGLESIAS BRAVO Jose Antonio Spain 2014
JANSSEN Michel Netherlands 2013
JOSEPH Marielle Netherlands 2014
KAMMEIJER Willem Netherlands 2013
KEIJZER Rens Netherlands 2012
KEUKEN Johannes Netherlands 2014
KINCH WESTERDAHL Annika Sweden 2013
KNOPS Paul Netherlands 2013
KOFLER Ruth Austria 2012
KUUR VAN DER Erwin Ronald Netherlands 2014
LA GRAND Reinalda Netherlands 2011
LAST Tim Netherlands 2012
LAU Tsan Fung China 2014
LINSSEN-ABEN Maria Helena Hendrica Netherlands 2011
LUIJTEN Kees Netherlands 2014
MAARSE Albert Netherlands 2013
MAAT-POOT Barbara Maria Netherlands 2014
MARCHANT Isabelle Netherlands 2014
MAWHOOD Sue United Kingdom 2014
MEIJER Karin Maria Netherlands 2013
MEIJER Kim Netherlands 2014
MIEDEMA Pieter Netherlands 2014
MOL Daniel Netherlands 2013
MUNOZ Julio Spain 2011
NATHOE Mohamed Djabbaar Netherlands 2014
NEVE Eric Netherlands 2014
OLIVEIRA Joao Rodrigo Portugal 2014

5. Appendix
CERTIFICATION
EHRA Certification

OOSTERWEGHEL Jeannette Netherlands 2012
OSKAM Aart Netherlands 2013
OVEREEM Bartjan Netherlands 2012
PASMAN Harrold Netherlands 2014
PASTORE Cosimo Netherlands 2013
PATTERSON-ROTTGERING Wendy Netherlands 2012
PEREIRA Helder United Kingdom 2012
PILAGE Robert Netherlands 2014
PIMENTA Ricardo Portugal 2012
PISCEDDA Valerio Belgium 2011
PRATAS DA SILVA Francisco Emanuel United Kingdom 2014
PURCHASE Nicole United Kingdom 2014
QVARNSTRÖM Eva Sweden 2013
RAVERS Henry Netherlands 2013
REK Anita Netherlands 2014
REKKER Kees Netherlands 2013
RICH Caroline United Kingdom 2014
RIJSWIJK Nathalia Hillegonda Netherlands 2014
RITZEN John Netherlands 2014
RODRIGUES DA SILVA ANDRADE Jose Tomas United Kingdom 2014
SANTOS CALLE Francisco José Spain 2013
SCHERER Brenda Netherlands 2014
SCHROEMGES Johannes Netherlands 2014
SCHUMM Steven Netherlands 2012
SCHUURMAN Bert Netherlands 2013
SCHUURMAN-VAN DER ZWAAN Marielle Netherlands 2014
SEFFINGA Kees Netherlands 2012
SLIJKERMAN Myrna Netherlands 2012
SOARES Filipe Germany 2011
SOESBERGEN Joop Netherlands 2013
SOUGIANNIS Dimitrios Greece 2012
SPRINGORUM Bob Netherlands 2014
STEIJAERT Patrick Netherlands 2014
STEL Erik Netherlands 2013
STOLL Eric Netherlands 2012

