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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In this issue of the <span class="elsevierStyleItalic">Journal</span>&#44; Cortez-Dias et al&#46; report data for 2017 and 2018 from the Portuguese National Registry on Cardiac Electrophysiology&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> These reports&#44; issued by the Portuguese Association of Arrhythmology&#44; Pacing and Electrophysiology &#40;APAPE&#41; and the Portuguese Institute of Cardiac Rhythm &#40;IPRC&#41;&#44; have been published regularly since 1999&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">This nationwide&#44; observational&#44; retrospective&#44; voluntary registry now includes data from all centers performing interventional electrophysiology in Portugal&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">It could be said that the main purpose of the registry has been completely accomplished&#44; to the extent that it describes in detail the number and type of ablations performed&#44; the technologies used and the characteristics of the centers in terms of equipment and personnel&#46; The high level of participation by the centers is notable&#58; for these two years all centers provided data&#44; which enables the registry to remain highly reliable and representative of Portuguese electrophysiology&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Most of the centers &#40;72&#37;&#41; are in public hospitals&#44; which accounted for 84&#37; of all ablations performed in 2018&#44; and most of the public and all of the private centers are concentrated in the Greater Lisbon and Greater Porto metropolitan areas&#44; reflecting the widespread asymmetries found in the country&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The good news is the increasing number of procedures&#44; which reached a peak in 2018&#44; in particular the number of complex procedures including ablation of atrial fibrillation &#40;AF&#41; and ventricular tachycardia &#40;VT&#41;&#46; These procedures are performed using three-dimensional navigation systems in all of the Portuguese centers&#44; and although point-by-point radiofrequency ablation is still the most commonly used technique&#44; pulmonary vein cryoablation for AF has shown significant growth and accounted for 20&#37; of procedures&#46; AF ablation is at present the most common ablation by substrate and the absolute and relative numbers of AF ablations are expected to grow in the coming years&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Using as a benchmark the European Heart Rhythm Association &#40;EHRA&#41; White Book&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> which compiles electrophysiology data from all European countries&#44; we can say that Portuguese electrophysiology has performed very well in terms of the number of ablations&#44; particularly complex ablations per 100 000 population&#46; Although still far from the podium&#44; we are positioned in the middle of the field&#44; ahead of countries like Spain&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">The complication rate reported is extremely low but there might be under-reporting of adverse events&#44; given that reporting of complications is optional and data collection is retrospective&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Newer technologies are on the way&#44; and Portuguese electrophysiology is ready to incorporate these developments in the near future&#44; which include new energy delivery systems &#40;laser and electroporation&#41;&#44; catheters for one-shot ablation&#44; and three-dimensional navigation systems that will help us pursue the Holy Grail of zero fluoroscopy&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare&#46;</p></span></span>"
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