Online Education

The EP Education & Resource Page will save you time by linking you to many of the online Electrophysiology (EP) education and other resources that are available. They have been selected from hundreds of hours searching the Internet on your behalf. If you dispose of any of your EP Products or still cut catheter tips, please visit our Catheter Buy Back page to see how we can pay you more for your whole catheters. 

Getting the Most Out of the EP Education Page

The Online Education webpage is a group of 100+ classes organized by topic to make it easy for quality EP education. If you use an educational website not included here, please email us at This email address is being protected from spambots. You need JavaScript enabled to view it. so we may include it for others. Please let us know about any non-working classes so that we can update or delete them. Adobe Reader, Shockwave, Flash, and Power Point Viewer are required to view many of the classes. Follow the links for free downloads. Follow our EP News and Educational updates on Facebook and Twitter.

The other education and resource pages are: EP Training and Review with over 80 sequentially organized classes for initial EP training, improving your skills and a review for the RCES or IBHRE certification exams; an Educational Calendar of upcoming conferences an classes; News & Resources; Manufacturers; Service Providers; and past EPreward Newsletters. To send us your questions or comments please email us at This email address is being protected from spambots. You need JavaScript enabled to view it.

 

A: Newly Added Classes
Advances in Arrhythmia Detection, Prevention, and Treatment CME
The purpose of this live activity is to discuss the evolution in the science of arrhythmia detection and how these innovations may lead to greater protection from sudden cardiac death and stroke. Valid for credit through 06/23/2015
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A: Newly Added Classes
ADVICE: Adenosine-Guided PVI Ablation Reduces Atrial Tachyarrhythmia Recurrence
The use of adenosine to identify and eliminate dormant pulmonary vein conduction during radiofrequency ablation of paroxysmal atrial fibrillation (AF) significantly reduces recurrent atrial tachyarrhythmias, according to the results of a large, prospective, multicenter trial.
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A: Newly Added Classes
Arrhythmia Detection: Office Management in an Age of Advanced Technology CME. Valid for credit through 03/03/2016
The goal of this activity is to provide practical strategies on effectively utilizing implantable cardiac arrhythmia monitors.
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A: Newly Added Classes
Cardiac Device Infections: Pathologies and Management Implications
Video - By Cleveland Clinic Heart Rhythm Society 2014 Symposium Featuring Sohail Rizwan
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A: Newly Added Classes
Case Presentation: Walking Through a Case of Epicardial VT Ablation
Case Presentation: Walking Through a Case of Epicardial VT Ablation by Dr. Kalyanam Shivkumar, UCLA Health System, Los Angeles, CA. Presented at the Cleveland Clinic Heart Rhythm Society 2014 Symposium.
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A: Newly Added Classes
Challenging Cases in Atrial Fibrillation Management: Issues of Anticoagulation
Challenging Cases in Atrial Fibrillation Management: Issues of Anticoagulation by Dr. Eric Prystowsky, FACC Director of Cardiovascular, St Vincent Hospital, Indianapolis, IN.
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A: Newly Added Classes
ECG of the Month
List of monthly ECG quizzes.
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A: Newly Added Classes
How to Communicate the Risk of Sudden Cardiac Arrest To Your Patient CME
The goal of this activity is to provide guidance on why and how to communicate the risks of sudden cardiac death to patients following percutaneous coronary intervention. Good for credit through 10/09/2015
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A: Newly Added Classes
How to Protect Your Patient From a Stroke: Achieving Positive Outcomes in AF CME.Valid for credit through 01/05/2016
Despite the advent of novel oral anticoagulants, many patients with AF at risk for stroke remain undertreated or inadequately treated with aspirin. The goal of this activity is to provide strategies to identify patients with AF at risk for stroke and improve treatment rates and patient outcomes.
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A: Newly Added Classes
Improving Long-Term Clinical Outcomes with Rotor Elimination
The webcast is comprised of the proceedings from the accredited satellite symposium held at Heart Rhythm 2015, Improving Long-Term Clinical Outcomes with Rotor Elimination. The presentation format consists of synched audio and HD video, along with the presenters slides, and features panel discussion sessions. CME Released: 6/15/2015; Valid for credit through 6/15/2016. Review the current global state of AF ablation outcomes and evaluate emerging evidence-based treatment solutions. Evaluate the fundamental mechanisms of AF initiation and maintenance, and assess the role electrical rotors and focal impulses have on sustaining AF. Discuss recent study data, and examine what questions need to be addressed through future studies. Observe the benefits and challenges for employing the focal impulse and rotor modulation ablation approach within daily practice.
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A: Newly Added Classes
Magnet Function with Medtronic Cardiac Devices" on Medtronic Academy.
This course and reference tool is designed for physicians, nurses, radiologists, and all other medical personnel managing patients with Medtronic pacemakers and ICDs. It describes: how a magnet affects Medtronic pacemaker and ICD devices, clinical scenarios where a magnet can be used, how to prepare and monitor a patient once the clinician determines a magnet should be used. Must register first through Medtronic.
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A: Newly Added Classes
Mapping and Ablation of AF Rotors: Examining Data, Clinical Experiences, and Future Directions. CME Webcast.
CME Released: 6/15/2015; Valid for credit through 6/15/2016. Review the current global state of AF ablation outcomes and evaluate emerging evidence-based treatment solutions. Evaluate the fundamental mechanisms of AF initiation and maintenance, and assess the role electrical rotors and focal impulses have on sustaining AF. Discuss recent study data, and examine what questions need to be addressed through future studies. Observe the benefits and challenges for employing the focal impulse and rotor modulation ablation approach within daily practice.
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A: Newly Added Classes
Outcomes Data Defining Strategies for AF and VT Ablations.
CME Released: 6/15/2015; Valid for credit through 6/15/2016 Review outcomes data and clinical experiences for performing AF ablations with contact force sensing catheters. Examine the enrollment status of a landmark clinical trial evaluating substrate targeted ablation for the reduction of VT, and assess the potential impact of a combined targeted ablation approach for reducing the incidence and economic burden of recurring ventricular arrhythmias. Evaluate the feasibility, safety, and efficacy of AF substrate mapping. Assess key applications of various mapping and guidance technologies for performing complex ablations.
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A: Newly Added Classes
Preventing Recurrent Stroke: The Importance of Arrhythmia Detection CME Valid for credit through 03/26/2016
The goal of this activity is to emphasize the importance of timely detection of atrial fibrillation and appropriate anticoagulation in patients with a history of cryptogenic stroke.
