Online Education

The EP Education & Resource Page 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.

Getting the Most Out of the EP Education Page

If you benefit from a 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 to use. Please contact us about any non-linking 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.

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 or IBHRE Examinations. 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 on equipment. To send us your evaluations for others to gain from, email us at This email address is being protected from spambots. You need JavaScript enabled to view it.

 

A: Newly Added Classes
Achieving Guideline-Based Management of Atrial Fibrillation: Education and Quality Improvement through an AF-QI Working Group CME, CNE
This activity is intended to meet the educational needs of cardiologists, EPs, and related healthcare professionals
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A: Newly Added Classes
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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A: Newly Added Classes
Cryptogenic Stroke: What, When, and How to Treat for Secondary Prevention CME
The goal of this activity is to provide an update on the importance of identifying the cause of an ischemic stroke to enable effective secondary preventive treatment. Upon completion of this activity, participants will be able to: 1.Review the data on patients who have had a stroke of unknown cause and their risk for a second event 2.Discuss the importance of determining the cause of stroke 3.List diagnostic approaches to evaluate a possible rhythm disturbance as cause of stroke 4.Discuss treatment strategies for secondary prevention of stroke
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A: Newly Added Classes
Education Activities for Arrhythmias
CME and CE Credit available for numerous classes.
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A: Newly Added Classes
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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A: Newly Added Classes
High CHADS Risk With Undiagnosed AF: Cause for Concern? CME
This activity is intended for cardiologists, electrophysiologists, internists, neurologists, and primary care physicians. 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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A: Newly Added Classes
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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Ablation- Cryotherapy
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
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 Webster’s Carto 3 product.
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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
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
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
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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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
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
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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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
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- 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
5 Presentations from the Mayo Clinic: All about A Fib, Sudden Cardiac Death, Syncope, Future of EP, VF Ablation
Five informative presentations of interest to all EP staff. All About Atrial Fibrillation: A Multidiciplinary Perspective; Sudden Cardiac Death; The Truth About Syncope– Benign vs Malignant Syncope; 2013: Bringing the Future Into Focus; and Ventricular Fibrillation: An Ablatable Arrhythmia? Powerpoint slides with presentation notes. Excellent information. theHeart.org
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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 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
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- 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
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
Left atrial tachycardia after circumferential pulmonary vein ablation for atrial fibrillation: Electroanatomic characterization and treatment
The purpose of this study was to evaluate the electroanatomic characteristics of left atrial tachycardia (AT) in a series of patients who underwent circumferential pulmonary vein ablation (CPVA) and to describe the ablation strategy and clinical outcome. Text with 3-D Maps.
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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
Techniques and Technologies in AF Catheter Ablation
After completing this activity, participants should be able to: Discuss single and multiple procedure outcomes data for ablation performed in the European Union and North America Summarize the technological advances in balloon catheters for pulmonary vein isolation Describe the lessons learned from operator experience in balloon ablation. This activity is designed for electrophysiologists, cardiologists, cardiac surgeons, fellows, and electrophysiology allied professionals.
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Atrial Fibrillation- Ablation
Techniques and Technologies in AF Catheter Ablation: Webcast- CME. CNE, AHRA.
After completing this activity, participants should be able to: Discuss single and multiple procedure outcomes data for ablation performed in the European Union and North America; Summarize the technological advances in balloon catheters for pulmonary vein isolation; Describe the lessons learned from operator experience in balloon ablation. NACCME.
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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- 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 Guidelines Updates: ACC/AHA/HRS Perspective
Key changes in the 2011 Focused Updates to the AF Guidelines, including anticoagulation, rate control: Race II, dronedarone and catheter ablation. Powerpoint with audio. HRS.
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Atrial Fibrillation- Management
All About Atrial Fibrillation: A Multidisciplinary Perspective
Excellent review of the 2 specific aspects of atrial fibrillation (AF); namely, the issue of rate vs rhythm control and anticoagulation. Powerpoint presentation in TheHeart.org.
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Atrial Fibrillation- Management
All About Atrial Fibrillation: A Multidisciplinary Perspective
Very good review and discussion of Rate vs. Rhythm control studies and practices and anticoagulation in Atrial Fibrillation. By Bernard Gersh from the Mayo Clinic. Powerpoint Slides. TheHeart.org.
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Atrial Fibrillation- Management
Antiarrhythmics for Atrial Fibrillation: Practical Implications of Latest Clinical Developments CME
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 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 CM
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. This activity is intended for cardiologists, electrophysiologists, and other healthcare providers involved in the diagnosis and treatment of patients with atrial fibrillation.
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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 CME
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
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. CME
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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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Atrial Fibrillation- Management
Engaging the Patient with AF in Optimizing Care-An Intensive Office-Based Initiative
After completing this activity, participants should be able to: Summarize current clinical trial data on ablation, rate- and rhythm-control, and their impact on cardiovascular outcomes; Incorporate new guidelines for antiarrhythmic drug (AAD) treatment in specific AF patients with different comorbidities and clinical presentations; Implement strategies for safe and effective switching of AADs; Engage patients in meaningful communication to improve adherence to guideline-recommended AF therapy; Apply guideline recommended anticoagulants and validated stroke risk scoring systems in clinical practice for the management of patients with AF. Test. NACCME.
