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HeartRhythm Journal CME: March 2019 - Clinical presentation of ventricular-Hisian and ventricular-nodal accessory pathways
HeartRhythm CME-March 2019
Narrow QRS tachycardia or premature beat with bystander atrial activation or ventricular-atrial dissociation is an unusual arrhythmia that can present diagnostic and therapeutic challenges. When ventricular-atrial conduction is robust, these arrhythmias can be difficult to distinguish from atrioventricular nodal reentry. The purpose of this study was to describe the electrophysiology characteristics, diagnostic maneuvers, and treatment of these types of arrhythmias in a series of 7 cases. 
Roy Chung, MD
Oussama Wazni, MD, FHRS
Thomas Dresing, MD
Mina Chung, MD, FHRS
Walid Saliba, MD, FHRS
Bruce Lindsay, MD, FHRS
Patrick Tchou, MD 
Target Audience
This activity is designed for all professionals who participate in the care and management of heart rhythm disorders.
The Heart Rhythm Society designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The method of participation is online/electronic only.

The Heart Rhythm Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

If you are claming MOC, your answer(s) will be reviewed to ensure it meets Board requirements.   HRS reserves the right to rescind credt for any answer found to be inappropriate. 
CME Information

A CME Certificate (for physicians) or Certificate of Participation (for non-physicians) will be provided to individuals seeking credit from the following organizations which accept AMA PRA Category 1 Credit(s)™ or have identified credit awarded by ACCME accredited providers as being “substantially equivalent” to their own. Note that participants are advised to contact their certifying body for specific information regarding credit submissions:

· American Academy of Family Practice (AAFP) for elective credit

· American Academy of Nurse Practitioners Certification Board (AANPCB)

· American Academy of Physician Assistants (AAPA)

· American Nurses Credentialing Center (ANCC)

· American Osteopathic Association (AOA) for Category 2 credit

· Committee on Accreditation of Continuing Medical Education  (Canada) 

· European Board of Accreditation in Cardiology (EBAC)

· European CME Credits (ECMEC)

· German Chambers of Physicians

· Oman Medical Specialty Board 

· Qatar Council for Health Practitioners 

· Royal College of Physicians and Surgeons of Canada 

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 spouse/partner) with an ACCME-defined commercial interest within the 12 months prior to the disclosure.


Heart Rhythm Society takes steps to assure its learners and the public that the content of certified activities is accurate and reliable. The following principles are applied to the process of validating CME content. The content is peer-reviewed to ensure the following:

  • Fair Balance - that content is balanced among various options available for treatment and not biased toward a particular product or manufacturer.
  • Patient Treatment Recommendations - that patient treatment recommendations contained in the content are evidence-based, are appropriate for the target audience, and that the patient treatment recommendations contribute to overall improvement in patient care.
  • Scientific Validity - that scientific studies cited in the activity conform to standards accepted by the scientific community.
  • Learning Objectives - that the educational content supports the learning objectives of the activity, and that the objectives stated for performance-in-practice are actionable and measurable.
  • Omission and Commission - are there any studies, data, or best evidence that is missing?


Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 MOC point 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.


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 1 MOC point 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.

Availability: On-Demand
Available May 01, 2019 to Apr 30, 2021
Cost: FREE
Credit Offered: 1 ABIM-MOC Credit
1 ABP-MOC Credit
1 CME Credit
1 COP Credit
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