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“Certification
Examination of Competency in Cardiac Rhythm Device Therapy” for the
Physician and Allied Professional
Candidates are expected to have broad knowledge in three general
areas:
-
Basic science as it applies to cardiac pacing and device management of tachyarrhythmias includes the basic concepts of anatomy, physiology,
electrophysiology of conduction and stimulation, the mechanisms of bradyarrhythmias and tachyarrhythmias, and pathophysiology and pharmacology as
they pertain to implantable devices.
-
Applied science and technology, which includes pulse generator and lead
(electrode) design and function, the basic concepts of sensing (cardiac and extracardiac signals, crosstalk), stimulation (Ohm’s Law, the strength
duration curve, impedance, etc.) and knowledge of pacemaker and device timing
cycles.
-
Clinical practice, which includes indications for pacing and use of implantable antitachycardia devices (monitoring, complications, drug effects, programming
and results), electrocardiography and radiology. This material may be found in
journals and books on cardiac pacing.
In preparing for the IBHRE Exam, it is recommended that you
consult at least one general pacing/defibrillation textbook and a
significant array of review articles and reports of major clinical
trials. In addition, candidates are encouraged to study pertinent
articles in PACE (Pacing and Clinical Electrophysiology)
and JCE (Journal of Cardiac Electrophysiology).
Please be aware that the IBHRE Exam is not written after any
single text. The reading list that follows is provided as a guide for
your IBHRE Exam preparations. It is not intended to be an
exhaustive list of all excellent references in cardiac pacing and
defibrillation. Likewise, there is no guarantee that the answers to all
IBHRE Exam questions will be found within these references. It is
also possible that the references listed may have perceptions which
differ from those of IBHRE. For purposes of the examination,
the IBHRE interpretation will prevail.
The individual articles below focus on the trials concerning
defibrillation, since pacing trials are better covered in the textbooks.
IBHRE
Pacing Reading List 2006
Major Textbooks
-
Ellenbogen KA, Kay GN, Wilkoff BL, Lau CP. Clinical Cardiac Pacing and
Defibrillation. 3 ed. Philadelphia: W.B. Saunders, 2006
-
Hayes DL, Lloyd MA, Friedman RA. Cardiac Pacing and Defibrillation: A
Clinical Approach. Mount Kisco, NY: Futura, 2000.
Other
Books
-
Ellenbogen, KA, and
Wood,MA.
Cardiac Pacing and ICDs, third edition. Malden MA: Blackwell
Science, Inc.
-
Barold SS, Stroobandt RX,
Sinnaeve AF, Cardiac Pacemakers Step by Step: An Illustrated Guide. Mount Kisco,
NY: Futura, 2004.
Defibrillation
-
Kadish A, Dyer A, Daubert JP,
Quigg R, Estes NA, Anderson KP, Calkins H, Hoch D, Goldberger J, Shalaby A,
Sanders WE, Schaechter A, Levine JH. Defibrillators in Non-Ischemic Cardiomyopathy
Treatment Evaluation (DEFINITE) Investigators. Prophylactic Defibrillator
Implantation in Patients With Nonischemic Dilated Cardiomyopathy.
New England Journal of Medicine. 350(21):2151-8, 2004.
-
Bristow MR. Saxon LA. Boehmer
J. Krueger S. Kass DA. De Marco T. Carson P. DiCarlo L. DeMets D. White BG.
DeVries DW. Feldman AM. Comparison of Medical Therapy, Pacing, and
Defibrillation in Heart Failure (COMPANION) Investigators.
Cardiac-Resynchronization Therapy With or Without an Implantable Defibrillator
in Advanced Chronic Heart Failure. New England Journal of Medicine.
350(21):2140-50, 2004.
-
Wathen MS, Sweeney MO, DeGroot
PJ, Stark AJ, Koehler JL, Chisner MB, Machado C, Adkisson WO. PainFREE
Investigators. Shock Reduction Using Antitachycardia Pacing for Spontaneous
Rapid Ventricular Tachycardia in Patients With Coronary Artery Disease.
