Description
Core Concepts in EP has evolved from the Society's highly regarded Board Review Course and is designed to better serve a wider audience within the EP community, not only U.S. physicians preparing to certify or recertify. While Core Concepts in EP serves as an indispensible tool for preparing for the CCEP Exam, it also ensures a fundamentally sound EP knowledge base.
This course is a virtual blended learning activity featuring recorded didactic lectures and case-based workshops, augmented by live interactive learning sessions (now previously recorded) with course directors and faculty for in-depth coverage of the essential EP curriculum.
Claiming Credit
Accreditation Statement
The Heart Rhythm Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement
The Heart Rhythm Society designates this Other (blended internet live and enduring material) activity for a maximum of 32.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABIM Maintenance of Certification (MOC) Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 32.25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
ABP Maintenance of Certification (MOC) Statement
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn up to 32.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.
Deadline to Report MOC Points to ABIM and ABP
ABP MOC Points: Claim your points before December 1, 2022.
ABIM MOC Points: Claim your points before December 31, 2022.
Grant Acknowledgement
The 2020 Core Concepts in EP is supported in part by an unrestricted educational grant from Medtronic, Inc.
Learning Objectives
Upon completion of this educational activity, participants will be able to:
- Describe the current guidelines related to evaluation and management of patients with cardiac rhythm disturbances
- Describe the role of electrophysiologic testing in managing patients with brady arrhythmias and tachyarrhythmias
- Identify the advantages and limitations of diagnostic electrophysiologic methods
- Identify the role of pharmacologic and non-pharmacologic therapies for the treatment of arrhythmias
- Recognize the basic electrophysiology and genetics of inherited conditions associated with cardiac arrhythmias
- Recognize clinical, electrocardiographic, and electrophysiologic characteristics of specific cardiac arrhythmia syndromes
- Interpret complex electrophysiologic and electrocardiographic tracings
- Interpret stored electrograms from pacemakers and ICDs
- Understand the role, utility and limitations of imaging (fluoroscopy, intracardiac echocardiography, electroanatomic mapping) in electrophysiologic procedures
- Understand different methods of safely accessing left atrium with transseptal techniques, and pericardial space for electrophysiologic procedures
- Describe potential complications of electrophysiologic procedures, how to avoid them when possible and remedy them when they occur
Target Audience
EP Fellows
Clinical Cardiac EPs
Directors of EP Labs
Cardiologists
MDs taking the ABIM CCEP Board Certification Exam
MDs taking the ABIM CCEP Recertification Exam
Non-US physicians preparing for EP certification exams
Physicians seeking a comprehensive overview of electrophysiology
Course Highlights
More than 20 recorded didactic lectures, nine case-based workshops, and up to 17 live interactive learning sessions (now pre-recorded) delivered by leading experts covering:
- Basic cardiac and intracardiac electrophysiology
- Pharmacology of antiarrhythmic drugs
- Noninvasive testing for arrhythmias
- Atrial and other supraventricular tachycardias
- Catheter ablation
- Implantable cardioverter defibrillators
- Cardiac pacing
- Intracardiac ultrasound in EP
