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Electrophysiology Education & EP Resource Page

This area will save you time by linking you to many of the online EP education and other resources that are available. They have been selected from hours of EP Staff searching the Internet. If you benefit from a website not included here, please submit it so we may include it for others to use. If you have any questions about this area please call us at 561-375-8034.

EP Training and Review is a select group of classes organized for your maximum benefit. They will supplement your orientation, provide additional knowledge, or help you prepare for the RCES Examination. You may also create a personal Education Page that will allow you to log the classes you have taken and keep notes on them. Equipment Reviews are "Consumer Reports" written by EP Staff about EP equipment.

*** Please contact us about any non-linking classes. Adobe Reader, Shockwave and Flash, and Power Point Viewer are required for several of the classes. If you do not have these programs, they may be downloaded for free at: Adobe, Power Point. Follow our EP News and Educational updates on Facebook and Twitter.


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A: Newly Added Classes
Tips and Tricks to Use for Ablation in the Normal Pediatric Heart - Including Infants and Toddlers
Powerpoint presentation on the topic by Dr. Macdonald Dick at the HRS 2010 conference.
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A: Newly Added Classes
Cardiac Resynchronization Therapy: Tips for a Successful and Safe Procedure
This article discusses Venous access, CS access, LV Lead insertion and complications. Text. EP Lab Digest.
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A: Newly Added Classes
Sinus Node Modification in the Treatment of Inappropriate Sinus Tachycardia: A Clinical Update
A case study of a patient with IST. Inappropriate sinus tachycardia (IST) is a clinical syndrome defined by an increase in sinus rate out of pro- portion to physiologic needs. It is an under-appreciated etiology of persistent tachycardia often misdiagnosed as anxiety or atrial tachycardia. Text. EP Lab Digest.
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A: Newly Added Classes
Reducing Hospitalizations in Atrial Fibrillation: Optimizing Arrhythmia Control
Recent data from clinical trials prove that agents with both rhythm- and rate-control properties are effective at maintaining sinus rhythm, avoiding cardiac and extracardiac side effects, and improving clinical outcomes in specific patient populations by reducing the incidence of stroke, recurrence of AF, cardiovascular events, and hospitalization. Video. TheHeart.org.
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Ablation- Cryotherapy
Treating AVNRT and Other Perinodal Arrhythmias with Cryotherapy
Review of A & P, and Ablation of AV Node Reentry Tachycardia. Heart Rhythm Society. Video.
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Ablation- Radiofrequency
Mapping & Ablation of Ventricular Tachycardia
Review of different types of VT, and treatment of Ventricular Tachycardias with Ablation. Heart Rhythm Society. Video.
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Ablation- Radiofrequency
Anatomy, Mechanisms & Treatment of Atrial Flutter
A series of short video discussions explaining atrial flutter on the whiteboard. A review of the anatomy, the mechanisms and treatment with catheter ablation in a manner that is easy to understand. By Boston Scientific. Video.
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Ablation- Radiofrequency
Catheter Ablation for Atrial Flutter
A review of Atrial Flutter anatomy, electrograms, and ablation technique in depth. Excellent. A HRS Powerpoint presentation with audio.
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Ablation- Radiofrequency
Ablation Online
Four interactive animated courses on Ablation: Ablation Biophysics and Lesions; Modes of Ablation; Ablation Equipment; Clinical Ablation. Heart Rhythm Society. Video
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Ablation- Radiofrequency
Electrocardiographic Characteristics and Catheter Ablation of Parahissian Accessory Pathways
EKG characteristics and ablation technique for these pathways. Circulation. Text.
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Ablation- Radiofrequency
Mapping & Ablation of Ventricular Tachycardia
Review of patient populations, mechanisms, and treatment strategies for VT. Powerpoint presentation. HRS.
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Ablation- Radiofrequency
Bundle Branch Re-entry Ventricular Tachycardia
Bundle branch re-entry is a relatively rare form of ventricular tachycardia (VT), usually in patients with significant left ventricular impairment and distal conduction system disease, the latter providing the slow conduction necessary to sustain re-entry. Text with illustrations. Cardiology HD.
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Ablation- Radiofrequency
Ablation of Atrial Fibrillation and Ventricular Tachycardia: Present and Future
The purpose of this activity is to educate clinicians on the appropriate use of ablation in the management of patients with AF or VT. At the conclusion of this program, participants will be able to: Discuss strategies to screen AF patients for ablation whom are refractory or intolerant of AADs; Discuss ablative strategies for the management of VT. TheHeart.org. CME's.
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Ablation- Radiofrequency
Linear Lesions Based on Pace-Mapping for Unmappable VT
Video presentation by Dr. Francis E. Marchlinski. HRS 2010 conference.
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Ablation- Radiofrequency
Mapping and Ablation of Epicardial Accessory Pathways
Powerpoint presentation & discussion of topic presented by Dr. Kalyanam Shivkumar at the HRS 2010 conference.
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Adjunctive Studies
Tilt Table Test- State of the Art
A complete review of syncope and diffrerent protocols for Head Upright Tilt Table Testing. Indian Pacing and Electrophysiology Journal. Text.
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Adjunctive Studies
Cardioversion of Atrial Fibrillation
A review of Pre and Post Cardioversion treatment and care. British Medical Journal. Text.
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Adjunctive Studies
Single Chamber Temporary Pacing: Operations and Troubleshooting
The indications for single chamber temporary pacing, and a description of the operation and troubleshooting of a single chamber temporary pacemaker. Slides. Medtronic.
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Anatomy & Physiology
Electrical Anatomy of the Atrial Chambers
This brochure describes the detailed anatomy of the atria and its conduction system utilizing prepared human hearts. The heart is shown in its true anatomic position, making it easier to interpret x-rays from the EP lab. Possible re-entrant circuits and catheter placement options are also discussed. Medtronic. PDF file.
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Atrial Fibrillation
Improving the Safety of Catheter Ablation for Atrial Fibrillation
Interview conducted on June 21, 2007 with Dr. Vivek Reddy following his talk at the CryoCath Sponsored CME Symposium on May 9, 2007 in Denver CO during Heart Rhythm. Peer Veiw Press. Slides with Audio.