Circulation. 104(7):796-801, 2001.
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Moss AJ, Hall WJ, Cannom DS,
Daubert JP, Higgins SL, Klein H, Levine, JH, Saksena S, Waldo AL, Wilber D,
Brown MW, Heo M. Improved Survival With an Implanted Defibrillator in Patients
With Coronary Disease at High Risk for Ventricular Arrhythmia. Multicenter
Automatic Defibrillator Implantation Trial Investigators. New England
Journal of Medicine 1996; 335(26):1933-1940.
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Moss AJ, Zareba W, Hall WJ,
Klein H, Wilber DJ, Cannom DS, Daubert JP, Higgins SL. Prophylactic
Implantation of a Defibrillator in Patients With Myocardial Infarction and
Reduced Ejection Fraction. New England Journal of Medicine 2002;
346(12): 877-883.
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A Comparison
of Antiarrhythmic-Drug
Therapy With Implantable Defibrillators in Patients Resuscitated From
Near-Fatal Ventricular Arrhythmias. The Antiarrhythmics Versus Implantable
Defibrillators (AVID) Investigators. New England Journal of Medicine
1997; 337(22): 1576-1583.
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Causes of Death in the Antiarrhythmics Versus Implantable Defibrillators (AVID) Trial. Journal of
the American College of Cardiology 1999; 34(5): 1552-1559.
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Domanski MJ, Saksena S,
Epstein AE, Hallstrom AP, Brodsky MA, Kim S, Lancaster S. Relative
Effectiveness of the Implantable Cardioverter-Defibrillator and Antiarrhythmic
Drugs in Patients With Varying Degrees of Left Ventricular Dysfunction Who Have
Survived Malignant Ventricular Arrhythmias. AVID Investigators. Antiarrhythmics
Versus Implantable Defibrillators. Journal of the American College of
Cardiology 1999; 34(4): 1090-1095.
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Schron EB, Exner DV, Yao Q,
Jenkins LS, Steinberg JS, Cook JR, Kutalek SP, Friedman PL, Bubien RS, Page RL,
Powell J. Quality of Life in the Antiarrhythmics Versus Implantable
Defibrillators Trial: Impact of Therapy and Influence of Adverse Symptoms and
Defibrillator Shocks. Circulation 2002; 105(5): 589-594.
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Larsen G, Hallstrom A,
McAnulty J, Pinski S, Olarte A, Sullivan S, Brodsky M, Powell J.
Cost-Effectiveness of the Implantable Cardioverter-Defibrillator Versus Antiarrhythmic Drugs in Survivors of Serious Ventricular Tachyarrhythmias:
Results of the Antiarrhythmics Versus Implantable. Circulation 2002;
105(17): 2049-2057.
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Lee KL, Hafley G, Fisher JD,
Gold MR, Prystowsky EN, Talajic M, Josephson ME, Packer DL, Buxton AE,
Multicenter Unsustained Tachycardia Trial Investigators. Effect of Implantable
Defibrillators on Arrhythmic Events and Mortality in the Multicenter
Unsustained Tachycardia Trial. Circulation 2002; 106(2): 233-238.
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Buxton AE, Lee KL, DiCarlo L,
Echt DS, Fisher JD, Greer GS, Josephson ME, Packer D, Prystowsky EN, Talajic M.
Nonsustained Ventricular Tachycardia in Coronary Artery Disease: Relation to
Inducible Sustained Ventricular Tachycardia. MUSTT Investigators. Annals of
Internal Medicine 1996; 125(1): 35-39.
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Buxton AE, Lee KL, Fisher JD,
Josephson ME, Prystowsky EN, Hafley G. A Randomized Study of the Prevention of
Sudden Death in Patients With Coronary Artery Disease. New England Journal
of Medicine 1999; 341(25): 1882-1890.
