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Questionnaire on sustainability practices in French rhythmology departments - 04/02/25

Doi : 10.1016/j.acvd.2024.10.320 
Raoul Bacquelin a, , 1 , Pascal Defaye b
a Centre Hospitalier Métropole Savoie, place Lucien-Biset, 73000 Chambéry, France 
b Cardiology Department, Grenoble Alpes University, Grenoble Alpes University Hospital, 38043 Grenoble, France 

Corresponding author.

Graphical abstract




Le texte complet de cet article est disponible en PDF.

Highlights

The healthcare system, including rhythmology, contributes to climate change.
Very little is known about rhythmologists’ practices regarding sustainability.
Medical education should integrate courses on climate issues.
Further studies and legislative and regulatory changes are needed.

Le texte complet de cet article est disponible en PDF.

Abstract

Background

On the one hand, climate change affects health and healthcare systems worldwide. On the other hand, the healthcare system contributes to environmental pollution. These environmental issues concern rhythmology, particularly because of the use of complex, often plastic, single-use devices.

Aims

To assess current practices, as well as the training received by rhythmologists and their willingness to implement the necessary changes.

Methods

A four-part questionnaire with 15 questions was designed, and was distributed online to rhythmologists, via the French Society of Cardiology.

Results

Eighty-seven responses were received from 42 French departments. Most rhythmologists (98.9%) had never attended courses on climate change and its impact on human health during their medical studies; they thought it would be relevant to offer courses on these issues as part of initial medical training (59.5% of answers), continuing medical education (62.3% of answers) and training in interventional rhythmology (55.9% of answers). The participants had already been able to implement actions in their healthcare establishments, in the following categories: transport; food; waste management; scientific studies; and political work. One hundred percent of rhythmologists were willing to change some of their interventional practices if the changes did not alter the risk for the patient or diminish the clinical benefit. However, there were numerous obstacles to overcome: “I don’t know where to start”; “I’m not helped by my healthcare institution”; “regulatory constraints are too important”; “I don’t have the time” and “I don’t know what's relevant”.

Conclusions

These responses reinforce the importance of supporting these doctors so that their interventional practices can evolve. This evolution in interventional practices, based on scientific studies, and within a legislative and regulatory framework adapted to environmental issues, will enable the development of a more sustainable rhythmology practice.

Le texte complet de cet article est disponible en PDF.

Keywords : Rhythmology, Electrophysiology, Sustainability, Climate changes, Education


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Vol 118 - N° 2

P. 93-100 - février 2025 Retour au numéro
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