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A: Newly Added Classes
Remote Patient Management: Strategies to Protect the Patient After an MI. CME. Valid for credit through 03/24/2016
The goal of this activity is to inform physicians on management strategies for patients at risk for sudden cardiac death when an ICD is not an option.
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A: Newly Added Classes
s All VTE the Same? CME. Valid for credit through 03/19/2016
The goal of this activity is to review the trial data for non-vitamin K antagonist oral anticoagulants (NOACs) in the management of venous thromboembolism (VTE) and the spectrum of VTE disorders.
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A: Newly Added Classes
Secondary Prevention of VTE: When and Where to Use 1 Drug vs 2 CME. Valid for credit through 01/27/2016
The goal of this activity is to highlight standard clinical practices in the secondary prevention of venous thromboembolism and the role of oral anticoagulation.
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A: Newly Added Classes
The Dawn of the Leadless Pacing Era: Revolutionary Technology to Improve Patient Care
Discuss the common risks and complications associated with conventional pacing therapy. Examine clinical outcomes and analyze the cost benefits of emerging pacing strategies vs. traditional approaches. Valid for credit through 5/30/2015
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A: Newly Added Classes
When the Cause of Stroke Is Not Crystal Clear CME. Valid for credit through 03/23/2016
The goals of this activity are to review the challenges in diagnosing cryptogenic stroke and to highlight recent clinical trial data for identifying silent atrial fibrillation.
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Ablation- Cryotherapy
Cryoablation versus RF Ablation for AVNRT
Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common supraventricular tachycardia referred for ablation. High success rates have been accompanied with a small risk of atrioventricular (AV) block. Cryoablation has been used as an alternative to radiofrequency (RF) ablation, but studies have been underpowered in comparing the 2 techniques.
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Ablation- Cryotherapy
Cryoballoon Ablation vs. RF Ablation: Ideas on Trial
Prominent experts debate which of two treatments, cryoballoon or RF ablation, is the superior treatment for paroxysmal atrial fibrillation. This session was originally presented live May 11, 2012 as part of the "Ideas on Trial" series at Heart Rhythm 2012 in Boston, MA. The program features Ellen Hoffman, MD, Klinikum Bogenhausen, Munich, Germany as lead protagonist supporting cryoballoon ablation. Lead antagonist supporting RF ablation is Gerhard Hindricks, MD, PHD, University Leipzig Heart Center, Leipzig, Germany.
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Ablation- Radiofrequency
Advanced Ablation Mastery
Training program on ablations and ThermoCool catheters. By Biosense Webster. 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
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
Pericardial Intervention in Cardiac Electrophysiology
7 lectures on Pericardial procedures. Cleveland Clinic Heart Rhythm Society.
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Ablation- Radiofrequency
Philips Advanced Tools in Practice. Recorded Live case with Pierre Jais MD in Bordeaux Pessac, France
Recorded Live case of a Complex atypical Atrial Flutter/AFIB Ablation performed in the Modern EP Laboratory.
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Ablation- Radiofrequency
Radiofrequency Catheter Ablation for the Treatment of Idiopathic Premature Ventricular Contractions Originating From the Right Ventricular Outflow Tract
Frequent idiopathic premature ventricular contractions (PVCs) have been associated with left ventricular cardiomyopathy. Idiopathic PVCs often originate from the right ventricular outflow tract (RVOT), and radiofrequency catheter ablation (RFCA) is being used as a treatment to alleviate symptoms. A meta-analysis was performed to evaluate RFCA for the treatment of frequent idiopathic PVCs on heart function.
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Ablation- Radiofrequency
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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Ablation- Radiofrequency
Sustained Ventricular Tachyarrhythmia Complicating the Radiofrequency Ablation of Typical Atrial Flutter
A 51-year-old patient with a history of non-ischemic cardiomyopathy presented with symptomatic paroxysmal atrial flutter which was demonstrated to be cavotricuspid isthmus-dependent during electrophysiologic study. During radiofrequency energy delivery, the patient developed a sustained ventricular arrhythmia with hypotension that necessitated emergent external defibrillation. This case illustrates the proarrhythmic potential of radiofrequency energy which unexpectedly complicated an atrial ablation procedure.
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Ablation- Radiofrequency
Trans-septal Catheterization for Radiofrequency Catheter Ablation of Cardiac Arrhythmias
Use of His bundle and coronary sinus catheters to provide anatomical and electrophysiological landmarks enables transseptal catheterization to be carried out without the need for arterial puncture or intracavity pressure measurement. We report our experience with transseptal catheterization in an electrophysiology laboratory using only electrophysiological landmarks. Text. http://www.revespcardiol.org.
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Ablation- Radiofrequency
Webcast - CME satellite symposium 2014 AF Symposium, Advancements in Catheter Ablation: Improving Clinical Outcomes, Efficiency, and Patient Care with Emerging Technologies.
The webcast evaluates the role of contact force sensing for enhanced control, increased accuracy, and improved clinical outcomes in catheter ablation procedures. Good for credit through 1/20/2016
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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
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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Adjunctive Studies
Pediatric Second-Degree Atrioventricular Block
This article discusses the etiology, diagnosis and treatment of 2nd degree AV block in the pediatric population. Text. Medscape.
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Adjunctive Studies
Tilt Table Study
Overview of HUTT (Head Upright Tilt Table Study).
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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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Anatomy & Physiology
Anatomy of the left atrium and pulmonary veins
Updated version of LA and PV anatomy. Numerous photos. Text. Blackwell Publishing.
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Anatomy & Physiology
Cardiac Morphology
Great site to understand cardiac anatomy. Excellent description of atrial anatomy and conduction system using cadaveric hearts (go to Lecture archive and then advanced morphology).
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Anatomy & Physiology
Fascicular Block or Hemiblocks (LAFB and LPFB) understanding simplified.
A succinct explanation for differentiating the two. Text. Learnonly.com
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Atrial Fibrillation- Ablation
2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation
2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design. If you are involved with Atrial Fibrillation ablations, you should read this article. Text. Heart Rhythm Society. Membership required.
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Atrial Fibrillation- Ablation
30 Years of Ablation
This sessions is a historical journal through early DC ablation up to modern electroporative, automatic, and non-thermal ablation techniques are reviewed by a pioneer and expert in the field of interventional electrophysiology.
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Atrial Fibrillation- Ablation
3D Mapping & Ablation of AF Rotors: A Paradigm Shift in Standard of Care to Improve Long-Term Outcomes in AF Ablation.
This complimentary on-demand webcast evaluates the global landscape of AF ablation, including current trends and emerging strategies that impact long-term procedural outcomes.
