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“Certification
Examination for Competency in Cardiac
Electrophysiology”
for the Allied Professional
Exam Content Outline
Revised 2008
I. Fundamentals of
Electronics 2%
A. Units of Measurement
1.
Basic
quantities
2.
Derived
quantities
B. Relationship of
Measurements
1.
Ohm’s Law:
Current, voltage and resistance
2.
Power and
energy
C. Signal Concepts
D. Electronic Circuitry;
Filter Settings
II. Cardiac Anatomy and
Physiology 4%
A.
Cardiac Anatomy
B. Hemodynamics of the
Cardiovascular System
III. Basic
Pharmacology
2%
A. Types of Drugs
B. Major Cardiovascular
Responses; Pharmacokinetics
IV. Basic
Electrophysiology
13%
A. Anatomy of the
Conduction System
B. Electrophysiology of the
Conduction System; Action Potential
C. Abnormalities of the
Conduction System
D. Mechanisms of Arrhythmia
1.
Reentry,
triggered activity, automaticity, anisotropy,
reflection
V. Clinical Assessment
8%
A. History
1.
No structural
heart disease
2.
Acquired
structural heart disease
3.
Congenital
heart disease
B. Cardiac Physical Exam
C. Non-invasive Diagnostic
Tests and Evaluation
1.
Signal average
ECG
2.
Tilt table
testing
3.
Ambulatory ECG
monitoring, Event monitoring
4.
Stress testing
5.
Echocardiography: TEE, ICE
6.
Novel
non-invasive diagnostic test technologies
D. Inherited Arrhythmia
Yyndromes, Channelopathies
VI.
Electrocardiography
8%
A. Normal Electrocardiogram,
Recognition
B. Transesophageal Electrocardiography
C. Recognition of
Arrhythmia, ECG Abnormalities
D. Recognition of Pacemaker ECG
VII.
Clinical Electrophysiology
10%
A. Initial Assessment
1.
Diagnostic
workup
B. Clinical Evaluation of
Arrhythmia
1.
Response to
drugs
2.
Response to
vagal maneuvers
3.
Emergency
management
C. Indications,
Contraindications for EP Study
VIII. Laboratory
Procedure 5%
A. Laboratory Supplies,
Equipment, Maintenance, Troubleshooting
B.
Patient Preparation for Procedure, ECG Setup
C.
Catheterization Techniques, Trans-septal Approach
D.
Recording Techniques
E.
Risks and
Complications
F. Informed Consent / Documentation / Chart Review
IX. Safety
(A–E: 4% F-G: 1%)
5%
A. Infection Control
B. Sterile Technique
C. Radiation Physics /
Safety
D. Electrical Safety
E. Drug Interaction
F. Device Interaction
G. Recalls and
Advisories
X. Invasive
Electrophysiology
13%
A. Baseline Assessment,
Calculations (BPM to Cycle Length), Interval Measurements
B. Methods of Recording and Evaluation
1.
Electrogram recognition
2.
Assessment of conduction system
3.
Determination of refractory
period
C. Stimulation Protocols
D. ECG Morphology During Intracardiac Pacing
E. Evaluation of Arrhythmia
1.
Supraventricular
tachycardia
2.
Ventricular tachycardia
3.
Response to stimulation
4.
Response to drug studies
5.
Differentiation of arrhythmia
mechanisms
XI. Mapping Techniques
10%
A. Indications
B. Procedural Considerations
C. Methods/Strategies
D. Novel Mapping Technologies
XII. Conscious sedation
2%
A. Intravenous Sedation
Analgesia in the EP Lab
XIII. Therapeutic Modalities
(A, B, D: 2%; C:
4%)
6%
A. Pharmacotherapy
B. Device Therapy
1.
Antitachycardia pacing
2.
ICD tiered therapy
C. Catheter Ablation
D. Surgical Therapy
XIV. Implantable devices
(Pacemaker, ICD, CRT, Loop recorder)
6%
A. Pacemaker Modes and Basic
Timing Cycles
B. Indications for Implantation of Devices, Implant Threshold Testing
and Implant Troubleshooting
C. Recognition of
Device Problems: EMI, Sensing, Capture,
Inappropriate Therapy
D. Lead Extraction
XV. Radiology (Chest x-ray, Fluoroscopy)
5%
A: Interpretation:
Implanted Devices
B: Interpretation: Clinical Symptoms / Diagnosis
C: Interpretation: Catheter Positions
XVI. Research Methodology &
Interpretation
1%
Successful completion of the IBHRE Certification Examination for
Competency in Cardiac Rhythm Device Therapy and/or IBHRE
Certification Examination for Competency in Cardiac Electrophysiology is not
a requirement to perform or participate in pacemaker related and/or
electrophysiology therapy, and does not attest to the overall capability or
competency of any physician or allied professional. These examinations are
written examinations only and do not include any testing in a practical setting.
IBHRE does not intend to interfere with or to restrict the professional
activity of a licensed physician because the physician has not successfully
completed the examination. Similarly, IBHRE does not intend to interfere
with or to restrict the professional activity of a non-physician because of
these examination processes.
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