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Atrial Fibrillation
Atrial Fibrillation Ablation Procedure Video with Explanations
If you missed the video demonstration of an Atrial Fibrillation ablation done at Piedmont Hospital presented by the HRS, here is the HRS link to that recording. It reviews: Ablation lesion formation, the role of ICE to aid the ablation, interpretation of PV electrograms, how to perform and when to consider hybrid ablation, and numerous other points. Excellent for everyone doing left sided cases. Heart Rythm Society. Video.
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Atrial Fibrillation
Separating Atrial Flutter From Atrial Fibrillation With Apparent Electrocardiographic Organization Using Dominant and Narrow F-Wave Spectra
OBJECTIVES: The purpose of this study was to separate atrial flutter (AFL) with atypical F waves from fibrillation (AF) with "apparent organization." Electrophysiology Service, Veterans Affairs San Diego, University of California San Diego, San Diego, California. Article. JACC. Text.
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Atrial Fibrillation
Role of Nonpharmacologic Treatments in the Management of Atrial Fibrillation
Series of four lectures- When to Consider Nonpharmacologic Treatments; Antiarrhythmic Drug Use Before and After Atrial Fibrillation Ablation; Thromboembolism Prevention Before and After Nonpharmacologic Treatments; The Role of the Primary Care Practitioner in the Referral and Management of Patients Undergoing Nonpharmacologic Therapy. Medscape. Reffregistration. CEU's.
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Atrial Fibrillation- Ablation
Assessment of Temperature, Proximity, and Course of the Esophagus During Radiofrequency Ablation Within the Left Atrium
Left atrioesophageal fistula is a devastating complication of atrial fibrillation ablation. There is no standard approach for avoiding this complication, which is caused by thermal injury during ablation. The objectives of this study were to evaluate the course of the esophagus and the temperature within the esophagus during pulmonary vein antrum isolation (PVAI) and correlate these data with esophagus tissue damage. Circulation. Text.
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Atrial Fibrillation- Ablation
Atrial Tachycardia After Catheter Ablation of the Pulmonary Veins
Review of the iatrogenic causes of AT, and treatments of theis common problem. Slides with audio. HRS 2008 Conference.
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Atrial Fibrillation- Ablation
Box-lesion set during modified Cox maze significantly improves patient outcomes
Placing an additional ablation set during the Cox-maze procedure significantly improves clinical outcomes, according to a new report Text. The Heart.org. Free registration.
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Atrial Fibrillation- Ablation
Understanding Pulmonary Vein Recordings: Implications for the Mapping and Ablation of Atrial Fibrillation
At the conclusion of this activity, the participant should be able to: 1. Understand the role of pulmonary veins in the pathogenesis of atrial fibrillation. 2. Interpret pulmonary vein potentials recorded on a circumferential mapping catheter and understand the methods for distinguishing these from farfield, non-pulmonary vein signals. 3. Recognize the left atrium to pulmonary vein breakthrough points as targets for ablation and identify the endpoints for pulmonary vein electrical isolation. Text with electrograms. EP Lab Digest.
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Atrial Fibrillation- Ablation
Atrial Fibrillation Ablation: Reaching the Mainstream
A review of multiple approaches to Atrial Fibrillation ablation using numerous diagrams for explanation. A review of studies that look at the results of the different approaches. Text. Medscape Nurses.
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Atrial Fibrillation- Ablation
Live Atrial Fibrillation webcast
A moderated webcast of an atrial fibrillation procedure at LDS Hospital in Salt Lake City, Utah. Douglas Packer, Moderator. Registration, HRS.
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Atrial Fibrillation- Ablation
Catheter Ablation for Paroxysmal Atrial Fibrillation- 1.5 CEU's
Webcast of AF ablation. Moderated with discussion and questions. There are 3 such programs listed. Expose yourself to the different viewpoints. HRS Webcast. Free registration.
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Atrial Fibrillation- Ablation
Simplification of AF: Integration of 3D Imaging, Mapping, and Ablation. CEU & CME's.
Objectives: Apply 3D image guidance and its applications for achieving successful outcomes in atrial fibrillation (AF) ablation; Discuss the integration of spectral analysis and advanced mapping software within daily practice; Review new developments in mapping and ablation that provide a simplified approach to ablating paroxysmal AF; Review and apply the procedural approach that a single institution has followed to achieve successful outcomes in AF patients. Webcast. NACCME. Expires 6/2010.
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Atrial Fibrillation- Ablation
New Insights in Atrial Fibrillation . CME & CEU's.
Atrial fibrillation (AF) is the most common arrhythmic condition in clinical practice with the prevalence projected to increase 2.5-fold by the year 2050. In this program, leading experts in cardiology have been selected to provide an up-to-date overview of recent advances in AF. Video. The Heart.org. Expires 1/2010. Free registration.
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Atrial Fibrillation- Management
Improving outcomes in AF: How can we do better? CME's
AF is associated with a two-fold increase in mortality, a statistic that has not changed in 20 years. Current therapies have limited efficacy and serious risks. Will new treatments help us do better for our patients with AF? Text. Free registration. The Heart.org from Web MD
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Atrial Fibrillation- Management
Genetics of Atrial Fibrillation: What Are the Clinical Implications? CME's
The purpose of this program is to educate healthcare professionals particularly cardiologists, on the role of heredity in the development of atrial fibrillation and the potential use of genetic testing in the diagnosis and management of patients with, or at risk for, atrial fibrillation. Powerpoint with audio. TheHeart.org. CME's. Free Registration.
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Atrial Fibrillation- Management
Device Based Solutions for the Treatment & Clinical Management of A. Fib. Patients. CME & CEU's.
Objectives: Describe newer technologies for atrial fibrillation (AF) ablation; Implement better methods of determining success of ablation of AF; Discuss the current and potential future indications for AF ablation and methods to minimize complications; Utilize magnetic resonance imaging to assess left atrial structural remodeling; Manage patients with AF and heart failure. Webcast. NACCME. Expires 6/2010.
