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Cardiovascular Diseases

Electrophysiology Review for Boards and Recertification

Learning Objectives

Upon conclusion of this program, participants should be able to:

  • Interpret intracardiac and electrocardiographic presentations of common arrhythmias, including atrioventricular nodal reentry tachycardia (AVNRT), Wolff-Parkinson-White (WPW) dependent tachycardias, atrial and ventricular tachycardias, and atrial fibrillation
  • Interpret intracardiac electrograms to plan ablative and device therapy strategies for patients
  • Analyze multicenter trials addressing optimal management of patients with cardiac arrest, those at risk for ventricular arrhythmias, WPW and atrial fibrillation
  • Explain the common arrhythmia syndromes associated with channelopathies and the ECG/phenotypic aspects of these familial syndromes
  • Identify the muscular anatomy of the heart and how it facilitates arrhythmogenesis
  • Identify ECG/EGM features of various types of atrial flutters, ventricular tachycardia in the normal heart, and atypical accessory tracts, like Mahaim and fasciculoventricular fibers
  • Review the basic electrophysiology of ion channels, gap junctions and anisotropic conduction, and how these can affect clinical arrhythmogenesis
  • Identify the mechanism of action and indications for antiarrhythmic drugs
  • Analyze normal and abnormal functioning of pacemakers and implantable cardioverter defibrillators and their subsequent troubleshooting in the latter situations
  • Correlate between anatomy, fluoroscopy, intracardiac ultrasound, mapping systems and the retrieved intracardiac electrograms
  • Describe the role of thoracic veins including the pulmonary veins, superior vena cava and the vein of Marshall in the pathogenesis and as targets for ablation to treat symptomatic atrial fibrillation
  • Compare the differences between mapping-based paradigms to ablate arrhythmia vs. substrate-based and anatomic approaches to ablation
  • Apply electrophysiogram interpretation skills in real time in parallel

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.