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Title

Cardiac Electrophysiology (EP): Basic Studies Uncovering Tachycardias (1 credit hours)

Abstract

This module is presented in a format combining audio with lesson text appearing in a slide show. Flash Player is required to play the file, and can be downloaded here.

In this course, the learner will be presented with a basic overview and introduction to electrophysiology (EP). Items discussed in this course include the specific intervals for normal and abnormal values, the 12-lead electrocardiogram (ECG or EKG), mechanisms of tachycardia, and how these mechanisms are used to determine the various pacing tools and protocols used to induce tachycardias during the basic EP study. Course Approval Expiration/End Date: May 1, 2010 Category A Credit

This activity may be available in multiple formats or from different sponsors. The ARRT does not allow CE activities such as internet courses, home study programs or directed readings to be repeated for CE credit in the same or any subsequent biennium.

Author

Healthworks is a private healthcare professional practice organization offering a variety of cardiovascular and imaging solutions, including clinical education, expert staffing and consulting services in the areas of invasive and non-invasive cardiology, electrophysiology and specialty nursing. Founded in 1997, the company is headquartered in Douglassville, PA.

Jeffrey Stiffler, BA, AST, RCIS, CCDS, CEPS

This course is taught by Jeffrey A. Stiffler, Electrophysiology Division Manager at Healthworks. Today, Jeff works clinically in both cath and EP labs, and serves as a lecturer and educator for our Education Division. Jeff received his BA in Pre-Med Biology from Franklin & Marshall College as well as an Associate Degree in Specialized Technology from the Lancaster Institute of Health Education for Invasive Cardiovascular Technology. Upon completion of this program, he attained his Registered Cardiovascular Invasive Specialist registry. Most recently, Jeff passed the Pacing & ICD portion of the Allied Professional exam of the International Board of Heart Rhythm Examiners and is both a Certified EP Specialist and a Certified Cardiac Device Specialist.

Objectives

After completing the module the learner should be able to:

Describe the basic electrophysiology (EP) study to include measures of sinoatrial (SA) and atrioventricular (AV) nodes, ventricular-atrial (VA) conduction and ventricular stimulation.
Define common acronyms associated with EP studies.
List pertinent anatomical structures associated with the cardiac electroconduction system.
Distinguish incremental pacing and programmed stimulation associated with EP studies.
Recognize normal and abnormal values for various intervals measured during EP studies.
Describe three main mechanisms for tachycardia and the pacing protocols used to induce it.

Resources

Bibliography
Abedin Z, Connor R. Essential Cardiac Electrophysiology. Malden, Ma: Wiley-Blackwell; 2007.

Bennett DH. Cardiac Arrhythmias: Practical Notes on Interpretation and Treatment. 7th ed. Oxford UP (Hodder Arnold); 2006.

Mazgalev TN, Tchou PJ, eds. Atrial-AV Nodal Electrophysiology: A View from the Millennium. Malden, Ma: Wiley-Blackwell; 2000.

Murgatroyd FD, Krahn AD, Klein GJ, Yee RK, Skanes AC. Handbook of Cardiac Electrophysiology: A Practical Guide to Invasive EP Studies and Catheter Ablation. London: Remedica; 2002.

Webliography
Bosen DM. Identifying inappropriate sinus tachycardia. From Nursing, Jul 2001. BNet Business Network. Available at: http://findarticles.com/p/articles/mi_qa3689/is_200107/ai_n8979994. Accessed Feb 19, 2008.

Forgoros RN. The electrophysiology study. About.com: Heart Disease. 2008. Available at: http://heartdisease.about.com/cs/arrhythmias/l/blepstudy.htm. Accessed Feb 19, 2008.

Okreglicki AM. Atrial tachycardia. eMedicine. Jun 1 2006. Available at: http://www.emedicine.com/Med/topic188.htm. Accessed Feb 19, 2008.

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