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Atrial Fibrillation- Management
Atrial Fibrillation Management: Understanding the Data- CME
Join our experts as they discuss recently published results of new data from the ATHENA trial and how this data will impact care for patients with AF. Video. The Heart.org
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Atrial Fibrillation- Management
Advancing the Outlook in AF - Focus on Thromboprophylaxis- CMEs
Risk factors for atrial fibrillation (AF) include advanced age, hypertension, heart failure, coronary artery disease, and diabetes mellitus. Prevention of thromboembolic complications is a very important goal when managing patients with AF. Webcast. The Heart.org.
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Atrial Fibrillation- Management
Mindset Evolution in the Management of AF- CME
The purpose of this program is to educate and update clinicians regarding the current management of atrial fibrillation including treatment strategies and a changing paradigm. Review current treatment strategies for atrial fibrillation (AF) including prevention of thromboembolism, rhythm and rate control, and "upstream" and nonpharmacological strategies; Describe the limitations of current management strategies for AF. Webcast. CME. Medscape.
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Atrial Fibrillation- Management
Arrhythmia & EP- The Heart.org
Up-to-date list of articles related to Atrial Fibrillation, and EP. The Heart.org. CME's.
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Atrial Fibrillation- Management
Atrial Fibrillation Info Site
Multiple presentations in video and text that study all facets of Atrial Fibrillation and its treatment. Excellent background information. Medscape.
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Atrial Fibrillation- Management
Surgery for Atrial Fibrillation
What is available outside the EP Lab for your patients. Be knowledgeable about other treatments for your patients. New surgical techniques are bringing surgical treatment of atrial fibrillation back into the spotlight. The current review describes these techniques and their efficacy. Text. Medscape. CME's. Free registration.
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Atrial Fibrillation- Management
Patient centered approaches to the evaluation and treatment of Atrial Fibrillation.
Objectives: Develop and/or implement protocols for early atrial fibrillation patient risk stratification and evaluation to ensure optimal treatment selection; Describe the latest evidence regarding the benefits and limitations of rate versus rhythm control in atrial fibrillation management; Explain 2006 ACC/AHA/ESC and 2007 HRS/EHRA/ECAS guideline updates and challenges associated with translating guidelines into practice; Evaluate the benefits and limitations of atrial fibrillation medications and procedures, factoring in updated guidelines and patient characteristics to optimize outcomes. Available after Sept 21, 2009. CME & CEU.
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Atrial Fibrillation- Management
Guidelines for Atrial Fibrillation in Transition- New Trial Data and Patient Care- CME
The ACC/AHA/ESC Guidelines for the Management of Patients With Atrial Fibrillation were published in 2006. Since this publication, new data and treatment options have been developed. Join our expert panel as they discuss these new data and strategies for implementation of these treatment options in clinical practice. Video.
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Atrial Fibrillation- Management
Atrial Fibrillation and Atrial Flutter: Appropriate Treatment Plans- 1 CEU/CME
Case studies have served as an excellent tool for testing and evaluating diagnostic and clinical management skills. This activity will provide clinicians with a chance to review clinical case-based scenarios and test their knowledge and aptitude on how to develop a treatment plan for atrial fibrillation and atrial flutter through interactive case-based and post-test questions. Text. Heart Rhythm Society.
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Atrial Fibrillation- Management
Treating Atrial Fibrillation: A Multidisciplinary Approach- CME's
The burden of atrial fibrillation (AF) worldwide is likely to increase substantially over the next few decades, primarily due to an aging population. The management of AF is complex and questions regarding rate vs rhythm control continue. AF greatly increases the risk for stroke and while the use of vitamin K antagonists (VKAs) like warfarin can decrease this risk substantially, they remain underutilized. Novel agents may address the need for a simplified anticoagulation strategy and in some patients the use of a left atrial appendage exclusion system may be indicated. Drs. Yancy, Boehmer, and Cannon discuss the many aspects involved in considering management of patients who have AF.
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Atrial Fibrillation- Management
Patient-Focused Barriers and Opportunities for Stroke Prevention in Atrial Fibrillation
After completing this activity, participants should be able to Identify the factors that increase stroke risk in patients with atrial fibrillation (AF. Outline the benefits, limitations, and current guidelines associated with warfarin therapy for AF-related stroke prevention. Implement guideline- and evidence-based approaches for stroke prevention in AF for patients in whom warfarin is indicated and for those in whom it is not. Summarize current data regarding antiplatelet agents and novel anticoagulants being investigated as alternatives to warfarin for AF-related stroke prevention. Expiration Date: December 29, 2010.
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Atrial Fibrillation- Management
Contemporary Management of Arrhythmia: Practice-based Approaches
This course provides up-to-date diagnostic techniques and contemporary treatment approaches for atrial fibrillation, syncope, and sudden cardiac death presented by Drs. Bernard Gersh and Win-Kuang Shen. In addition, a final presentation will look to the not-too-distant future by Dr. Samuel Asirvatham in the segment on Emerging Treatment Options for Arrhythmias. www.theheart.org
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Case Studies
Cases from Heart Rhythm Society Board Review Courses
So you think you know your stuff? Excellent disection of real cases, including H & P, electrograms, devices, etc. Save the case studies (Arrhythmia, VT/ICD SVT/WPW) and each answer key on your desktop to open both simultaneously. Power Point. Heart Rhythm Society.
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Coding & Billing
Physician Reimbursement Strategies- Physician Documentation for Cardiovascular Procedures
Topics: Overview of appropriate documentation. Physician's role in medical documentation success. Medical documentation tips. Understanding coding recommendations. Understanding the impact of severity based DRG's in relation to cardiovascular practices. Archived webcast. Boston Scientific. CEU.
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Coding & Billing
Coding Electrophysiology Procedures
Topics: Documentation to support billing a comprehensive EP study. Coronary sinus recording and Isuprel infusion. Billing for complex left atrial procedures involving transseptal punctures. Appropriate billing for E&M service on the same day as an EP procedure. Achived webcast. Boston Scientific. 1 CEU.
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Coding & Billing
Educational Webex
Join Medtronic Healthcare Economics for our educational WebEx series. These presentations will provide information on coding, reimbursement and healthcare economics as they relate to Cardiac Rhythm Disease Management (CRDM). Several differenc presentations available in PDF and video format. Medtronic.