5. Appendix
CERTIFICATION
EHRA Certification

STORM Margaretha Netherlands 2013
STUART Jonas Denmark 2014
SVENSSON Emma Sweden 2011
TER AVEST- ROELINK Leonie Netherlands 2013
TERBURG Bonnie Netherlands 2014
THIJSSEN Robert Vincent Matthias Netherlands 2014
TRIYASUT Grisana Netherlands 2013
UGEN Ad Netherlands 2011
UITERWAAL Hans Netherlands 2011
VAN CRUIJSEN Marc Netherlands 2013
VAN DER DRIFT Mireille Netherlands 2011
VAN DER KEMP Peter Netherlands 2011
VAN DER SALM K. Netherlands 2014
VAN DER SMAN Yoeri Walter Netherlands 2011
VAN DIJK Frederik Netherlands 2013
VAN DOORN Arjan Netherlands 2011
VAN ELS - RUTTEN Anna Netherlands 2012
VAN KOOTEN Andre Netherlands 2014
VAN OORT Geeske Netherlands 2013
VAN VELDHUIZEN Erny Netherlands 2013
VASCONCELOS Hugo Morujo Portugal 2013
VENANCIO GALVAO Julia Maria Netherlands 2012
VERSTEEG Astrid Netherlands 2014
VILLADEAMIGO Juan Manuel Spain 2012
WASSEN Jeroen Netherlands 2014
WHITAKER Lynne United Kingdom 2014
WILS Alexandra Netherlands 2013
WOLTING Roelof John Netherlands 2012
XAVIER Ana Portugal 2012
ZERIKIOTIS Evangelos Greece 2013
ZUMBRINK Jacobus Johannes Maria Netherlands 2013
+ 24 SUCCESSFUL CANDIDATES WHO DID NOT AGREE TO DISCLOSE THEIR NAMES.

European Heart Rhythm Association
Les Templiers
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CS 80179 BIOT
06903 Sophia Antipolis Cedex
France
Tel: +33 (0)4 92 94 76 00
Fax: +33 (0)4 92 94 86 46
Email: EHRA@escardio.org
Scan the QR-Code for download
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Section Publications
The EHRA White Book 2015 was made possible with the aid of
an unrestricted educational grant from BIOTRONIK SE & Co. KG

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Albania . Algeria . Armenia . Austria . Azerbaijan . Belarus . Belgium . Bosnia & Herzegovina . Bulgaria .

The EHRA White Book 2015

Prof. Luigi Padeletti Prof. Pekka Raatikainen

Prof. David O. Arnar

3 . The EHRA White Book 2015

4 . The EHRA White Book 2015

with key demographic information and national healthcare statistics.

them, we extend our deepest gratitude and appreciation.

n Prof. Karl-Heinz Kuck, EHRA President (2013-2015)

Member of the EHRA National Cardiac Societies Committee (2013-2015)

Member of the EHRA National Cardiac Societies Committee (2013-2015)

5 . The EHRA White Book 2015

2. Scope and Methodology 13

3. Sources for Demographic Information 15

4. ESC Countries Overview 18

6 . The EHRA White Book 2015

5. Appendix – EHRA Certification 543

7 . The EHRA White Book 2015

8 . The EHRA White Book 2015

Bosnia and Herzegovina

9 . The EHRA White Book 2015

10 . The EHRA White Book 2015

11 . The EHRA White Book 2015

12 . The EHRA White Book 2015

13 . The EHRA White Book 2015

realities with regard to treatment of cardiac arrhythmias.

6. Cardiac resynchronization therapy devices

7. Implantable cardiac defibrillator

10. Device specific information

11. Interventional electrophysiology

electrophysiology of each country.

authorise the publication of the information.

14 . The EHRA White Book 2015

15 . The EHRA White Book 2015

United States Census Bureau (Homepage)

∙ Hospitals (per 100 000 population)

16 . The EHRA White Book 2015

∙ Death rate (per 1000 population)

∙ Gross domestic product (U.S dollar-billions)

17 . The EHRA White Book 2015

18 . The EHRA White Book 2015

19 . The EHRA White Book 2015

Age pyramid for Albania

20 . The EHRA White Book 2015

Private expenditure on health

21 . The EHRA White Book 2015

Proportion of deaths resulting from cardiovascular disease

Basic insurance availability Yes

Percentage of insured and uninsured citizens

Distribution of insurance modality

Possibility to subscribing to private health insurance plans No answer

Co-payment necessary for the following therapy

22 . The EHRA White Book 2015

National certification availability

23 . The EHRA White Book 2015

Specialist required for

Official national competency guidelines for electrophysiological studies No

Required period of training to perform implantations Yes 2-3 years

Suggested period of training to perform implantations No

Training centres availability