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Atrial Fibrillation- Ablation
Ablation and Anticoagulation: What's New? CME Released: 03/27/2015 ; Valid for credit through 03/27/2016
The goal of this activity is to provide an update on the use of non-vitamin K oral antagonists in patients with AF who are to undergo ablation.
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Atrial Fibrillation- Ablation
Advances in Atrial Fibrillation 2011
Six different classes on cutting current AF technologies. - Epicardial Ablation in Non-ischemic Cardiomyopathy - Overview: Multipolar and Balloon Ablation - Cryoballoon Ablation - Laser Balloon Ablation - Multielectrode Ablation - Left Atrial Appendage Occlusion/Ligation Powerpoint Presentations with audio. Heart Rhythm Society.
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Atrial Fibrillation- Ablation
Anatomy and Fluroscopic Landmarks Relevant to the Pericardial Space
Anatomy and Fluroscopic Landmarks Relevant to the Pericardial Space by Dr. Samuel Asirvatham, Professor, Mayo Clinic, Rochester, MN. - Catheter Ablation
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Atrial Fibrillation- Ablation
Anatomy of the Left Atrium: Implications for Radiofrequency Ablation of Atrial Fibrillation
Excellent review of pertinent anatomy of the left atrium. Numerous photographs. Text. Journal of Cardiovascular Electrophysiology.
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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 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
Atrial Fibrillation at the Time of Mitral Valve Surgery: Should Everyone Have Ablation?
Atrial Fibrillation at the Time of Mitral Valve Surgery: Should Everyone Have Ablation?
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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
Catheter Ablation for Paroxysmal Atrial Fibrillation- Replay Webcast
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
Catheter Ablation of Atrial Fibrillation Update for 2013
Conor Barrett, MD, Director of the Al-Sabah Arrhythmia Institute at St. Lukes Hospital, discusses the latest techniques and treatments for cardiac arrhythmias. Dr. Barrett also explains the mechanisms of paroxysmal and persistent atrial fibrillation and how they differ.
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Atrial Fibrillation- Ablation
Catheter Ablation of Persistent Atrial Fibrillation
Catheter ablation for symptomatic, drug-resistant atrial fibrillation (AF) has become an important therapeutic option over the past decade.
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Atrial Fibrillation- Ablation
Determinants of Atrial Lesion Maturation during Radio Frequency Ablation Using Localized Tissue Electrograms
Unlike ventricular tissue, the atria consist of thin tissue with little exposure to intramyocardial blood flow or cooling from epicardial vasculature. As a result, the likelihood of extracardiac damage increases with prolonged radiofrequency (RF) application. An accurate assessment of transmural lesion maturation would reduce the risk of extracardiac injury while still maintaining ablation efficacy. -
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Atrial Fibrillation- Ablation
Diagnosis and Ablation of Fascicular Tachycardia
Verapamil-sensitive fascicular ventricular tachycardia (VT) is the most common form of idiopathic left VT. According to the QRS morphology and the successful ablation site, left fascicular VT can be classified into three subgroups: left posterior fascicular VT, whose QRS morphology shows right bundle branch block (RBBB) configuration and superior axis (common form); left anterior fascicular VT, whose QRS morphology shows RBBB configuration and right-axis deviation (uncommon form), and upper septal fascicular VT, whose QRS morphology shows narrow QRS configuration and normal or right-axis deviation (rare form). Posterior and anterior fascicular VT can be successfully ablated at the posterior or anterior mid-septum with a diastolic Purkinje potential during VT or at the VT exit site with a fused pre-systolic Purkinje potential.
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Atrial Fibrillation- Ablation
Epicardial Ablation in Nonischemic Cardiomyopathy
Epicardial Ablation in Nonischemic Cardiomyopathy by Dr. David Wilber, Director of Cardiology, Loyola University Medical Center, Maywood, IL.
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Atrial Fibrillation- Ablation
Hemodynamic Support During Complex VT Ablation: Use of Impella 2.5
Video of ablation procedure using the Impella device for blood pressure support. EP Lab Live. Video.
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Atrial Fibrillation- Ablation
Limited Ablation for Persistent Atrial Fibrillation Using Preprocedure Reverse Remodelling
Pulmonary vein isolation (PVI) has been demonstrated to be a highly effective treatment option for patients with paroxysmal atrial fibrillation (AF), but less effective for patients with persistent AF. The lower efficacy of PVI alone has been attributed to adverse atrial electrical and structural remodelling in the setting of AF.
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Atrial Fibrillation- Ablation
Marked Suppression of Pulmonary Vein Firing After Circumferential Pulmonary Vein Isolation in Patients With Paroxysmal Atrial Fibrillation
Rapid firing in pulmonary veins (PVs) is a leading cause of paroxysmal atrial fibrillation. We hypothesized that PV firing (PV-F) should continue after circumferential PV isolation (CPVI) because the PV tissue responsible for PV-F remains intact.
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Atrial Fibrillation- Ablation
Maximizing integration with EP navigator's real-time 3D image acquired in lab and BioSense Webster's CARTO 3
This video presents an AF ablation procedure and illustrates their ablation strategy with comment on the technologies they use to perform it. Specific attention is devoted to the EP navigator 3D ATG's imaging of the left atrium and the benefits of using technology to assess patient anatomy. The presenters also demonstrate how this image imports and interfaces with BioSense Webster's Carto 3 product. Also to be discussed: how to acquire the 3D ATG rotational scan, and the practical workflow and benefits of subsequently using these images in Carto 3. Video. Free registration. Biosense Webster & Algemeen Ziekenhuis St. Jan Bruges, Belgium.
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Atrial Fibrillation- Ablation
New Hope for Patients Who Have Failed Catheter Ablation: Effective Hybrid Procedure Performed Completely in the EP Lab
In patients whose AF has become highly symptomatic with a negatively impacted quality of life, catheter ablation has emerged as a potent therapy in the restoration and maintenance of normal sinus rhythm. It is recognized as an effective and safe alternative to chronic medical therapy.
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Atrial Fibrillation- Ablation
New Technologies for AF Ablation: Do They Add Value? CME
Emphasizing the limitations of current atrial mapping and ablation techniques and where improvement is needed.