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Coding & Billing
How to Maximize EP Service Revenue- A Coding & Billing Primer
A review of the coding and billing process with several suggestions for how to maximize your reimbursement. Text. EPreward.
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Coding & Billing
Top Ten Regulatory Landmines in EP
The government is spending approximately $1.8 billion to audit and prosecute healthcare fraud this year. You minimize your risk of being penalized by becoming familiar with the top ten regulatory landmines faced by electrophysiologists when billing for their services. Text. EP Lab Digest.
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Devices
Cardiac Rhythm Management Articles for Boston Scientific products.
Extensive group of articles on: Implant/Explant Procedures, How to..., Trouble Shooting, Miscellaneous, Leads, Electromagnetic Interference, Diagnostics, and the Latitude Patient Management System. PDF Text with images of programmers.
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Devices
Evolving Strategies in Implantable Device Therapy for the Heart Failure Patient
A compilation of seven related lectures. By Medscape Cardiology. Registration. Text.
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Devices
Atrial Fibrillation in Heart Failure Patients Implanted with a Cardiac Resynchronization Therapy Device: 1-year Results of the Randomized MASCOT Study
From AHA 2007- Description: The goal of the trial was to evaluate overdrive atrial pacing (AOP) in patients with heart failure implanted with a cardiac resynchronization therapy (CRT) device— Luigi Padeletti. For video use link below, for text copy and paste- http://www.cardiosource.com/images/Padeletti.pdf For presentation slides copy and paste- http://www.cardiosource.com/images/Padeletti.pdf From Cardiosource, the American College of Cardiology. Cardiosource. Video.
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Devices
Resynchronization Therapy in Patients with Narrow QRS (RethinQ)
From AHA 2007: The goal of the trial was to evaluate cardiac resynchronization therapy (CRT) among patients with heart failure with narrow QRS complexes who were implanted with an ICD. Video link is below, for text link copy and paste - http://www.cardiosource.com/clinicaltrials/trial.asp?trialID=1627 ; for presentation slides copy and paste- http://www.cardiosource.com/pops/imagePop.asp?imgid=18528 . From Cardiosource, the American College of Cardiology. Video.
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Devices
Electromagnetic Compatibility Guide (EMC / EMI) for Medtronic Pacemakers & ICDs
Description of considerations for patients who have a Pacemaker or ICD. Medtronic. PDF.
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Devices
How the Experts Perform CRT-D Implantations
This webcast features two implants of Cardiac Resynchronization Systems conducted at the Cleveland Clinic: The first implant was recorded during the Live Case Session at Heart Rhythm 2007 and offers expert analysis on LV Lead positioning, LV Lead placement techniques, and DFT Testing. The second implant will provide a new and different patient anatomy from the first procedure, and focuses on troubleshooting techniques specific to the placement of the LV Lead. Heart Rhythm Society. Video.
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Devices
Pacemaker & ICD Encyclopedia
Basic information on Pacemakers and ICD's from 23 different manufacturers. Medtronic. Text.
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Devices
Sudden Cardiac Arrest Myth Busters
Reviews a variety of studies that demonstrate the indications, cost effectiveness, and efficacy of ICD's. Medtronic. Slides.
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Devices
Understanding Pacemaker Therapy
CorePace is a complete educational resource for the understanding of pacemaker therapy. 10 Modules- Arrhythmias and Devices, The Fundamentals of Cardiac Devices, Basic Concepts - Electricity and Pacemakers, Applying Electrical Concepts to Pacemakers, Pacemaker Basics, Single and Dual Chamber Pacemaker Timing, Advanced Pacemaker Operations, Pacemaker Patient Follow-up, Pacemaker Troubleshooting, and Pacemaker Automatic Features. Register into Medtronic site, click on CorPace in Upper Right of page, begin modules. Very complete. Interactive slides.
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Devices
Pacing Glossary
All of the Pacemaker related terms and their definitions. Medtronic, PDF.
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Devices
Cardiac Pacing and Patient Care
Good introduction to pacemakers. Medtronic. PDF.
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Devices- Implanting
Device Replacement Education & Awareness - 6 Lectures, CME & CEU's
Refine your knowledge of devices, complications and implantation. Early and Accurate Diagnosis of ICD Lead Fractures; The Five Important Rules for Preventing Lead Dislodgement with Device Implantation; The Five Important Rules for Maximizing Lead Longevity; The Five Important Rules in Avoiding Hematoma with Device Implant; The Five Important Rules in Preventing Device Infection; The Five Important Rules to Make Sure the Device Pocket Heals Properly. Powerpoint presentations. Heart Rhythm Society.
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Devices- Implanting
Continuing Clinical Need for Small Diameter Defibrillation Leads: Impact on Clinical Practice- CME
Recall advisories regarding the possibility of lead fracture and/or failure have led to much concern both for patients and their physicians. But what are the recommendations for lead extraction? Join our expert panel, Drs Ellenbogen, Epstein, Wilkoff, and Auricchio as they discuss the latest evidenced-based approach to the management of lead failure in pacemaker and ICD therapy. Video. The Heart.org
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Devices- Implanting
The Pros and Cons of Lead Extraction. CME & CEU's.
Objectives: Identify the pros and cons of lead extraction; Discuss standards of lead extraction through use of patient scenarios. Video. The Heart.org. Free registration.
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Devices- Implanting
The Pros & Cons of Lead Extraction- CMEs
Effective lead management should include a team approach and a spectrum of tools and techniques. When lead extractions are done by very highly qualified physicians at very high quality institutions, success rates are high. Steps should be taken to minimize the risks associated with implantable device therapy, and clinicians should be aware of the skills, experience, and knowledge required to provide competent lead management services. Join two of the world's leading experts in implantable devices, Drs. Bruce L. Wilkoff and George H. Crossley, as they discuss these issues and more on lead extraction and use of ICDs. Video. The Heart.org.
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Devices- Implanting
Challenging Times in Lead Management: From Implant to Extraction or Abandonment- Webcast with CEU's
This complimentary webcast will address lead implantation, extraction and abandonment using several different patient scenarios. Expert panelists Andrew E. Epstein, MD, FHRS; Laurence M. Epstein, MD and Paul A. Friedman, MD, FHRS will address approaches to lead management situations as they relate to a given patient’s situation. The panelists will field live questions from the audience, allowing participants the opportunity to discuss their concerns associated with lead management.