-
Buxton AE, Lee KL, Fisher JD,
Josephson ME, Prystowsky EN, Hafley G. A Randomized Study of the Prevention of
Sudden Death in Patients With Coronary Artery Disease. Multicenter Unsustained
Tachycardia Trial Investigators. New England Journal of Medicine 1999;
341(25): 1882-1890.
-
Buxton AE, Lee KL, DiCarlo L,
Gold MR, Greer GS, Prystowsky EN, O'Toole MF, Tang A, Fisher JD, Coromilas J,
Talajic M, Hafley G. Electrophysiologic Testing to Identify Patients With
Coronary Artery Disease Who Are at Risk for Sudden Death. Multicenter
Unsustained Tachycardia Trial Investigators. New England Journal of Medicine
2000; 342(26): 1937-1945.
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Maron BJ, Shen WK, Link MS,
Epstein AE, Almquist AK, Daubert JP, Bardy GH, Favale S, Rea RF, Boriani G,
Estes NA, III, Spirito P. Efficacy of Implantable Cardioverter-Defibrillators
for the Prevention of Sudden Death in Patients With Hypertrophic Cardiomyopathy.
New England Journal of Medicine 2000; 342(6): 365-373.
Pacing
-
Gregoratos G, Abrams J,
Epstein AE, Freedman RA, Hayes DL, Hlatky MA, Kerber RE, Naccarelli GV,
Schoenfeld MH, Silka MJ, Winters SL, Gibbons RJ, Antman EM, Alpert JS,
Gregoratos G, Hiratzka LF, Faxon DP, Jacobs AK, Fuster V, Smith SC, Jr.,
Committee M, Task FM. ACC/AHA/NASPE 2002 Guideline Update for Implantation of
Cardiac Pacemakers and Antiarrhythmia Devices: Summary Article: A Report of the
American College of Cardiology/American Heart Association Task Force on
Practice Guidelines (ACC/AHA/NASPE Committee to Update the 1998 Pacemaker
Guidelines). Circulation 2002; 106(16): 2145-2161.
-
Ellenbogen KA. Cardiac Pacing.
Cardiology Clinics 18, 1-239. 2000.
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Josephson ME, Maloney JD,
Barold SS, Flowers NC, Goldschlager NF, Hayes DL et al. Guidelines for Training
in Adult Cardiovascular Medicine. Core Cardiology Training Symposium (COCATS).
Task Force 6: Training in Specialized Electrophysiology, Cardiac Pacing and
Arrhythmia Management. Journal of the American College of Cardiology
1995; 25(l): 23-26.
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Connolly SJ, Sheldon R,
Roberts RS, Gent M. The North American Vasovagal Pacemaker Study (VPS). A
Randomized Trial of Permanent Cardiac Pacing for the Prevention of Vasovagal Syncope. Journal of the American College of Cardiology 1999; 33(1):
16-20.
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Sutton R. Guidelines for
Pacemaker Follow Up. Report of a British Pacing and Electrophysiology Group (BPEG).
Heart 1996; 76(5): 458-460.
-
Connolly SJ, Kerr CR, Gent M,
Roberts RS, Yusuf S, Gillis AM, Sami MH, Talajic M, Tang AS, Klein GJ, Lau C,
Newman DM. Effects of Physiologic Pacing Versus Ventricular Pacing on the Risk
of Stroke and Death Due to Cardiovascular Causes. Canadian Trial of Physiologic
Pacing Investigators. New England Journal of Medicine 2000; 342(19):
1385-1391.
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Lamas GA, Lee KL, Sweeney MO,
Silverman R, Leon A, Yee R, Marinchak RA, Flaker G. Ventricular Pacing or
Dual-Chamber Pacing for Sinus-Node Dysfunction. New England Journal of
Medicine 2002; 346(24): 1854-1862.