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Atrial Fibrillation- Ablation
Preventing AF-Related Stroke in 2013: Appropriate Choices, Appropriate Patients
The goal of this activity is to provide an update on the use of oral anticoagulants to prevent the risk for stroke in patients with atrial fibrillation. Upon completion of this activity, participants will be able to: 1.Assess stroke and bleeding risk in patients with atrial fibrillation 2.Individualize anticoagulant therapy for patients with atrial fibrillation
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Atrial Fibrillation- Ablation
Rapid Ablation of Recurrent Atrial Flutter Using a Novel Ablation Catheter
T. Radiofrequency ablation of atrial flutter is a very successful procedure with rare recurrences. We report the first use of a novel radiofrequency ablation catheter with mini-electrodes embedded in the tip to detect and ablate the critical site of recurrent atrial flutter. Added 11-21-2014
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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
Why Does Ablation for Atrial Fibrillation Fail and What to do About it?
Dr. Brian DeVille, DLV 2012 Faculty, speaks about why ablation for atrial fibrillation fails and what to do if it does at Dallas-Leipzig Valve 2012.
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Atrial Fibrillation- Management
Peripheral Arterial Disease and Risk of Atrial Fibrillation and Stroke: The Multi−Ethnic Study of Atherosclerosis
Is the presence of peripheral artery disease (PAD) associated with an increased risk of atrial fibrillation (AF) and a subsequent risk of stroke?
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Atrial Fibrillation- Management
Stroke Prevention in Atrial Fibrillation: Advancements in LAA Closure and Novel Oral Anticoagulation Therapy - Webcast on Demand
The webcast is comprised of the proceedings from the satellite symposium held at Heart Rhythm 2015, Stroke Prevention in Atrial Fibrillation: Advancements in LAA Closure and Novel Oral Anticoagulation Therapy. Enjoy this web-based version of the symposium, which captures the live cases, lectures, debates, and interactive panel discussions from the symposium in HD video.
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Atrial Fibrillation- Management
A Patient-Centered Approach to Atrial Fibrillation-Related Stroke
The goal of this activity is to educate clinicians on the current pharmacologic stroke prevention strategies for patients with AF. This program is intended for cardiologists, primary care physicians, internists, neurologists, and allied healthcare professionals who manage patients with atrial fibrillation (AF).
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Atrial Fibrillation- Management
AF Revalidation tool for GPs
This Atrial Fibrillation Revalidation Tool for UK GP's also serves as an effective review and update for the Staff of EP Labs to have a broader understanding of their patients. Several videos on a variety of AF treatments, research and other topics.
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Atrial Fibrillation- Management
Antiarrhythmics for Atrial Fibrillation: Practical Implications of Latest Clinical Developments
The goal of this activity is to apply recent findings from clinical trials to clinical practice by updating and acknowledging changes to guideline recommendations for the management of atrial fibrillation. This activity is intended for electrophysiologists, cardiologists, primary care physicians, and other healthcare providers involved in the treatment and care of patients with atrial fibrillation.
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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 and Silent Cerebral Ischemia (JACC)
At the conclusion of this activity, the learner should be able to compare the prevalence of silent cerebral ischemia and cognitive performance in paroxysmal and persistent atrial fibrillation patients and controls in sinus rhythm.
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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
Balancing Safety and Efficacy in Appropriately Selected AF Patients
The goal of this activity is to provide clinicians involved in the management of patients with atrial fibrillation with the knowledge necessary to implement new therapeutic paradigms into their clinical practices.
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Atrial Fibrillation- Management
Basic Mechanisms of Cardiac Impulse Propagation and Associated Arrhythmias
The most detailed information on the subject I have seen. Text with numerous diagrams and illustrations. American physiological Society.
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Atrial Fibrillation- Management
Case Studies in Atrial Fibrillation: Removing the Ambiguity Around Antiarrhythmic Drugs
This activity is intended for electrophysiologists, cardiologists, primary care physicians, and other healthcare providers involved in the treatment and care of patients with atrial fibrillation (AF). The goal of this activity is to apply recommendations from recent guideline updates for the management of atrial fibrillation to real-life cases.
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Atrial Fibrillation- Management
Clinical Correlates and Clinical Controversies in Atrial Fibrillation: Has the Balance Shifted?
This activity thus focuses on the questions of whether, when, and why controlling rate or controlling rhythm is the preferred strategy in AF, and, in cases when rhythm control is indeed the preferred strategy, how it is best effected.
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Atrial Fibrillation- Management
Clinical Crossroads in Thrombosis: Stroke Prevention in AF; Secondary Prevention in ACS
This program will evaluate available guidelines and emerging clinical trial data in this landscape in order to help physicians choose appropriate anticoagulation for the prevention of AF-related stroke, to address residual risk in the secondary prevention of ACS, and to manage patients with the overlapping syndromes of AF and ACS.
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Atrial Fibrillation- Management
Clinician Survey: Managing Stroke Risk in Patients With Atrial Fibrillation
The goal of this activity is to evaluate knowledge of strategies to reduce the risk for stroke in patients who have atrial fibrillation and who may also have an acute coronary syndrome or history of stroke.
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Atrial Fibrillation- Management
Driving Clinical and Financial Quality in Electrophysiology: A Step-by Step Approach to A-Fib Care
The latest statistics reveal that about one in four Americans over the age of 40 are at risk to develop atrial fibrillation (A-Fib), considered the most common type of arrhythmia treated today.
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Atrial Fibrillation- Management
EP ConsultService: Challenging Cases in Management of Atrial Fibrillation
Upon completion of this activity, participants should be able to: 1.Outline an individual management strategy for AF patient cases based on AF features, presentation, and guideline recommendations. 2.Discuss how novel and emerging antiarrhythmic therapies can best be integrated into practice to reduce AF-related morbidity and mortality. 3.Cite evidence on which to base an AF management strategy which considers heart rate control as well as rhythm control.
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Atrial Fibrillation- Management
Extend Your Learning with Heart Rhythm On Demand
Special Discounts Save Over $750 Today! More than 400 hours of presentations plus downloadable PDFs of the slides Earn up to 58 CE/CME credits Companion USB* drive for on-the-go-access Convenient mobile viewing on your iPad, iPhone and Android device
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Atrial Fibrillation- Management
Genetic Discoveries in Atrial Fibrillation and Implications for Clinical Practice
Atrial fibrillation (AF) is an arrhythmia with a genetic basis. Over the past decade, rapid advances in genotyping technology have revolutionised research regarding the genetic basis of AF.
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Atrial Fibrillation- Management
Innovative Approaches to Stroke Prevention in Atrial Fibrillation
Visit the diverse topic of stroke prevention in atrial fibrillation (AF), a concept that continues to evolve with both mechanical and pharmacological innovation. In order to demonstrate the different treatment options for these patients, this issue offers a series of manuscripts from respected colleagues from the field, along with a commentary by our Innovative Techniques Section Editor, Samuel Asirvatham. There are many new left atrial appendage closure (LAAC) options for stroke prevention in AF, and the content within this issue should help to outline these new and innovative approaches.