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Devices- Implanting
44 Presentations on Device Implanting and Therapy
44 Different presentations focused on Device Therapy. From Indications for Pacing and The Pacing System to Tachy Therapy Shock, Implant Technique, AF Suppression Algorithms and SVT Descriminators. Something for every level. Mostly Powerpoint Presentations. St. Jude Medical.
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Devices- Implanting
Indications for Lead Extraction
Powerpoint presentation on the subject by Dr. Laurence M. Epstein at the HRS 2010 conference.
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Devices- Implanting
Controversies in ICD/CRT Implantation: What to do When the Guidelines May Not Apply
Powerpoint presentation on the topic by Dr. Paul Wang at the HRS 2010 conference.
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Devices- Implanting
Advances in Cardiac Resynchronization Therapy: Dialogues in Pre-Implantation Assessment- CME
The purpose of this activity is to educate clinicians on pre-implantation assessment for a CRT device and the evidence supporting the use of CRT devices in patients with heart failure. 1- Discuss the role echocardiography plays in pre-implantation assessment for CRT in heart failure; 2- Develop a CRT pre-implantation assessment strategy for use in patients with heart failure. Video. Free registration TheHeart.org.
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Devices- Management
Heart Failure Fundamentals- CEU's
Full program on A & P, Pathophysiology, Causes, and treatment options. CEU's. Click on "Track 3: Heart Failure Fundamentals" under Electrical Management of Cardiac Rhythm Disorders". Slides. Free registration. Continuing Health Education.
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Devices- Management
Atrial Fibrillation & Heart Failure: The State of the Art. CEU & CME's.
Objectives: Identify and discuss the impact and physiological mechanisms of heart failure (HF) in patients with atrial fibrillation (AF); Review the benefits and limitations of cardiac resynchronization therapy (CRT) in decreasing the AF burden in HF patients; Evaluate recent trends in using device diagnostics in managing patients with HF and AF; Discuss how remote monitoring of HF patients might influence management strategies and their impact on clinical practice; Compare and contrast the impact of ablative strategies in patients with HF; List newer indications for CRT in HF. Video. The Heart.org. Expires 1/2010. Free registration.
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Devices- Management
Utilization of ICD Therapy- The Current State of the Industry
The purpose of this program is to inform cardiologists and other healthcare professionals involved in the management of patients with cardiac disease of the current recommendations for ICD therapy and to discuss strategies for improving utilization and patient outcomes. Text. The Heart.org. Free registration. CEU's.
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Devices- Management
Numerous Device Programs
Medtronic website with free registration to slideshows and video programs. Medtronic. Video.
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Devices- Management
Implantable Cardio-Defibrillators
A review of the development and research studies leading to the current use of ICD's. Text. Emedicine from WebMD. Free registration.
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Devices- Management
Guidelines Update for ICD, CRT, Pacing Therapy Reflects Recent Trials, Emphasizes Core Principles- CME's
"the new guidelines go beyond device indications and detailed "level-of-evidence" ratings to emphasize the importance of several broadly applicable patient-management issues. For example, they repeatedly specify the need for optimal medical therapy prior to attempts at device therapy and encourage the participation of patients and their families in assessing its risks, their expectations for improved survival and quality of life, and end-of-life issues". Text. Medscape Nurses from Web MD.
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Devices- Management
How to Manage Heart Failure Patients with CRT Devices- 1.5 CEU's
Upon completion of this educational symposium, participants should be able to: *Explain the relationship between mechanical dyssynchrony and electrical delay in candidates for cardiac resynchronization therapy. *Analyze the value of AV and VV delay optimization during follow-up of patients with cardiac resynchronization therapy. *Evaluate the clinical role of automated wireless patient management in patients with cardiac resynchronization devices. Powerpoint Presentation. NACCME.
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Devices- Management
Echo Optimization- Optimizing CRT Delivery by ECHO
Steps to optimal programing CRT devices to achieve optimal physiologic resopnse utilizing ECHO. Excellent. Slides with audio. HRS 2008 Conference.
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Devices- Management
Issues in Arrhythmia Management: Troubleshooting ICD Devices- CME
The purpose of this activity is to educate clinicians to troubleshoot ICDs in patients who experience unnecessary therapies. At the conclusion of this program, participants will be able to: Discuss common issues encountered with ICD devices; Apply strategies to troubleshoot ICD devices. Video. TheHeart.org.
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Electrocardiology
Basics of EKG Interpretation: A Programmed Study
Basic 12 lead EKG interpretation. USFCA. Text.
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Electrocardiology
Basic EKG Strips
47 unlabeled EKG strips followed with the same strips identified. From easy to challenging. Medtronic. Slides. Registration.
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Electrocardiology
Advanced EKG Analysis
This online program allows analysis of 12-lead ECGs with calipers, plumb line, and interactive ladder diagram. Interpretations for the example ECGs can be found here, with a detailed explanation here (6MB PDF). To best utilize this website, open "Start ECGviewer" in one window, and open "(6MB PDF)" in another window, analyze the rhythm in the viewer and then toggle to the explanation to check yourself. This is very good. Blaufuss. Flash; Shockwave.
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Electrocardiology
ECG Learning Center
A comprehensive training program for learning ECG's. From basic to advanced. The Alan E. Lindsay ECG Learning Center, University of Utah School of Medicine. Interactive slides with tests. Excellent.
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Electrophysiology
Cardiosource- American College of Cardiology
Extensive listing of Cardiology and EP online articles and information. Requires subscription of $99 per year for unlimited access. Cardiosource. Text; Video. Registration.
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Electrophysiology
Diagnostic Programmed Electrical Stimulation
A succinct explanation of the measurements and intervals evaluated to perform a diagnostic EP study. Includes pacing protocals. Text with electrograms. Emedicine by WebMD. Free registration.
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Electrophysiology
Electrocardiograms / Arrhythmias
Explains and demonstrates the propogation of normal and abnormal elcetrical inpulses through the heart. Go to SVT Tutorial at the bottom of their intro page. Requires Adobe Shockwave(follow download link up above. Excellent animation with text.
