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

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.

This study aimed to better understand these occupational risks.

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.

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.

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.