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Goldschlager N, Epstein A,
Friedman P, Gang E, Krol R, Olshansky B, North American Society of Pacing and
Electrophysiology (NASPE) Practice Guideline Committee. Environmental and Drug
Effects on Patients With Pacemakers and Implantable Cardioverter/Defibrillators:
A Practical Guide to Patient Treatment. Archives of Internal Medicine.
161(5):649-55, 2001.
-
Lamas GA. Ellenbogen KA.
Evidence Base for Pacemaker Mode Selection: From Physiology to Randomized
Trials. Circulation. 109(4):443-51, 2004.
Biventricular Pacing
-
Ellenbogen KA, Kay GN, Wilkoff BL (eds.), Device Therapy for Congestive
Heart Failure Elsevier Science, Philadelphia, Pennsylvania, 2004.
-
Abraham WT, Fisher WG, Smith
AL, Delurgio DB, Leon AR, Loh E, Kocovic DZ, Packer M. Cardiac
Resynchronization in Chronic Heart Failure. New England Journal of Medicine
2002; 346(24): 1845-1853.
-
Cazeau S, Leclercq C, Lavergne
T, Walker S, Varma C, Linde C, Garrigue S, Kappenberger L, Haywood GA, Santini
M, Bailleul C, Daubert JC, Multisite Stimulation iC. Effects of Multisite Biventricular
Pacing in Patients With Heart Failure and Intraventricular Conduction Delay. New England Journal of Medicine 2001; 344(12):
873-880.
-
Kuhlkamp V, The I. Initial
Experience With an Implantable Cardioverter-Defibrillator Incorporating Cardiac
Resynchronization Therapy. Journal of the American College of Cardiology
2002; 39(5): 790-797.
-
Lozano I, Bocchiardo M,
Achtelik M, Gaita F, Trappe HJ, Daoud E, Hummel J, Duby C. Impact of
Biventricular Pacing on Mortality in a Randomized Crossover Study of Patients
With Heart Failure and Ventricular Arrhythmias. Pacing & Clinical
Electrophysiology 2000; 23(11 Pt 2): 1711-1712.
-
Saxon LA, De Marco T, Schafer
J, Chatterjee K, Kumar UN, Foster E, VIGOR C. Effects of Long-Term
Biventricular Stimulation for Resynchronization on Echocardiographic Measures
of Remodeling. Circulation 2002; 105(11): 1304-1310.
-
Stellbrink C, Breithardt OA,
Franke A, Sack S, Bakker P, Auricchio A, Pochet T, Salo R. Impact of Cardiac
Resynchronization Therapy Using Hemodynamically Optimized Pacing on Left
Ventricular Remodeling in Patients With Congestive Heart Failure and
Ventricular Conduction Disturbances. Journal of the American College of
Cardiology 2001; 38(7): 1957-1965.
Lead Extraction
-
Love CJ, Wilkoff BL, Byrd CL,
Belott P, Brinker J, Fearnot NE, Friedman RA, Furman S, Goode LB, Hayes DL,
Kawanishi DT, Parsonnet V, Reiser C, Van AR. Recommendations for Extraction of
Chronically Implanted Transvenous Pacing and Defibrillator Leads: Indications,
Facilities, Training. Pacing and Clinical Electrophysiology 2000;(23).
-
Wilkoff BL, Byrd CL, Love CJ, Hayes DL, Sellers TD, Schaerf R, Parsonnet V,
Epstein LM. Pacemaker Lead Extraction With the Laser Sheath: Results of the
Pacing Lead Extraction With the Excimer Sheath (PLEXES) Trial. Journal of
the American College of Cardiology 1999; 33(6): 1671-1676.
-
Kay GN, Brinker JA, Kawanishi
DT, Love CJ, Lloyd MA, Reeves RC, Pioger G, Overland MK, Ensign LG, Grunkemeier
GL. The Risks of Spontaneous Injury and Extraction of an Active Fixation
Pacemaker Lead: Report of the Accufix Multicenter Clinical Study and World-Wide
Registry. Circulation 1999; 100: 2344-2352.