- Transseptal catheterization techniques
- Pericardial access for epicardial mapping and ablation
- Complications of EP procedures - avoidance and management
- Additional online resources
Pre-recorded Lectures and Workshops
Session I: Basic Science and Fundamentals of Electrophysiology
Basic Electrophysiology Principles for the Clinician
Gordon Tomaselli, MD, FHRS
Inherited Ion Channelopathies
Barry London, MD, PhD
Sinoatrial and Atrioventricular Nodes and His PM - Purkinje System: Anatomy, Evaluation, Autonomics and Therapy
John M. Miller, MD, FHRS
Retrograde Conduction
John M. Miller, MD, FHRS
Workshop #1: Electrocardiographic/Electrophysiologic Correlations
John M. Miller, MD, FHRS (Physiology and Conduction)
Barry London, MD, PhD (Basic Science and Channelopathies)
Gordon Tomaselli, MD, FHRS (Basic Science)
Session II: Invasive Diagnosis and Treatment
Use of Overdrive Pacing in Supraventricular Tachycardia
John M. Miller, MD, FHRS
Principles of Entrainment: Ventricular Tachycardia
William G. Stevenson, MD, FHRS
Techniques of Differentiating SVT Mechanisms: Part I
Gregory F. Michaud, MD, FHRS
Techniques to Differentiate SVT Mechanisms: Part II
Gregory F. Michaud, MD, FHRS
Workshop #2: Entrainment and SVT Maneuvers
Gregory F. Michaud, MD, FHRS (SVT Maneuvers Cases)
William G. Stevenson, MD, FHRS (Entrainment Cases – VT)
John M. Miller, MD, FHRS (Entrainment Cases – SVT)
Catheter Ablation of Atrial Tachycardia and Atrial Flutter
William G. Stevenson, MD, FHRS
Catheter Ablation of Accessory Pathways
William M. Miles, MD, FHRS
Workshop #3: SVT Mechanisms/Maneuvers
William G. Stevenson, MD, FHRS
Gregory Michaud, MD, FHRS
William M. Miles, MD, FHRS
Kenneth A. Ellenbogen, MD, FHRS
Catheter Ablation of Atrioventricular Node Reentry
William M. Miles, MD, FHRS
Special Workshop: Use of the 12 Lead EKG in Localization of VT and PVCs
John M. Miller, MD, FHRS and William G. Stevenson, MD, FHRS
Session III: Invasive Diagnosis and Treatment
Ventricular Tachycardia: Ischemic and Nonischemic Cardiomyopathy and other Unique VT Syndromes
Francis E. Marchlinski, MD, FHRS
Workshop #4: SVT and VT Invasive/Noninvasive Correlation
William M. Miles, MD, FHRS
John M. Miller, MD, FHRS
Francis E. Marchlinski, MD, FHRS
Wide Complex Tachycardias: Idiopathic VTs, Bundle Branch Reentry, Antidromic Tachycardias, Mechanisms, Electrocardiographic Manifestations, Invasive Assessment, and Ablation
Samuel J. Asirvatham, MD, FHRS
Workshop #5: Invasive/Noninvasive Correlation
Gregory F. Michaud, MD, FHRS
William G. Stevenson, MD, FHRS
Francis E. Marchlinski, MD, FHRS
Session IV: Noninvasive Diagnosis and Treatment
Antiarrhythmic Drugs: Part I
Jeanne E. Poole, MD, FHRS
Antiarrhythmic Drugs: Part II – Case Scenarios
Jeanne E. Poole, MD, FHRS
Workshop #6: Electrocardiographic/Electrophysiological Correlations
Edward P. Gerstenfeld, MD, FHRS
Jeanne E. Poole, MD, FHRS
Samuel J. Asirvatham, MD, FHRS
Mechanisms, Pharmacologic, and Non-pharmacologic Treatment of Atrial Fibrillation
Edward P. Gerstenfeld, MD, FHRS
Biophysics of Catheter Ablation
Edward P. Gerstenfeld, MD, FHRS
Workshop #7: Electrocardiographic/Electrophysiological Correlations, Atrial Fibrillation, Clinical Scenarios and Syndromes
Edward P. Gerstenfeld, MD, FHRS
Jeanne E. Poole, MD, FHRS
Samuel J. Asirvatham, MD, FHRS
Session V: Clinical Scenarios/Device Management
Device: Evaluation, Management, and Troubleshooting
Kenneth A. Ellenbogen, MD, FHRS
Workshop #8: Device Cases
Kenneth A. Ellenbogen, MD, FHRS
Samuel J. Asirvatham, MD, FHRS
Jeanne E. Poole, MD, FHRS
Workshop #9: Arrhythmia Case Studies / Putting It All Together for the Boards
Kenneth A. Ellenbogen, MD, FHRS