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Atrial Fibrillation- Management
Is Atrial Fibrillation Necessary? The Most Important Study Presented at the Heart Rhythm Society 2014 Scientific Sessions
Registration necessary. What follows is a report on what may be (pardon the big word) an inflection point in the way we think about the most common heart-rhythm disorder.
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Atrial Fibrillation- Management
LAA Closure for Atrial Fibrilation using Occlusion Device
Atrial Fibrilation Female, 87 years Clinical Symptoms: Palpitations, Dyspnea on excertion Concomitant Diseases: Hypertension Hypothyreosis Iron deficiency anemia of unknown cause Implanted Device: Watchman, Boston Scientific
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Atrial Fibrillation- Management
Management of AF patients with ACS
The optimal regimen for AF patients requiring a coronary stent is unclear and the video will discuss the combination risk of oral anticoagulants and aspirin.
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Atrial Fibrillation- Management
Managing Side Effects in Newly Diagnosed Atrial Fibrillation
This activity is intended for cardiologists, electrophysiologists, primary care practitioners, and allied healthcare providers involved in the diagnosis and treatment of patients with atrial fibrillation (AF). The goal of this activity is to identify comorbidities and patient-specific characteristics that influence prognosis and treatment strategies in AF and apply guideline recommendations to improve outcomes in patients with AF
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Atrial Fibrillation- Management
Mechanical Approaches to Stroke Prevention in Atrial Arrhythmias
Stroke is a common and perhaps the most feared complication of atrial fibrillation (AF) and other atrial tachyarrhythmias. The prevention of cerebrovascular and other thromboembolic events is one of the most important goals of AF therapy.
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Atrial Fibrillation- Management
Of Ends and Means: Toward Optimized Outcomes in Atrial Fibrillation
This activity focuses on the question of whether or when controlling rate or controlling rhythm is the preferred strategy in atrial fibrillation (AF), and, in cases when rhythm control is indeed the preferred strategy, how it should be effected.
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Atrial Fibrillation- Management
Patient-Centric Care in Atrial Fibrillation: Addressing Fears and Improving Quality of Life
The goal of this activity is to provide a review of the morbidity and mortality of atrial fibrillation-related stroke and the need for effective prophylaxis.
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Atrial Fibrillation- Management
Percutaneous Left Atrial Appendage Closure using the Watchman Device
Percutaneous Left Atrial Appendage Closure using the Watchman Device by Dr. Vivek Reddy, Professor of Cardiology, Mount Sinai Hospital, New York, NY.
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Atrial Fibrillation- Management
Preventing AF-Related Stroke in a Patient With Previous Myocardial Infarction
The goal of this program is to explore new treatment paradigms to address the challenges of managing patients with atrial fibrillation who have had a previous myocardial infarction and who have coronary artery disease.
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Atrial Fibrillation- Management
Realizing the Burden of AF: A Hard Look at Quality of Life and Hospitalizations
The goal of this activity is to update physicians & staff's knowledge about AF management strategies and their impact on patient outcomes and patient quality of life.
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Atrial Fibrillation- Management
Rhythm Control: What Therapy for What Patient?
This 30-minute webcast covers the spectrum of rhythm control strategies with focused topics, including the recent update to the Atrial Fibrillation Guidelines, pharmacological treatment options, and the latest thinking on rate vs. rhythm control.
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Atrial Fibrillation- Management
Strategies and Clinical Insights to Reduce Stroke Risk in Atrial Fibrillation
This activity is based on the slides and lectures presented by the faculty at the symposium, Strategies to Reduce Stroke Risk in Atrial Fibrillation: You Be the Judge!, on November 14, 2011, at The Peabody Orlando, Orlando, Florida.
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Atrial Fibrillation- Management
Stroke of Unknown Cause CME. Valid for credit through 03/26/2016
The goal of this activity is to provide clinical guidance on the diagnosis and management of arrhythmias in patients with cryptogenic stroke.
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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
The Burdens of AF-Related Stroke: Concepts in Managing Economic and Human Costs
The goal of this activity is to provide an update on the cost-effectiveness of novel oral anticoagulants in treating patients with atrial fibrillation who are risk for, or who have already had a stroke.
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Atrial Fibrillation- Management
The Role of Genotyping for Risk-Stratifying Patients at Risk for Atrial Fibrillation and Stroke
This activity is intended for general cardiologists, interventional cardiologists, electrophysiologists, and primary care physicians involved in the care of patients with or at risk for atrial fibrillation. The goal of this activity is to discuss the role of genetic testing in assessing risk for atrial fibrillation and stroke.
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Atrial Fibrillation- Management
Which Therapeutic Options for AF Patients, for Whom, and Why?
The goal of this activity is to illustrate with cases how the presentation and stages of atrial fibrillation can influence therapeutic strategies. This activity is intended for electrophysiologists, cardiologists, primary care physicians, and other healthcare providers involved in the treatment and care of patients with atrial fibrillation (AF).
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Case Studies
Cardiac Resynchronization Therapy: Earlier Identification and Intervention in Heart Failure
The goal of this activity is to update clinicians on the expanding role of cardiac resynchronization therapy in patients with heart failure.
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Coding & Billing
2014 EP Coding and Reimbursement Frequently Asked Questions
Biosense Webster Resources to help optimize reimbursement and minimize denials.
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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
The CardiologyBiller.Com EP & CRM Superbill
http://www.cardiologycoder.com/ A form tool that can be used in practice on how to code a-fib cases.
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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 Pacing and Patient Care
Good introduction to pacemakers. Medtronic. PDF.
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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
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
Pacing Glossary
All of the Pacemaker related terms and their definitions. Medtronic, PDF.
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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
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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Devices- Implanting
Conducting a Successful Screening and Implantation of the S-ICD System
Charles A. Joyner, MD, FACC Cardiac Electrophysiology Virginia Cardiovascular Specialists of Richmond, VA presents 8 videos reviewing a Successful Screening and Implantation of the S-ICD System.
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Devices- Implanting
Implantable CardioverterDefibrillators for Primary Prevention of Sudden Cardiac Death
Sudden cardiac death (SCD) remains a major cause of death in the industrialised world. Implantable cardioverterdefibrillators (ICDs) have been shown to be an effective therapy option for the primary prevention of SCD in patients at high risk of SCD.
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Devices- Implanting
Reducing the Risk of CIED Infections Trends and Technology
This course is designed to increase awareness of Cardiac Implantable Electronic Device (CIED) infection including: current trends related to cardiac device infection, current methods of infection prophylaxis, as well as the associated costs and mortality.