-
Byrd
CL, Wilkoff BL, Love CJ,
Sellers TD, Reiser C. Clinical Study of the Laser Sheath for Lead Extraction:
The Total Experience in the United States. PACE 2002; 25(5): 804-808.
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"Certification Examination for Competency in Cardiac
Electrophysiology" for the Allied Professional
Candidates are expected to have basic knowledge
in three general areas:
-
Basic science as it applies to the management
of cardiac arrhythmias, which includes the basic concepts of anatomy,
physiology, electrophysiology of conduction, impulse formation, stimulation
and drug response, the mechanisms of tachycardia and bradycardia, as well as
the pathophysiology and pharmacology pertaining to their management.
-
Applied science and technology, which includes
the ablation and surgical management of arrhythmias, the electrocardiography
and mechanism of drug management of arrhythmias, pulse generator and lead
(electrode) design and function.
-
Clinical practice, which includes the
diagnosis, indications and results of arrhythmia and the management of
syncope. This knowledge can derive from clinical practice and from reading
journals and books concerning electrophysiology of arrhythmias.
Additionally, candidates are encouraged to
consult updated position statements and guidelines posted on the Heart Rhythm
Society website (http://www.hrsonline.org/).
Candidates should seek out major articles
concerning arrhythmias (particularly review articles) in the major journals in
cardiology over the past two decades. Pertinent articles also appear in Heart
Rhythm Journal, PACE (Pacing and Clinical Electrophysiology) and the
Journal of Cardiovascular Electrophysiology (JCE). The reading lists for
both examinations in Cardiac Pacing and Cardioversion Defibrillation and that in
Cardiac Electrophysiology should also be reviewed.
It must be emphasized that reading one or all
of the texts or articles in the reading list cannot guarantee successful
completion of the examination. No one source is utilized over another. The
reading list is not all-encompassing and the exam may contain material not
covered here. Additionally, the sources listed may have perceptions that differ
from IBHRE. For purposes of the examination, the IBHRE
interpretation will prevail.
IBHRE
AP/EP Reading List 2007
**New Additions
*Updated Editions
Aliot E, Clementy J, Prystowski E. Fighting
Sudden Cardiac
Death: A Worldwide Challenge. Armonk, NY: Futura Publishing Co, 2000.
Braunwald E, Zipes
D, Libby P (eds). Heart Disease: A Textbook of Cardiovascular Medicine. 7th
edition. Philadelphia, PA: W.B. Saunders, 2004.
*Ellenbogen, KA,
and Wood,MA. Cardiac Pacing and ICDs, 4th ed. Malden MA: Blackwell Publishing,
Inc., 2005.
Fisch C. Electrocardiography of
Arrhythmias. Philadelphia, PA: Lea & Febiger,
1990.
*Fogoros R.
Electrophysiologic Testing. 4th edition. Malden, MA: Blackwell Science, 2006.
Ganz L (ed).
Management of Cardiac Arrhythmias. Totowa, New Jersey: Humana Press, 2002.
Gregoratos G et al. ACC/AHA/NASPE 2002 Guideline Update for Implantation of
Cardiac Pacemakers and Antiarrhythmia Devices: A Report of the American College
of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2002; 106(16):2145-2161.
*Grubb B and Olshansky B. Syncope: Mechanisms and Management, 2nd edition, Armonk, NY: Futura
Publishing Co., 2005.
Hayes D, Lloyd M, Friedman P. Cardiac Pacing and
Defibrillation: A Clinical
Approach. Armonk, NY: Futura Publishing Co, 2000.
**Hayes D, Asirvatham S. Dictionary of Cardiac Pacing, Defibrillation, Resynchronization
and Arrhythmias 2nd edition. Minneapolis, MN: Cardiotext Publishing, 2007.
