Occupational hazards in cardiac electrophysiology: Insights from an HRS member survey.

BACKGROUND: Cardiac electrophysiologists and electrophysiology (EP) laboratory professionals face underexplored occupational hazards, including direct and indirect effects of radiation exposure, orthopedic strain, and pregnancy-related concerns. Despite advances in radiation-reduction strategies, cumulative exposure continues to merit attention. OBJECTIVE: This study aimed to better understand these occupational risks. METHODS: A 20-question global (multiple-choice and open-ended) survey was distributed to Heart Rhythm Society members, including EP physicians and nonphysician members (nurses, technologists, allied professionals, and clinical specialists). The survey collected data on health risks, including pregnancy-related challenges. RESULTS: Of 30,663 contacted, 1336 (4.4 %) responded, including 974 physicians (72.9%), 299 nonphysicians (22.4%), and 63 clinical specialists (4.7%). Respondents included 413 women (30.9%), 910 men (68.1%), 3 nonbinary (0.22%), and 10 preferring not to disclose (0.7%). Malignancies were reported by 97 (7.8%), including various solid tumors in 29 (29.9%), thyroid cancer in 15 (15.5%), and breast cancer in 11 (11.3%). Among 242 women who had been pregnant (63.5%), 121 (50%) reported complications, including miscarriage in 64 (27.1%), in vitro fertilization in 35 (14.8%), hypertensive disorders of pregnancy in 21 (8.9%), and fetal growth problems/preterm labor in 23 (9.8%). Premature cataracts (<50 years) were reported by 46 (3.7%). Orthopedic injuries were reported by 481 (41%); 325 (67.6%) required physical therapy or exercise, and 109 (22.7%) had surgery. CONCLUSION: EP professionals reported notable health challenges, highlighting the need for greater awareness, preventive strategies, policies, and further research to enhance workplace safety in the EP laboratory.

Duke Scholars

Author Sana Mustapha Al-Khatib Medicine, Cardiology