John M. Miller, MD, FHRS
Gregory F. Michaud, MD, FHRS
Testable Concepts (PDF only)
Gregory F. Michaud, MD, FHRS
Special Added Lectures
Intracardiac Ultrasound in EP
Mathew D. Hutchinson, MD, FHRS
Transseptal Catheterization Techniques
David J. Callans, MD, FHRS, CCDS
Complications of EP Procedures - Avoidance and Management
David J. Callans, MD, FHRS, CCDS
Pericardial Access for Epicardial Mapping and Ablation
Roderick Tung, MD, FHRS
Faculty
John M. Miller, MD, FHRS
Indiana University School of Medicine|Director, Clinical Cardiac EP
Gregory F. Michaud, MD, FHRS
Vanderbilt University Medical School Chief, Arrhythmia Service|Professor of Medicine
Kenneth A. Ellenbogen, MD, FHRS
Virginia Commonwealth University Medical Center|Cardiology Chair
Samuel J. Asirvatham, MD, FHRS
Mayo Clinic|Professor of Medicine and Pediatrics
David J. Callans, MD, FHRS, CCDS
Hospital of the University of Pennsylvania
Edward P. Gerstenfeld, MD, FHRS
University of California, San Francisco|Professor
Mathew D. Hutchinson, MD, FHRS
Sarver Heart Center, University of Arizona|Attending Physician
Barry London, MD, PhD
University of Iowa|Professor
Francis E. Marchlinski, MD, FHRS
Hospital of the University of Pennsylvania, Cardiac Electrophysiology|Professor of Medicine
William M. Miles, MD, FHRS
University of Florida|Professor of Medicine
Jeanne E. Poole, MD, FHRS
University of Washington School of Medicine|Faculty
William G. Stevenson, MD, FHRS
Vanderbilt University Medical Center|Professor of Medicine
Gordon F. Tomaselli, MD, FHRS
Johns Hopkins University School of Medicine|Professor of Medicine
Roderick Tung, MD, FHRS
University of Chicago|Associate Professor of Medicine
Disclosure of Faculty's Commercial Relationship(s)
CME Disclosure Policy
The Heart Rhythm Society is committed to the provision of Continuing Medical Education (CME) that is balanced, objective, and evidence-based. The Heart Rhythm Society adheres to the Standards for Commercial Support (SCS) of the Accreditation Council for Continuing Medical Education (ACCME) which requires that those individuals in a position to control the content of an educational activity (including planners, faculty, authors, committee members, content reviewers, editors, and staff) disclose all relevant* financial relationships (for self and for individual's spouse/partner) with an ACCME-defined commercial interest** from the preceding 12 months.
Any individual who refuses to disclose financial relationships is disqualified from participating in HRS educational activities. Employees and Owners of ACCME-defined commercial interests can have no role in the planning or implementation of CME activities related to their products or services without a special exception from the HRS Chief Learning Officer that is granted only in specific circumstances that meet stringent ACCME requirements.
All relevant financial relationships are reviwed and mitigated.
Faculty Disclosures
Samuel J. Asirvatham, M.D
Honoraria/Speaking/Consulting Fee: MediLynx, Biosig Technologies, Boston Scientific, Biotronik, Medtronic, St. Jude Medical.
Intellectual Property Rights: AliveCor.
David J. Callans, MD, FHRS, CCDS
Honoraria/Speaking/Consulting Fee: Abbott, Biotronik, Boston Scietific, Medtronic, Biosense Webster, Coherex, Best Doctors.
Fellowship Support: Bosense Webster, Biotronik, Boston Scientific, Medtronik, Abbott.
Other Financial Relationships (Advisory Board Committee): Acutus Medical, Impulse Dunamics, Thermedical, AtriCure, Inc.
Kenneth A. Ellenbogen, MD, FHRS
Honoraria/Speaking/Consulting Fee: Boston Scientific, Biotronik, Medtronic, Kestra, Inc, MediLynx, Toray Industries, Hylomorph.