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Electrophysiology
Principals of Entrainment: Diagnostic Utility for Supraventricular Tachycardia
This review examines how principals of entrainment can be used to arrive at a firm SVT diagnosis using a simple algorithm and builds a foundation for the application of entrainment to more complex or unknown circuits. Indian Pacing and Electrophysiology Journal. Text.
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Electrophysiology
Medtronic: Connecting site to register for free Edu. offerings.
Varied classes for EP Staff. Basic EKG Strips - Cardiac Surgical and Catheter Ablation 2007 Coding Resources - Electrical Anatomy of the Atrial Chambers - Electromagnetic Compatibility Guide (EMC & EMI) for Medtronic Pacemakers & ICD's - Pacemaker & ICD Encyclopedia - SCA Myth busters - Syncope: Diagnostic & Treatment Strategy. Medtronic. Text; Slide. Registration.
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Electrophysiology
The EP Lab.com
This is a great site that is an introductory course in itself. Excellent for newer EP people. Written by a knowledgable & experienced EP staff, Rick Hood, who is now in the industry.
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Electrophysiology
Brugada Syndrome
History, description, genetics, and diagnostic protocol for testing. The Brugada Foundation; Mapfre Medicine Foundation. Text
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Electrophysiology
Brugada Syndrome
New electrocardiographic leads and the procainamide test for the detection of the Brugada sign in sudden unexplained death syndrome survivors and their relatives. European Heart Journal. Text.
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Electrophysiology
The Fat Stripe: A Fluoroscopic Landmark to Anatomic Sites During Diagnostic and Interventional EP Studies
Fluoroscopic video images of the cardiac anatomy to assist with understanding of the placement of EP catheters. By Order and Disorder. EP Consulting Services. Video.
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Electrophysiology
Primary Results from the Microvolt T Wave Alternans Testing for Risk Stratification of Post MI Patients (MASTER I) Trial- Theodore Chow
From AHA 2007: The goal of the trial was to evaluate use of microvolt T-wave alternans (MTWA) testing for risk stratification for life threatening ventricular tachyarrhythmic events among post-MI patients with impaired ejection fraction undergoing ICD implantation. Video link is below, for text link copy and paste - http://www.cardiosource.com/clinicaltrials/trial.asp?trialID=1628 . From Cardiosource, the American College of Cardiology. Video.
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Electrophysiology
HRS Website Self Study Section
Self Study contains a wealth of high caliber education resources for all heart rhythm professionals. Video, slide and Q & A. Presented by the Heart Rhythm Society. Text; Video; Slides
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Electrophysiology
Heart Rhythm 2006 - Conference Presentations
130 EP courses presented at the 2006 HRS conference in Boston. Most of them are very specific in focus, all in video format. All free. Heart Rythm Society. Video; Text.
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Electrophysiology
SVT Tutorial
This online program uses computer animations to explain arrhythmia mechanisms and their associated electrocardiographic findings for the following examples: AV node reentry, AV reentry, atrial tachycardia, atrial flutter, and atrial fibrillation. Go to "SVT Tutorial" at the bottom of the page. Blaufuss Medical Multimedia Laboratories. Shockwave.
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Electrophysiology
Catheter Ablation of AV Nodal Reentrant Tachycardia
A review of the mechanisms of AVNRT, it's ablation, and potential complications of the procedure. Text. HRS.
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Electrophysiology
HRS 2007 Selected Lectures
Access 18 select presentations from the Heart Rhythm 2007 Scientific Sessions, including presentations from the AFib Summit and Late-Breaking Clinical Trial sessions. Heart Rhythm Society. Videos.
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Electrophysiology
EP Indications & Introduction to EP Studies
Indications for EP studies and intro to an EP procedures. Fundamental Approaches to the Management of Cardiac Arrhythmias, pp. 22-29. By Ruey J. Sung & Michael R. Lauer.
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Electrophysiology
Fundamentals of EP Studies: Terminology, Electrogram Interpretation, Stimulation Protocols
Excellent first class in EP studies. Presentation at HRS 2006. Slides with audio.
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Electrophysiology
Long QT Syndrome
Presentation on incidence, history, physiology, and diagnosis of different genotypes of Long QT Syndrome. International Long QT Registry. PDF Text.
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Electrophysiology
Mapping Systems
A great introduction to the interrelatedness of fluoroscopic, electrical, and 3 dimensional mapping. Heart Rhythm Society 2006 conference. Slides with audio.
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Electrophysiology
Allied Professional Track
20 Diverse, often advanced, EP classes from the HRS 2006 conference. Heart Rhythm society. Slides with Audio.
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Electrophysiology
Electrophysiology- Varied Topics
Collection of 20 presentations from the Heart Rhythm Society 2007 meeting in Denver ,CO. HRS. Slides with Audio.
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Electrophysiology
Differentiating Atrioventricular Nodal Reentrant Tachycardia from Junctional Tachycardia: Novel Application of the Delta H-A Interval
Junctional tachycardia (JT) and atrioventricular nodal reentrant tachycardia (AVNRT) can be difficult to differentiate. Yet, the two arrhythmias require distinct diagnostic and therapeutic approaches. We explored the utility of the delta H-A interval as a novel technique to differentiate these two tachycardias. Journal of Cardiovascular Electrophysiology. Text.
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Electrophysiology
Lown-Ganong-Levine Syndrome
The Lown-Ganong-Levine syndrome (LGL) is usually considered in a class of preexcitation syndromes that includes the Wolff-Parkinson-White syndrome (WPW), LGL, and Mahaim-type preexcitation. Theories proposed to explain LGL have centered around the possible existence of intranodal or paranodal fibers that bypass all or part of the atrioventricular (AV) node. Text. eMedicine.
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Electrophysiology
Multiple AV Nodal Pathways in Patients with AVNRT- more common than expected?
The incidence of more than two AV Nodal pathways was more than 40%, necessitating a meticulous electrophysiology evaluation for successful ablation. Text. Europace.
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Electrophysiology
Clinical presentation, general evaluation, and management of patients with SVT
Reviews the clinical history, physical exam, diagnostic evaluation, and management of persons with SVT.
