National Audit of Cardiac Rhythm Management: 2021 summary report

Reports | Published: 14 Oct 2021

The National Audit of Cardiac Rhythm Management (NACRM), which is part of the National Cardiac Audit Programme, has published its latest summary report. Based on data collected in 2019/20 in England and Wales, and where possible Scotland and Northern Ireland, the report details activity in cardiac rhythm management device and ablation procedure.

Overall, more than 40,000 devices were implanted in 175 hospitals, and nearly 20,000 ablation procedures were performed in 61 hospitals (no evidence of change from last year). The report also found:

  • 273 leadless pacemakers and 639 subcutaneous implantable cardioverter defibrillators (ICD) devices were implanted
  • More than 80% compliance with NICE standards for ICD implantation
  • There was a 4% 1-year re-intervention rate following pacemaker implantation and a 6% re-intervention rate for complex devices, and
  • 84% of adult NHS pacemaker implant centres met the standard for procedure volumes, but only 66% of adult NHS hospitals met the standards for complex devices.

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National Audit of Cardiac Rhythm Management: 2021 summary report