ARRHYTHMIAS: Edited by David H. BirnieRadiation safety and ergonomics in the electrophysiology laboratory update on recent advancesNair, Girish M.; Nery, Pablo B.; Redpath, Calum J.; Sadek, Mouhannad M.; Birnie, David H.Author Information Arrhythmia Service, Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada Correspondence to Girish M. Nair, MBBS, MSc, FRCPC, FHRS, Arrhythmia Service, Division of Cardiology, University of Ottawa Heart Institute, Room H-1285-B, 40 Ruskin Street, Ottawa, ON K1Y 4W7, Canada. Tel: +1 613 761 4820; e-mail: email@example.com Current Opinion in Cardiology: January 2016 - Volume 31 - Issue 1 - p 11-22 doi: 10.1097/HCO.0000000000000246 Buy Metrics Abstract Purpose of review Risks associated with exposure to ionizing radiation in patients undergoing electrophysiology procedures and interventional cardiac electrophysiologists performing these procedures are a serious concern. Strategies to reduce radiation exposure are of obvious importance. In addition, interventional cardiac electrophysiologists have to perform procedures wearing heavy lead protection for prolonged periods, making them prone to cervical and lumbar spinal injuries. Recent findings Recently developed technologies, such as low-exposure radiographic imaging, novel radiographic imaging protection systems, nonfluoroscopic mapping systems using image integration, and remote catheter manipulation systems have been successful in reducing ionizing radiation exposure in the electrophysiology laboratory. The efficacy and safety of these technologies are being evaluated in clinical trials. In addition, economic analyses are being performed to evaluate these novel systems. The use of nonweight-bearing radiation protection devices and ergonomic design of the electrophysiology laboratory aim to reduce the incidence of occupational injuries in interventional cardiac electrophysiologists. Summary There is need for ongoing development and evaluation of new technologies to minimize exposure to ionizing radiation during electrophysiologic procedures. In addition, ergonomic planning of the electrophysiology laboratory and training of interventional cardiac electrophysiologists are crucial to occupational injury prevention. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.