Edward Paul Gerstenfeld, MD, FHRS
Honoraria/Speaking/Consulting Fee: Medtronic, Inc., Boston Scientific Corp., Biosense Webster, Abbott.
Research (Contracted Grants for PIs and Named Investigators only): Biosense Webster, Inc, Farapulse.
Mathew D. Hutchinson, MD, FHRS
Honoraria/Speaking/Consulting Fee: Biosense Webster.
Barry London, MD, PhD
Nothing Relevant to Disclose.
Francis E. Marchlinski, MD, FHRS
Honoraria/Speaking/Consulting Fee: Biosense Webster, Inc., Abbott, Boston Scientific Corp., Medtronic, Inc., BIOTRONIK.
Research (Contracted Grants for PIs and Named Investigators only): St. Jude Medical, Biosense Webster.
Fellowship Support: Medtronic, Biotronik, Boston Scientific, St. Jude Medical, Biosense Webster.
Gregory F. Michaud, MD, FHRS
Honoraria/Speaking/Consulting Fee: Abbott, Medtronic, Boston Scientific, Biotronik, Bendin, Sumrall, & Ladner LLC.
William M. Miles, MD, FHRS
Honoraria/Speaking/Consulting Fee: Medtronic.
Fellowship Support: Medtronic, Boston Scientific, St Jude Medical, Biosense Webster, Inc, Biotronik.
John M. Miller, MD, FHRS
Honoraria/Speaking/Consulting Fee: Boston Scientific, Biosense Webster, Abott, Biotronik, Medtronic, BioSig.
Fellowship Support: Boston Scientific, Biosense Webster, Medtronic.
Jeanne E. Poole, MD, FHRS
Research (Contracted Grants for PIs and Named Investigators only): Kestra, Inc, AtriCure, Inc. Biotronik.
Honoraria/Speaking/Consulting Fee: Medtroic, Boston Scientific, EBR Systems.
William G. Stevenson, MD
Honoraria/Speaking/Consulting Fee: Novartis, Boston Scientific, Biotronik, Abbott.
Intellectual Property Rights: Biosense Webster, Inc.
Gordon F. Tomaselli, MD, FHRS
Other financial re/ship (Advisory Board): Amgen.
Roderick Tung, MD, FHRS
Speakers Bureau: Boston Scientific, Biotronik.
Travel/Entertainment: Abbott.
CME Compliance Subcommittee Disclosures
Peter F. Aziz MD, FHRS – Nothing to disclose
Marcie G. Berger. MD. PhD, FHRS – Nothing to disclose
Scott C. Brancato, MD, FHRS – Nothing to disclose
Janice Y. Chyou, MD, FHRS – Honoraria/Speaking/Consulting Fee: Medtronic
Scott J. Cox, MS, PAC, CEPS, CCDS – Honoraria/Speaking/Consulting Fee: ScottCare Inc.; Honoraria/Speaking/Consulting Fee: Abbott.
Sandeep K. Goyal, MD, FHRS – Honoraria/Speaking/Consulting Fee: Biosense Webster, Inc.
Peter A. Noseworthy, MD, FHRS – Nothing to disclose
Atul Prakash, MD, FHRS, CCDS, CEPS-A – Research Grants: BIOTRONIK
Heart Rhythm Staff Disclosures
Almaz Aria – Nothing to disclose
Laurel Blaydes – Nothing to disclose
Tracy Blithe, CMP – Nothing to disclose
Obse Debela – Nothing to disclose
Timothy Gregory – Nothing to disclose
Molly Holt, PMP, CMP – Nothing to disclose
Tonia Jones – Nothing to disclose
Anne Marie Smith, MBA, PMP – Nothing to disclose
Sarah Albright Alfano, MD, MBA, MPH – Nothing to disclose
Contact Information
CME Certificates will be awarded and available to download and print following the completion of the course and the course evaluation. Should you have any questions regarding your CME certificate, please contact CME@HRSonline.org.