IBHRE® Examinee's Overview of Core Concepts & Fundamentals

The purpose of this course is to assist the participant prepare for the IBHRE® Exam for Allied Professionals on Cardiac Rhythm Device Therapy. It is an overview of core concepts and fundamentals intended to help highlight areas of strength and weakness in order to assist the participant to study more effectively before the exam.

Target Audience

This course is designed for Associated Professionals with a working knowledge of device therapy. Most appropriate for those presently working in a device clinic or an implanting center. It is also intended for company representatives (sales reps and clinical support) with 2-3 years experience in the implantation and follow-up of cardiac rhythm devices.

Classes

  • Test Taking Hints and Suggestions
  • Indications for Device Therapy
  • Technical Aspects of Pacing
  • Pharmacology
  • Pacemaker Timing Cycles
  • Pacemaker ECG Analysis and Troubleshooting
  • Rate Modulation
  • Pacemaker EGM Analysis
  • X-Ray Interpretation
  • Device Implant and Complications
  • Technical Aspects of ICD Therapy
  • ICD Stored Electrograms Analysis
  • Heart Failure and CRT
  • CRT Optimization

Test your Practical Understanding of Device Function

The purpose of the following quiz based course is designed to test your practical understanding of device function. It is intended for individuals who have experience in device follow up and management.

The quizzes use a multiple choice format and are designed to be used as supplemental materiel to help Allied Professionals and Physicians who are preparing for the IBHRE® Exam on Cardiac Rhythm Device Therapy.

Classes

  • Device Function I (Brady)
  • Device Function II (Tachy)
  • Device Function III (Tachy)
  • Device Function IV (Brady and Tachy)
  • Device Function V (Brady and Tachy)
  • Device Function VI ( Brady and Tachy)
  • Device Function VII (Brady and Tachy)
  • Device Function VIII (Brady and Tachy)
  • Device Function IX (Indications)

Cardiovascular Foundations for Understanding Device Therapy

The purpose of this course is to provide individuals involved in the treatment of patients with cardiovascular devices with a basic overview of the terms, concepts, and principles that are key to developing a foundational understanding of Cardiovascular Device Therapy.

Classes

  • Introduction to Medical and Industry Terminology
  • Cardiovascular Anatomy and Physiology
  • Basic Electrophysiology of the Heart and the Electrical Conduction System
  • Understanding the Cardiology Patient and Diseases
  • Cardiac Medications
  • Fundamentals of the ECG and Rhythm Interpretation
  • Chronotropic Incompetence

Fundamentals of ECGs and Rhythm Analysis

The purpose of this course is to provide individuals involved in the care of the cardiac patient with a basic understanding of the electrical conduction system of the heart and the basic steps for conducting a systematic approach to analysis of the non-paced ECG.

Upon completion of this course, you should be able to:

  1. Correlate the basic electrophysiology of the heart with the cardiac cycle and ECG wave form
  2. Identify a five step process to systematically analyze an ECG rhythm strip
  3. Utilize a five step process for systematically analyzing an ECG to distinguish identify the types of Sinus rhythms.
  4. Identify different rhythm disturbances that originate in the atrium: PACs, Atrial Tachycardia, Atrial Flutter, and Atrial Fibrillation
  5. Utilize a five step process for systematically analyzing an ECG to identify the types of Junctional Rhythms
  6. Describe the various types of ventricular rhythms: PVC, VT, VF, Idioventricular, Accelerated Idioventricular, and Ventricular Asystole
  7. Utilize a five step process for systematically analyzing an ECG to identify the types of AV Blocks

Classes

  • Basic Electrophysiology of the Heart and the Electrical Conduction System
  • Fundamentals of the ECG and Rhythm Interpretation
  • Atrial Rhythms
  • Sinus Rhythms
  • Ventricular Rhythms
  • Junctional Rhythms
  • AV Block
  • ECGs Putting It All Together

Fundamentals of Cardiac Pacing 101 - Basic Terms and Concepts

The purpose of this course is to provide individuals interested in cardiac pacing technology with an understanding of the key technical terms and concepts upon which device technology is based.

Upon completion of this course you should be able to:

  1. Describe the basic electrical concepts that govern the way cardiac devices function.
  2. Identify and define the function of the four basic components of the pacing system.
  3. Define pacemaker functionality in terms of pacing, sensing, inhibition, capture, and thresholds.
  4. Identify and understand the four positions of the NBG code and describe their basic importance in identifying dual chamber and single camber device function.