Hayes D, Maue-Dickson W, and Stanton M. Dictionary of
Cardiac Pacing
Electrophysiology and Arrhythmias. Miami Lakes, FL: Peritus Corp., 1993.
**Huang SK, Wood MA.
Catheter Ablation of Cardiac Arrhythmias. Philadelphia, PA: W.B. Saunders, 2006.
Huang S, Wilber D. Radiofrequency
Ablation of Aardiac Arrhythmias: Basic
Concepts and Clinical Applications. 2nd edition. Armonk, NY: Futura Publishing
Co, 2000.
Josephson M. Clinical
Cardiac Electrophysiology Techniques and Interpretations.
3rd edition. Philadelphia, PA: Lippincott Williams & Wilkins, 2002.
NOTE: OUT OF PRINT. SOMETIMES USED COPIES ARE AVAILABLE Klein G, Prystowsky E. Clinical
Electrophysiology Review. New York, NY:
McGraw-Hill, 1997.
Kost M. Moderate Sedation/Analgesia. 2nd edition. Philadelphia, PA: W.B.
Saunders Company, 2004.
Marriott H. Advanced
Concepts in Arrhythmias. 3rd edition. St. Louis, MO: CV Mosby, 1998.
Naccarelli G (ed). EPSAP, Electrophysiology Self-Assessment Program. Baltimore,
MD: Produced by the American College of Cardiology and Jointly Sponsored by
NASPE, 1998.
Obias-Manno D, Gura M, Shea J (eds.) Electrophysiology and Device Therapy. AACN
Clinical Issues 2004; 15(3): 303-497.
Ovsyshcher IE (ed). Cardiac
Arrhythmias and Device Therapy: Results and
Perspectives for the New Century. Armonk, NY: Futura Publishing Co., 2000.
*Podrid PJ and
Kowey RP. Cardiac Arrhythmia: Mechanisms, Diagnosis, and Management, 2nd
edition. Baltimore, MD: Williams & Wilkins, 2001.
Prystowsky E and Klein G. Cardiac arrhythmias. An
Integrated Approach for the Clinician. New York, NY: McGraw-Hill, 1994.
Rodeman BJ. Conscious Sedation During Electrophysiology
Testing and
Radiofrequency Catheter Ablation. Critical Care Nursing Clinics of North
America, 9(3): 313-324, 1997.
Rosen M, Spooner P (eds). Foundations of
Cardiac Arrhythmias: Basic Concepts and
Clinical Approaches. NY: Marcel Dekker, 2001.
Saksena
S and Luderitz B (eds). Interventional Electrophysiology. 2nd edition.
Armonk, NY: Futura Publishing Co., 1996.
Scheinman M. Arrhythmias. Electrophysiologic
Principles. Atlas of Heart Disease. Braunwald E (ed). St. Louis, MO: Mosby, 1996.
Schurig L, Gura M, and Taibi B. Educational
Guidelines. Pacing and
Electrophysiology. 2nd edition. Armonk, NY: Futura Publishing Co., 1997.
Singer I and Kupersmith J. Clinical
Manual of Electrophysiology. Baltimore, MD:
Williams & Wilkins, 1993.
Tawara S. The Conduction
System of the Mammalian Heart: An Anatomico-Histological
Study of the Atrioventricular Bundle and the Purkinje Fibers. River Edge, New
Jersey: World Scientific Pub. Co, 2000.
*Zipes DP, Jalife J (eds). Cardiac
Electrophysiology: From Cell to Bedside. 3rd
edition. Philadelphia, PA: W.B. Saunders Company, 1999.
Zipes DP, DiMarco JP, Gillette PC et al. Guidelines
for Clinical Intracardiac Electrophysiologic and Catheter Ablation Procedures.” ACC/AHA Task Force Report.
Circulation, 92: 673-691, 1995.
Zipes DP, Haissaguerre M (eds). Catheter
Ablation of Arrhythmias. 2nd edition.
Armonk, NY: Futura Publishing Company, 2002.
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