Questionnaire on sustainability practices in French rhythmology departments.

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.