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Devices- Implanting
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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Devices- Implanting
Strategic Management of CIED Infections
8 lectures on the topic of infections in implants, their treatment and prevention. Cleveland Clinic Heart Rhythm Society.
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Devices- Implanting
Superiority of Automatic Remote Monitoring Compared With in-person Evaluation for Scheduled ICD Follow-up in the TRUST Trial - Testing Execution of the Recommendations
To test recommended implantable cardioverter defibrillator (ICD) follow-up methods by 'in-person evaluations' (IPE) vs. 'remote Home Monitoring' (HM).
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Devices- Management
10 different PowerPoint presentations on device related topics from the Cleveland Clinic Physicians
Cleveland Clinic Heart Rhythm Society 2013 Symposium on Lead Management featuring Drs. Bruce Wilkoff, Joshua Cooper, Charles Love, Roger Carrillo, and others
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Devices- Management
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- Management
Hemodynamic Support During Complex VT Ablation: Use of Impella 2.5
Use of the Impella device to counter severe hypotension during ventricular tachycardia ablation. Video. EP Lab Digest.
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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
Numerous Device Programs
Medtronic website with free registration to slideshows and video programs. Medtronic. Video.
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Devices- Management
Patient Management Webinar Riata Leads Experts Case Discussion
Rewatch Webinar This 90-minute case-based webinar features leading electrophysiologists providing their clinical experience and personal views concerning patient management options for cases involving Riata leads.
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Devices- Management
Prevention of Arrhythmia Device Infection (PADIT) - 2014 Update By Cleveland Clinic Heart Rhythm Society 2014 Symposium Featuring Andrew Krahn
Prevention of Arrhythmia Device Infection (PADIT) - 2014 Update by Dr. Andrew Krahn, Head of the Division of Cardiology, University of British Columbia, Vancouver, Canada. Video from HRS 2014
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Devices- Management
The 25th Annual Michel Mirowski Sudden Cardiac Death Symposium and Award Presentation
The purpose of this activity is to discuss the evolution of the implantable cardioverter defibrillator (ICD) and the effect guidelines for implantation of ICDs will have on clinical practice, as well as to highlight the most recent clinical trial data demonstrating the efficacy and safety of ICDs and cardiac resynchronization therapy devices.
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Educational Providers & Schools
Education Activities for Arrhythmias
CME and CE Credit available for numerous classes.
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Educational Providers & Schools
IBHRE Exam Review Course
IBHRE Exam Review course for devices.Presented by PrepMed. Fees apply.
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Educational Providers & Schools
St. Jude Medical Educational Programs
Educational Programs offered by St. Jude Medical on a variety of topics. Free registration. Select the Education button from the drop down menu.
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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
Basics of EKG Interpretation: A Programmed Study
Basic 12 lead EKG interpretation. USFCA. Text.
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Electrocardiology
ECG Guru
Wonderful resource for improving your ECG knowledge. Created by a Cath Lab Nurse.
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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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Electrocardiology
Electrocardiogram Recognition and Ablation of Atrial Tachycardia
Focal atrial tachycardia (AT) is a relatively uncommon cause of supraventricular tachycardia, but when present is frequently difficult to treat medically.
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Electrocardiology
Iran EP
A variety of arrhythmias along with their EKG's and electrograms. A good way to test yourself.
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Electrophysiology
Advancements in Fluoro Reduction for the Electrophysiology Lab
June 5th, 2013 7pm EDT Tariq Salam, MD, FACC, FHRS Clinical Service Chief Electrophysiology and Atrial Fibrillation Multicare Health System Tacoma, WA Shephal Doshi, MD Director, Cardiac Electrophysiology Research Pacific Heart Institute Santa Monica, CA This quest for innovative solutions that reduce fluoroscopy exposure during ablation procedures and enable the achievement of successful procedural outcomes in practice, without compromising safety, is sought by every global practicing electrophysiology professional. This interactive educational webcast has been developed to evaluate technological advancements and optimal workflows that significantly reduce the use of fluoroscopy. The assembled expert faculty will share their experiences and impart their knowledge about new dimensions in electroanatomical mapping technology that improves procedural efficiency, safety and efficacy; while greatly assisting lower fluoroscopy levels.
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Electrophysiology
Advancing Frontiers in Electrophysiology: Improving Outcomes in Clinical Practice through New Technologies Webcast
This accredited webcast features leading electrophysiologists who share their expert insights on a variety of innovative technologies and clinical decision making strategies to improve procedural outcomes in the electrophysiology lab for the enhancement of patient care.
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Electrophysiology
Application Advanced Mapping and Ablation Technologies
This session will explore the newer technologies that exist for mapping and ablating some of the common, and less common, substrates that may be treated in the pediatric and adult electrophysiology laboratory.
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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
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
Cardiac Cell Action Potential
Spend some time on the following illustration depicting the normal cardiac action potential that explain the ionic movements . Understand why a cardiac muscle has two refractory periods , why there is a sustained dome for myocardial action potential and this is missing in SA and AV nodal potential?
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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
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
Enhanced Imaging Modalities in Atrial Fibrillation
The wealth of imaging options for the practising electrophysiologist has exploded over the last decade, primarily due to the ability to effectively ablate patients with atrial fibrillation (AF).
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Electrophysiology
Establishing the Mechanism of Supraventricular Tachycardia in the Electrophysiology Laboratory
Supraventricular tachycardia (SVT) is a common disorder which is associated with significant morbidity due to recurrent symptoms and multiple hospital visits. With advancements in mapping and ablation technology, most of the patients with SVT are now treated with radiofrequency ablation. However, for the procedure to be highly effective and safe it is imperative that the mechanism of tachycardia be understood accurately.
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Electrophysiology
Highlights from 9th Annual Electrophysiology Symposium at Staten Island University Hospital
On October 23, 2013, the 9th Annual Electrophysiology Cardiac Symposium took place at Staten Island University Hospital, in the recently opened, state-of-the-art Regina M. McGinn, MD Medical Education Center. The event was led by course directors Dr. Soad Bekheit and Dr. Marcin Kowalski.
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Electrophysiology
Imaging-guided Ventricular Tachycardia Ablation
Over the past decades important advances have been made in the field of ventricular tachycardia (VT) ablation, and as a result, VT ablation is now more widely being performed.
