December 4, 2025 — The Heart Rhythm Society (HRS) released Occupational Hazards in Cardiac Electrophysiology: Insights from an HRS Member Survey, presenting findings from a global survey examining health risks faced by electrophysiologists and electrophysiology (EP) laboratory professionals.
The survey highlights a range of occupational hazards associated with EP practice, including radiation exposure, orthopedic strain, and pregnancy-related concerns. Despite advances in radiation-reduction strategies, cumulative exposure and procedural demands continue to pose meaningful risks to clinicians and allied professionals working in the EP lab.
Survey results demonstrate notable health impacts across the workforce, including reported malignancies, premature cataracts, pregnancy complications, and a high prevalence of orthopedic injuries. These findings underscore the need for greater awareness, preventive strategies, and system-level interventions to support long-term clinician health and safety.
Key areas of occupational risk identified include:
- Radiation exposure and associated long-term health risks
- Orthopedic injuries related to prolonged procedures and protective equipment
- Pregnancy-related challenges, including higher-than-expected complication rates
- Procedural and environmental factors contributing to cumulative physical strain
The document also emphasizes the importance of mitigation strategies and institutional responsibility. Recommended approaches include improved radiation safety protocols, ergonomic interventions, adoption of low- or zero-fluoroscopy techniques, and enhanced support for family planning and workplace flexibility. Overall, this report highlights the urgent need for coordinated efforts across institutions, professional societies, and policymakers to improve workplace safety, protect the EP workforce, and ensure a sustainable future for the field.
Figure 5 Occupational hazards and mitigation strategies provides a visual overview of key risks and corresponding multilevel solutions, including individual, institutional, training, and policy-focused interventions.