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Electrophysiology
Heart Rhythm 2008 Webcasts
Wide variety of presentations from each day of the HRS 2008 conference in San Francisco. See what you missed. Slides with audio.
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Electrophysiology
St. Jude Medical Educational Programs
Educational Programs offered by St. Jude Medical on a variety of topics. Free registration.
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Electrophysiology
Electrical Management of Cardiac Rhythm Disorders- CEU's
A collection of courses on varied Electrophysiology Topics from A & P to Brady and Tachycardias. 10 total CEU's available. Slides with audio. St. Jude Medical. Free registration.
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Electrophysiology
Pioneering the Future: Innovations & Strategies in Electrophysiology & Clinical Cardiology- CME & CEU's
After completing this activity, participants should be able to: Describe the clinical predictors of sudden cardiac death; List the genetic disorders associated with sudden cardiac death; Describe the electrophysiologic triggers of ventricular fibrillation. Webcast. NACCME. 1.5 CEU. Good through June 1, 2010.
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Electrophysiology
Cardiac Arrhythmia Procedures - 15 Different Programs
15 different videos on EP procedures ranging from implants, to EP Studies & 3-D Mapping, to A Fib Ablations (several). See how other programs address these problems. OR Live. Webcasts.
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Electrophysiology
Differential diagnosis of SVT in the EP Lab
Case study review of a variety of SVTs with discussion for how to correctly identify the source of the problem. Video from HRS 2010 conference. Dr. Gregory F. Michaud.
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EP Equipment
Advanced Ablation Mastery
Training program on ablations and ThermoCool catheters. By Biosense Webster. Video.
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EP Equipment
Carto XP System Learning Module
Multiple modules to teach the the Carto XP System. Biosense Webster. Registration.
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EP Equipment
CoolFlow Irrigation Pump
Training for CoolFlow pump. Biosense Webster. Video.
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EP Equipment
Stockert 70 RF Generator
Training for Stockert 70 RF Generator. Biosense Webster. Slides. Website -http://www.biosensewebster.com/professionalEducation/stockert-70-rf-generator.aspx
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EP Equipment
Cryo Therapy Inservice
Heart Rhythm Society's Online Virtual Hands-On. This video presents the in-service features of the CryoTherapy system. It is narrated by clinical specialist Curt Collins and led by Dr. Mina Chung, MD and Betty Ching, RN of the Cleveland Clinic. Heart Rythm Society. Video.
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EP Equipment
Equipment of the EP Lab
In depth review of the equipment used in an EP Lab. Pages: 57-74. Exerpt from "Interventional Electrophysiology" by Igor Singer. Lippincott, 2001. David E. Adams. Text.
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EP Equipment
Bloom Stimulator
Nothing is online. Order form for the Bloom Stimulator operator manuel.
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Equipment
CryoCath Inservice
A video inservice for the features of the CryoTherapy system. From the Cleveland Clinic Hospital, by the Heart Rhythm Society.
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Equipment
Frontiers in 3D Imaging: Role in Today's Electrophysiology Practice
Upon completion of this educational activity, participants should be able to: Discuss the concept of CT overlay on fluoroscopic images; Describe the limitations of CT overlay. Slides with Audio. NACCME Cardiology.
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Equipment
Programmer Overview & ICD Follow Up
Use of the Medtronic Programmer when conducting a follow up evaluation. Video. Heart Rhythm society & Medtronic.
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Equipment
Programmer Use for Device Follow-up
Use of the St. Jude Medical programmer for device interrogations and programming. Video. Heart Rhythm Society & St. Jude Medical.
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Equipment
New Developments in 3-D Imaging; Pushing the Boundaries of Today's EP Lab- CEU's
Objectives: Apply 3D imaging techniques as tools that integrate with conventional recording and mapping data; understand the latest developments in 3D imaging techniques and their use in today’s electrophysiology lab; discuss the complementary combination of image information from different sources during the diagnosis and treatment of complex ablation cases; review pre-procedural 3D CT atop real-time x-ray; and more. 1.5 CEU's. NACCME. Good until 6/11/09. Free class.
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Equipment
The Use of Remote Robotic Navigation in Complex Arrhythmias- CEUs
Contents: Discuss the challenges involved in intracardiac mapping describe the mechanics of intracardiac mapping; identify the mechanical aspects of robotic navigation; describe the advantages and disadvantages of robotic navigation; discuss the clinical results with robotic navigation. Webcast. Free. NACCME.
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Heart Failure & Device Therapy
Device Therapy for Heart Failure: Debating the Guidelines – Which Should We Really Follow? CME's
The goal of this program is to educate cardiologists, electrophysiologists, and other healthcare professionals in the nuances of treatment guidelines, the basis for those nuances, and their implications for clinical decision making in the use of devices for patient care in heart failure. List significant differences in major practice guidelines regarding the use of devices in patients with heart failure; Describe the reasons for those differences; Use available recommendations to guide decisions regarding the potential use of devices in the care of patients with heart failure. Video. The Heart.org.
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Imaging Systems
Intracardiac Echocardiography 101: The Beginner's Guide to ICE Imaging and Cardiac Structure Recognition
An introduction to Intra Cardiac Ultrasound with images and explanations. Text. EP Lab Digest.
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Management
How to Develop an AF Ablation Program- Making AF Ablations Work Efficiently in the Real World- 1.5 CEU
Upon completion of this educational program participants should be able to: Discuss key elements needed to develop an atrial fibrillation (AF) program. Review successful initiatives used to increase patient referrals. Discuss recent updates to the guidelines of treating a patient with AF. Review processes, procedures, and equipment needed to set up a lab. Powerpoint Presentation. NACCME.
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Others
Meet The Experts: How can I optimize my EP Lab activity?
The changing roles of nurses and technicians, which equipment to use, and new techniques for the future of EP labs. Text from a panel discussion at the 2007 HRS Conference.
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Patient Care
Legal Aspects of Conscious Sedation & Patient Release
EndoNurse- Article covering many sedation related legal issues. Endo Nurse. Text.
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Patient Care
Contending with Sedation Challenges
Article reviewing several situations requiring adjustments in sedation regimens. EndoNurse. Text.
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Patient Care
ACLS- Review of Algorithm's
Review test on ACLS 2000. Question and answer sections with explainations. Medi-Smart. Text.