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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
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
Linking Evidence-Based Care to Improved Outcomes in Atrial Fibrillation: Evolving Pharmacologic Approaches
Presented Peter Ott, M.D., F.A.C.C., associate professor of clinical medicine at the University of Arizona Sarver Heart Center, Tuscon AZ. On Demand Webcast.
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Atrial Fibrillation- Management
Managing Side Effects in Newly Diagnosed Atrial Fibrillation CME
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
Managing Side Effects in Newly Diagnosed Atrial Fibrillation CME
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
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 CME
This CME 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 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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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 CME
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 CME
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
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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Atrial Fibrillation- Management
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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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
FY2012 Final Hospital Inpatient Rule Summary
Updated reimbursement codes and payments. Text. Boston Scientific.
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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
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
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
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
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
Defibrillation Threshold Testing: A Primer
Implantable cardioverter-defibrillators lower mortality in appropriately selected patients. Defibrillation threshold (DFT) testing has traditionally been an inherent part of the implant procedure. Emerging data have begun to question the safety, benefits, and necessity of routine DFT testing. In this review we discuss defibrillation, outline the risks and benefits of DFT testing and outline an algorithm for treating patients with an elevated DFT. Article: Innovations in Cardiac Rhythm Management.
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Devices- Implanting
Pacemaker & ICD Encyclopedia
Basic information on Pacemakers and ICD's from 23 different manufacturers. Medtronic. Text.
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Devices- Implanting
Patient Management Webinar Riata Leads Experts Case Discussion
Live Webinar Broadcast Thursday, November 8, 2012, 6:30-8 p.m. EST 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
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
The 24th Annual Michel Mirowski Sudden Cardiac Death Symposium and Award Presentation CME
This program is intended for cardiologists, electrophysiologists, and allied health professionals involved in the care of patients with heart failure and those at risk for sudden cardiac death. The purpose of this live activity is to discuss the evolution of the implantable cardioverter defibrillator (ICD) and the effects guidelines for implantation of ICDs in 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 and their potential effects on clinical practice.
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Devices- Management
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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Educational Providers & Schools
IBHRE Exam Review Course
IBHRE Exam Review course for devices.Presented by PrepMed. Fees apply.
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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 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
Iran EP
A variety of arrhythmias along with their EKG's and electrograms. A good way to test yourself.
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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
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
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
Epicardial Access Demonstration
This video demonstrating how to access to the epicardial space. St. Jude Medical.
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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
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
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
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
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
Pioneering the Future: Innovations and Strategies in Electrophysiology and Clinical Cardiology CME
The purpose of this live activity is to discuss the evolution of the 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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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
St. Jude Medical Educational Programs
Educational Programs offered by St. Jude Medical on a variety of topics. Free registration.
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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
The DVD 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
This video demonstrates access to the left atrium using a transseptal puncture. Video. St. Jude Medical.
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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
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
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
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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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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Implantable Devices
: Indications, Procedures, and Tools for Successful Laser-Free Extraction: ARRT & CME Credit
After completing this activity, participants should be able to: Identify the indications for and alternatives to lead extraction; Describe lead management strategies and guidelines; Discuss options, tools, and procedures for successful lead extraction without the laser. NACCME
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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
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
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
Legal Aspects of Conscious Sedation & Patient Release
EndoNurse- Article covering many sedation related legal issues. Endo Nurse. Text.
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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
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
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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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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Pharmacology
Assessing the Principles of Practice: Stroke Prevention in the New Era of Anticoagulation CME
Stroke Prevention in the New Era of Anticoagulation from Medscape Education/Cardiology
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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
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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Regulatory Agencies
CY2013 Medicare Final Rule Issued for Hospital Outpatient, Ambulatory Surgical Center and Physician Fee Schedule
The Centers for Medicare and Medicaid Services (CMS) issued two Final Rules on November 1, 2012 for Calendar Year (CY) 2013. The first is the Hospital Outpatient Prospective Payment System (HOPPS)/Ambulatory Surgical Centers (ASC) and the second is the Physician Fee Schedule (PFS). Both rules address Medicare policies and payments which are effective January 1, 2013. From Boston Scientific.
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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
Neurocardiogenic Syncope- A Clinical Review
A review of Neurocardiogenic sycope, physiology, presentations, diagnosis,and treatment. BMJ. Text.
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