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Electrophysiology
Intracardiac Echo Imaging Guided Ablation of Cavotricuspid Isthmus-dependent Atrial Flutter
Cavotricuspid isthmus-dependent atrial flutter is an arrhythmia that is frequently encountered in the electrophysiology laboratory, and can be successfully ablated with conventional mapping and ablation techniques. In difficult cases, use of intracardiac echo imaging can be invaluable in guiding the ablation. We report a case of common right atrial flutter that was ablated successfully using real-time intracardiac echo imaging.
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Electrophysiology
Intracardiac Echocardiography 101: The Beginner's Guide to ICE Imaging and Cardiac Structure Recognition
Two-dimensional ICE is the primary echo modality used in today s electrophysiology laboratory because it provides meaningful, real-time anatomic information occurring within the structures of the heart. A review of intracardiac ultrasound with 3 good pictures with labeled anatomy. Text with images. EP Lab Digest
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Electrophysiology
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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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
Phillips Learning Center
Numerous EP classes for CEU's. Fee or $18 per credit hour. Log in and go to the Cardiology Section.
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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
Radiation Free Electrophysiology Cases - It's Easier Than You Think
Essential information for avoiding radiation related complications in the pediatric population. Techniques are applicable to adults as well. Text. EPreward eReports.
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Electrophysiology
Recurrent Arrhythmias after Pulmonary Vein Isolation
Evaluation of recurrent arrhythmias after catheter ablation of atrial fibrillation is challenging and requires specialized knowledge of the mechanisms of atrial fibrillation, the substrate for re-entrant arrhythmias after left atrial ablation, and an understanding of arrhythmias which can trigger or mimic atrial fibrillation. We present the case of a middle-aged female who continued to have symptoms of palpitations, dizziness, and shortness of breath after undergoing a catheter-based pulmonary vein antral isolation.
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Electrophysiology
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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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
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
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
The Fundamentals: Diagnosis and Ablation of Common Arrhythmias
Contains a compilation of didactic lectures providing expert instruction on useful techniques and strategies utilized in a clinical setting in order to accurately assess, diagnose and ablate common arrhythmias.
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Electrophysiology
Transseptal Access for the Electrophysiologist: Anatomic Considerations to Enhance Safety and Efficacy
A review of the anatomical considerations, technique and tools available to assist with a safe and consistent procedure. Essential knowledge for physicians and scrub staff. Text with numerous photos. Innovations in Cardiac Rhythm Management.
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Electrophysiology
VuMedi Webinar, Percutaneous LAA Closure from September 2013
Past Webinar featuring interventional cardiologists Matthew Price and Steven Yakubov, and electrophysiologists Vivek Reddy and Randall Lee.
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EP Equipment
Benefits of Advanced Technology in the EP Lab
This recorded case highlights the benefits of using Philips advanced technology in the EP lab. Specific attention is devoted to EP navigator with 3DATG (3D rotational scan imaging of the left atrium), overlay of the 3D anatomy on fluoro and export of the 3D anatomy to BioSense Websters Carto 3 product.
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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
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
Maximizing integration with EP navigator's real-time 3D image acquired in lab and BioSense Webster's CARTO 3
Specific attention is devoted to the EP navigator 3D ATG's imaging of the left atrium and the benefits of using technology to assess patient anatomy. The presenters also demonstrate how this image imports and interfaces with BioSense Webster's Carto 3 product. Also to be discussed: how to acquire the 3D ATG rotational scan, and the practical workflow and benefits of subsequently using these images in Carto 3.
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EP Equipment
Pediatric Cardiology Toward A New Frontier
This case highlights the potential use of obtaining 3-D images of the pulmonary artery obtained with rotational (240 degrees) angiography, and quickly reconstructing them in the control room, to assist in interventional planning.
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EP Equipment
SVTSIM
SVTSIM is a web-based cardiac electrophysiology study (EPS)/arrhythmia simulator, which is primarily designed for training and education. Its target audience includes cardiology and clinical cardiac electrophysiology fellows-in-training and electrophysiology laboratory nurses and technicians. SVTSIM provides an environment to simulate different cardiac arrhythmias, especially supraventricular tachycardia, and to view simulated surface ECG and intracardiac elctrograms. In addition, it allows the user to perform various diagnostic maneuvers by pacing the simulated heart in realtime. Great fun testing yourself.
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Equipment
Online TEE Simulator Based on CT
A simulator that introduces you to the different views used during a TEE. CT2TEE Project.
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Heart Failure & Device Therapy
Changing the Landscape of Heart Failure Management
Review the most common symptoms leading to heart failure hospitalization. Evaluate advances in hemodynamic monitoring and its role for improving outcomes in heart failure patients.
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Heart Failure & Device Therapy
Clinician Response to Remote Active Monitoring in Patients with Heart Failure: Results of the RAPID-RF Trial
Advances in remote patient monitoring (RPM) technologies enable automatic wireless transmission of radiofrequency (RF)-enabled implantable device and physiologic data that may allow for more frequent and flexible treatment regimens. We evaluated physician therapeutic interventions in response to daily remote device transmissions and weight measures in heart failure patients after cardiac resynchronization therapy defibrillator (CRT-D) implant. - See more at: http://www.innovationsincrm.com/cardiac-rhythm-management/2014/march/568-results-of-the-rapid-rf-trial#sthash.rjt2NOrs.dpuf
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Heart Failure & Device Therapy
Heart Failure: Interventions to Reduce Morbidity, Mortality, and Hospitalizations
The goal of this activity is to update clinicians' awareness of management techniques to address the risks of decompensation and sudden cardiac arrest in patients with heart failure.
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Heart Failure & Device Therapy
ICD Shock Reduction: Update on Economic Impact and Therapeutic Options - Webinar
Its a fact: ICD shocks save lives. But at what cost? The clinical, psychological, and economic health care utilization implications of inappropriate and unnecessary shocks are just presently beginning to emerge. Join key opinion leaders Bruce Wilkoff, MD, FHRS and Mintu Turakhia, MD, MS, FHRS for this 30-minute webinar to get the most up-to-date information on this developing topic.
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Heart Failure & Device Therapy
Prevention of Sudden Cardiac Arrest Post PTCA in High-Risk Patients CME
The goal of this activity is to enhance the ability to protect patients at high risk for sudden cardiac death immediately after percutaneous coronary intervention without using inappropriate implantable cardioverter-defibrillator therapy. Upon completion of this activity, participants will be able to: 1.Define the risk for sudden cardiac arrest (SCA) following percutaneous transluminal coronary angioplasty (PTCA), especially in patients at high risk 2.Assess the role of wearable defibrillators in the management of patients at risk for SCA following PTCA 3.Implement optimal strategies to reduce the risk for SCA post PTCA at the time of hospital discharge
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Implantable Devices
High CHADS Risk With Undiagnosed AF: Cause for Concern?