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Patient Care
Evidence-Based Groin Management: Putting Control Back into the Nurse/Tech's Hands- CEU's
Learning Objectives: Review the importance of bleeding/vascular complications; Recognize and manage common vascular complications; Discuss mechanical and pharmacologic methods of prevention of vascular complications; Discuss data pertaining to anticoagulation strategies for PCI; Establish a basis for early sheath removal. NACCME. Slides with audio. Free registration. RN/ASRT- 1.5 CEU's.
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Patient Care
Infection Prevention for Minimally Invasive Interventions
LEARNING OBJECTIVES: • Discuss the incidence of infectious complications from percutaneous procedures. • Recognize risk factors and undertake preventive measures in order to minimize infections. • Describe the outcomes and treatment options for patients with post-procedure infections. A free video program by the North American Center for Continuing Medical Education (NACCME).
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Patient Care
Syncope - Diagnostic and Treatment Strategy
This comprehensive presentation provides a review of the medical challenges and opportunities relative to syncope. Medtronic. Slides.
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Patient Care
FDA Guidelines for Conscious Sedation
Guidelines for conscious sedation and monitoring during gastrointestinal endoscopy. Applies to EP as well. National Guideline Clearinghouse. Text.
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Patient Care
Infection Prevention
This program includes 9 brief sections including Aseptic Technique, and Surgical Scrub & Attire. A good intro for non-OR staff/CCL, with post testing. Text with pictures. By Engender Health.
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Patient Care
The Arrhythmia Patient in the EP Arena: Intraprocedure Observations, Interventions, IV Sedation/Analgesia, Electrical and Radiation Safety
An introduction to the setup and care of a patient undergoing an EP procedure, including conscious sedation. Text. MedScape Today from Web MD.
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Patient Care
The Arrhythmia Patient in the EP Arena: Intraprocedure Observations, Interventions, IV Sedation/Analgesia, Electrical and Radiation Safety
Introduction to EP procedure, conscious sedation in the EP Lab. Medscape Nurses. Text.
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Patient Care
Urinary Catheter Insertion
Rumor has it the RCES exam has questions on this skill. University of Ottowa, Department of Emergency Medicine. Text & Illustrations.
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Patient Care
Electrophysiology Studies: An Introduction
Includes: The referral process, indications, and preperation of the patient. Cardiac Nursing: A Comprehensive Guide. Pg. 369-373.
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Patient Care
Intro to EP Setup & Vascular Access
Overview of EP equipment setup. Illustrations of vascular access. Fundamental Approaches to the Management of Cardiac Arrhythmias. Text. Pg. 26-36.
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Patient Care
Access Site & Groin Management- 1 CEU
Upon completion of this educational activity, participants should be able to: Identify femoral artery anatomy and why the common femoral artery is commonly used for vascular access. Describe current available methods to obtain femoral artery hemostasis. Describe the management of the patient following femoral artery sheath placement and sheath removal. Identify the common warning signs for potential complications. Describe techniques for the management of post procedure complications. Powerpoint presentation, NACCME.
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Patient Care
Single Chamber Temporary Pacing: Operations and Troubleshooting
This presentation includes the indications for single chamber temporary pacing, and a description of the operation and troubleshooting of a single chamber temporary pacemaker. Slides. Medtronic, free registration.
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Patient Care
Tips and Tricks for Prevention of Contrast Induced Nephropathy: A Case Based Approach- CEU's 2
This activity is designed for physicians, nurses and technologists who treat patients with contrast induced nephropathy. Powerpoint presentation from NACCME.
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Patient Care
Advanced Caridac Life Support
EP Staff should be experts in ACLS. This site has updated Algorithms with soon to be updated Simulator and Quizzes.
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Pharmacology
Drug Therapy for AF
Discussion of potential molecular targets, investigational drugs, clinical evaluation, and upstream therapy. Text from 2007 HRS conference.
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Pharmacology
Antiarrhythmic Drug Use Before and After A. Fib. Ablation
Review of A Fib ablation and use of pharmaceuticals before and after. Medscape. Text. CEU's 0.75.
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Pharmacology
Cardiac Pharmacology Review
Quick review on Cardiac Pharmacology. Queens University, Canada. Text.
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Pharmacology
Patient-Focused Barriers and Opportunities for Stroke Prevention in Atrial Fibrillation
After completing this activity, participants should be able to: • Identify the factors that increase stroke risk in patients with atrial fibrillation (AF) • Outline the benefits, limitations, and current guidelines associated with warfarin therapy for AF-related stroke prevention • Implement guideline- and evidence-based approaches for stroke prevention in AF for patients in whom warfarin is indicated and for those in whom it is not • Summarize current data regarding antiplatelet agents and novel anticoagulants being investigated as alternatives to warfarin for AF-related stroke prevention.
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Pharmacology
Contrast Media Use in High-Risk Patients, The Latest Data- CEU's
Objectives: Discuss optimal risk-factor modification; Review prior clinical trial data evaluating contrast-induced nephropathy in high-risk patients; Discuss the complication of contrast-induced nephropathy, including how to recognize it and how to avoid it as well as current trials in preventing contrast-induced nephropathy. 1 CEU. NACCME. Free registration.
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Pharmacology
Pharmacologic Advances in Atrial Fibrillation: Achieving Optimal Antiarrhythmic and Cardiovascular Outcomes
The purpose of this activity is to educate clinicians on the management of AF, with an emphasis on the risk/benefit profiles of the currently available AADs. Video. TheHeart.org. Free registration.
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Pharmacology
Atrial Fibrillation and Anti-Arrhythmic Drugs- 1 CEU/CME
Case studies have served as an excellent tool for testing and evaluating diagnostic and clinical management skills. This activity will provide clinicians with a chance to review clinical case-based scenarios and test their knowledge and aptitude on making informed decisions on the selection of anti-arrhythmic drugs and identification of pro-arrhythmia through interactive case-based and post-test questions. Texxt. Heart Rhythm Society.
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Syncope/Tilt Table Study
Neurocardiogenic Syncope- A Clinical Review
A review of Neurocardiogenic sycope, physiology, presentations, diagnosis,and treatment. BMJ. Text.
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