Classes

  • Electricity 101
  • Basics of the Pacing System
  • Pacing 101
  • Pacemaker Codes and Modes

Fundamentals of Cardiac Pacing 102 - Device Operations

The purpose of this course is to provide individuals involved in the care of cardiac device patients with an understanding basic device operations by establishing a foundation in the understanding of pacemaker timing cycles and a systematic approach to analyzing pacemaker operations.

Upon completion of this course you should be able to:

  1. Describe the function of single chamber timing cycles
  2. Describe the function of atrial timing cycles
  3. Describe the function of ventricular timing cycles
  4. Execute a step by step approach for the analysis of single chamber and dual chamber pacemaker operations

Classes

  • Single Chamber Timing Cycles
  • Dual Chamber Timing Cycles: Atrial Part I
  • Dual Chamber Timing Cycles: Atrial Part II
  • Dual Chamber Timing Cycles: Ventricular
  • Intro to Paced ECGs and EGMs
  • Basics of Paced EGMs

Intermediate Level Cardiac Pacing Technologies

The purpose of this course is to provide individuals involved in the follow-up, analysis or management of pacemaker patients an increased understanding of device function and troubleshooting. Individuals who take this course should have a basic familiarity with timing cycles and pacing codes and modes.

Classes

  • Single Chamber Troubleshooting
  • Upper Rate Behavior
  • Advanced Dual Chamber Timing
  • Rate Responsive Pacing
  • Pacing Special Features I
  • Pacing Special Features II
  • Automatic Capture
  • Chronotropic Incompetence
  • Device Follow-Up
  • Pacemaker Follow-Up And Troubleshooting
  • Neurocardiogenic Syncope

Clinical Foundations for ICD Therapies

The purpose of this course is to provide individuals involved in the cardiac care of ICD patient or patient at risk for ventricular arrhythmias with a more in-depth look at the mechanisms for Tachycardia, clinical indications for device ICD therapy as well as a review of the methods of identifying and treating these patients.

Classes

  • Sudden Cardiac Death
  • Mechanisms of Tachycardia
  • Introduction to the EP Study
  • ICD Implantation

ICD Technology and Programming 101

The purpose of this course is to provide individuals involved in the care of patients with implantable cardioverter defibrillators (ICDs) with an understanding of how these devices are designed and programmed to appropriately sense and detect life threatening arrhythmias.

Upon completion of this course you should be able to:

  1. Identify the basic capabilities of an ICD and how brady pacing functions before, during and outside of a tachy episode.
  2. Describe how ICDs are designed and programmed to provide for appropriate sensing of ventricular arrhythmias.
  3. Identify the steps that an ICD goes through to detect and classify an arrhythmia
  4. Describe 4 means that an ICD uses to discriminate between supraventricular and ventricular tachycardias.

Classes

  • ICD Sensing
  • ICD Detection
  • SVT Discriminators
  • Bradycardia Pacing in the Presence of an ICD

ICD Technology and Programming 102

The purpose of this course is to provide individuals involved in the care of patients with implantable cardioverter defibrillators (ICDs) with an understanding of the therapies that these devices use to treat ventricular arrhythmias along with an understanding of the systematic approach need to follow these device to ensure that therapy delivery is appropriate.

Upon completion of this course you should be able to:

  1. Describe anti-tachycardia pacing (ATP) and the programmable elements of the therapy.
  2. Identify how and why shock therapy is delivered by an ICD.
  3. Describe the basic components of an ICD follow-up.
  4. Utilize a systematic approach to identify and troubleshoot problems that arise during an ICD follow up.

Classes

  • Anti-tachycardia Pacing (ATP)
  • ICD Shock Therapies
  • ICD System Evaluation and Patient Follow-Up Procedures
  • ICD System Evaluation Troubleshooting

Cardiac Rhythm Management for the Heart Failure Patient

The purpose of this class is to provide individuals involved in the care, monitoring, and follow up of cardiac patients with a detailed understanding of the pathophysiology of heart failure, the current methods of management of heart failure as well as a detailed understanding of how CIEDs are used in the management strategy.

Classes

  • Overview of Heart Failure
  • Mechanisms of Heart Failure
  • Heart Failure and CRT
  • Coronary Venous Anatomy
  • CRT Implant Procedure
  • CRT Optimization
  • Bi-Ventricular ECGs
  • The 12 Lead ECG

Non-Rhythm Related Cardiovascular Disease

Classes

  • CAD Pathophysiology
  • Overview of Cardiac Diagnostic Tests
  • Treatment of Coronary Artery Disease