The goal of this activity is to educate physicians about the different etiologies of syncope and the value of implantable loop recorders in the detection of atrial fibrillation.
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Implantable Devices
Taking the Lead in Sudden Cardiac Arrest Prevention: Options for the At-Risk Patient
The goal of this activity is to increase awareness of potential complications with lead extractions of devices enabling physicians to anticipate and implement strategies to avoid sudden cardiac arrest.
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Monitoring Equipment for the Lab
EKG Guru
A large collection of EKG resources including a large library of EKG's and other teaching materials.
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Patient Care
Advancements in Quadripolar Pacing for Optimizing Clinical and Economic Outcomes
Discuss the common risks and complications associated with conventional CRT pacing. Examine clinical outcomes and analyze the cost benefits of emerging pacing strategies vs. traditional approaches.
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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
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
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
Legal Aspects of Conscious Sedation & Patient Release
EndoNurse- Article covering many sedation related legal issues. Endo Nurse. Text.
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Patient Care
Optimal Tools and Strategies to Improve Collaboration and Clinical Outcomes in the Prevention of Sudden Cardiac Death
The webcast investigates optimal tools and strategies for improving collaboration and clinical outcomes in the management of patients at risk for Sudden Cardiac Death (SCD). CME Released: 4/8/2015; Valid for credit through 4/8/2016
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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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Pediatrics
The Use of Electroanatomic Mapping Systems to Reduce Fluoroscopic Exposure in Pediatric Ablations
Concerns about the long-term effects of ionizing radiation for both patients and electrophysiology laboratory personnel combined with the development of electroanatomic mapping systems have made it possible to perform ablation of dysrhythmia substrates with minimal or no use of fluoroscopy. This article reviews the current literature demonstrating the safety and efficacy of this technique in pediatric patients. While most reports are retrospective and single-center studies, there is a growing interest in developing multicenter studies to further refine this technique. Text. Innovations in Cardiac Rhythm Management.
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Pharmaceuticals
Anticoagulation Options in Prevention of Atrial Fibrillation-Related Stroke
Stroke may be the first presenting symptom of atrial fibrillation and the consequences are dire. The goal of this activity is to raise awareness of the need to identify patients at risk for atrial fibrillation and ensure effective stroke prophylaxis.
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Pharmaceuticals
Assessing the Principles of Practice: Stroke Prevention in the New Era of Anticoagulation
Stroke Prevention in the New Era of Anticoagulation from Medscape Education/Cardiology
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Pharmaceuticals
Cardiac Risks With Antibiotics Azithromycin, Levofloxacin Supported by VA Data
Data from a large cohort of patients enrolled at US Veterans Affairs (VA) medical centers support recent conclusions that treatment with the antibiotic azithromycin (Zithromax/Zmax, Pfizer) significantly increases the risk of death and cardiac arrhythmia in the first five days of treatment.
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Pharmaceuticals
FDA Safety Changes: Azithromycin Linked With Fatal Irregular Heart Rhythms CME/CE
This article is intended for primary care clinicians, cardiologists, infectious disease specialists, pharmacists and other specialists who care for patients treated with azithromycin who may be at risk for potentially fatal heart arrhythmias.
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Pharmaceuticals
Secondary Prevention of Atrial Fibrillation-Related Stroke
Stroke may be the first presenting symptom of atrial fibrillation and the consequences are dire. The goal of this activity is to raise awareness of the need to identify patients at risk for atrial fibrillation and ensure effective stroke prophylaxis.
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Pharmaceuticals
Stroke Prevention Through Improved Anticoagulation Therapy for Patients With Atrial Fibrillation or Flutter
The goal of this activity is to improve clinicians' understanding of the optimal use of anticoagulant therapy in patients with atrial fibrillation.
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Pharmaceuticals
The Use of New Anticoagulants in Electrophysiology During the Periprocedure Period
ABSTRACT. The introduction of new anticoagulants has ushered in a new and exciting era in the field of hemostasis and thrombosis. These drugs are the first major advance in this area since the vitamin K antagonist (VKA) warfarin was approved over 50 years ago for use as an anticoagulant. The drawback of warfarin has long been recognized, namely unpredictable and variable pharmacology and thus the need for regular anticoagulation monitoring and dose adjustment. The new anticoagulants act via direct thrombin inhibition (dabigatran) or factor Xa (FXa) inhibition (e.g. rivaroxaban, apixaban and endoxaban. Article. Innovations in Cardiac Rhythm Management.
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Pharmacology
New Antiarrhythmic Drugs for Atrial Fibrillation
Discussion of new antiarrhythmic drugs including: dronedarone and other "amiodarone analogues," vernakalant, ranolazine and their effectiveness. Powerpoint with audio. HRS.
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Pharmacology
New Oral Anticoagulant Joins US Atrial-Fib Guidelines
The goal of this activity is to provide medical news to primary care clinicians and other healthcare professionals in order to enhance patient care.
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Pharmacology
Pharmacologic Treatment of AF: The Difficult-to-Treat Patient
The goal of this activity is to simulate variables that physicians encounter when managing patients with AF in an office setting.
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Pharmacology
Secondary Prevention in Acute Coronary Syndrome
Despite optimal therapy with current anticoagulant therapy, patients with ACS carry additional residual risk of cardiovascular death and other ischemic complications. Even in the setting of dual antiplatelet therapy, the risk of death and recurrent ischemic events following ACS reaches approximately 10% within the first year. The goal of this activity is to review the need for more effective antithrombotic therapy.
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Pharmacology
The Implication of Digoxin Toxicity: A Hospitalist's Perspective CME
Symptoms of digoxin toxicity can be subtle and sometimes missed. The goal of this activity is to provide an overview of digoxin toxicity and strategies for prevention and treatment. Good for credit through 11/01/2014
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Pharmacology
Use of NSAIDs Linked With Risk of Atrial Fibrillation or Flutter
The goal of this activity is to provide medical news to primary care clinicians and other healthcare professionals in order to enhance patient care.
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Research Tools
Surgeon and interventionalist: Teaming up to tackle new technologies
Dr Bob Harrington sits down with Drs Laura Mauri and Neil Moat to talk about the importance of the heart team in the success of these trials and how to ensure this multidisciplinary approach in applying trial results in clinical practice.
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Syncope/Tilt Table Study
Syncope in the Elderly
A rapid change in ageing demographic is taking place worldwide such that healthcare professionals are increasingly treating old and very old patients. Syncope in the elderly is a challenging presentation that is under-recognised, particularly in the acute care setting.
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