East Coast (Staten Island University Hospital, Northwell Health System, Staten Island, NY) West Coast (Mercy General Hospital, Dignity Health Heart and Vascular Institute, Sacramento, CA) Midwest (Spectrum Health Medical, Grand Rapids, MI)
Monitor for 6 hours after procedure Monitor for 6 hours after procedure Monitor for 6 hours after procedure
Systolic BP >100; HR <100 Systolic BP >90 (or asymptomatic if lower); HR <100
Systolic BP>90; HR<100
02 Saturation >95% on room air
02 Saturation >90% on room air
02 Saturation >95% on room air
Normal mental status
Normal mental status
Normal mental status
Residence <30 min from hospital
No specific criteria used
Residence <75 miles from hospital
Ambulatory status unchanged from baseline Ambulatory status unchanged from baseline Ambulatory status unchanged from baseline, off bedrest >60 min, ambulating by 20:00
Echocardiogram to evaluate for pericardial effusion prior to discharge Pericardial effusion ruled out at the end of procedure by intracardiac echocardiography Absence of hemodynamic instability; echocardiogram only performed in patients with unstable vitals or chest pain refractory to medical therapy
Follow-up appointment with cardiac electrophysiologist within 4 weeks. A phone call to patient the next day by a staff. Follow-up appointment with cardiac electrophysiologist in 6 weeks  Follow-up with cardiac electrophysiologist in 3 months