CME Medical Conferences

ECG Interpretation w/ Holter Monitoring (New)

A Seminar for Medical ECG Interpretation with Holter Monitoring Training
CME Conference Description:

**Please note that starting in 2011, ECG Interpretation and Holter Monitoring will be held as seperate courses.

ECG Interpretation
The first section of the CME medical conference will focus on the evaluation of the ECG including intervals, waves, hypertrophy, heart blocks, and infarction patterns. The second section will apply these principles to the interpretation and evaluation of the ECG and its relationship to clinical abnormalities such as pericarditis, electrolyte effects, as well as technical problems, lead reversal, and errors in the ECG tracing. The third section will include both unknown ECG’s as well as interactive clinical case discussions. Indications and use of Holter monitoring will be reviewed. This CME medical conference assumes the attendee understands the basics of ECG's, however, brief reviews will ''refresh'' concepts for each topic and discussion will be more in depth.

Holter Monitoring
This four-hour course will provide an overview of Holter (Ambulatory ECG Monitoring) monitoring of patients.  Attendees should be competent in recognizing common arrhythmias.
The first section will review the history of Holter monitoring, the basic technique involved and the current indications.  Examples of equipment will be demonstrated. 
The second section will focus on the technical application, the settings and the proper instructions to patients.
The third section will concentrate on the interpretation of the results.  Common encountered arrhythmias will be reviewed and example Holter monitoring results will be discussed.
The fourth section detail proper codes utilized for reimbursement.  If a volunteer is available, application of equipment will occur on-site.

Consider registering for the Stress Testing and ECG Interpretation Value Package.

This activity has been reviewed and is acceptable for up to 15 Prescribed credits by the American Academy of Family Physicians.
The Texas Academy of Family Physicians designates this educational activity for a maximum of 15 AMA PRA Category 1 credits TM.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

Please click here to learn more about our accreditation.

CME Conference Credits: 15
CME Conference Objectives

ECG Interpretation
·   Compute the mathematical evaluation of the resting ECG, e.g., rates, interval lengths (blocks), QRS vectors (axis), etc.
·   Identify ECG abnormalities and review proper treatment and management.
·   Correctly interpret composite ECG findings and relate to clinical situations.
·   Analyze cardiac arrhythmias and summarize the proper treatment.
·   Differentiate non-pathologic from pathologic abnormalities frequently seen on the ECG, e.g., lead reversal, technical errors.

Holter Monitoring
·   Cite the indications for Holter monitoring.
·   Attach the Holter monitor to a patient.
·   Select the proper settings of the Holter monitor for a given patient based on symptoms, age, medications and other variables.
·   Assess the results of the Holter monitoring.
   − List the common rhythm abnormalities encountered with Holter monitoring and properly identify them
   − Risk-stratify patients based on confirmed rhythm abnormalities.
   − Identify patients with ST-segment abnormalities especially those with a previous diagnosis of ischemic heart disease.
·    Analyze the results of Holter monitoring and prepare a report
·    Properly code the completed procedure
CME Conference Fee: $1350


  Location Dates Discounted Fee
Caesar's Palace
Las Vegas, NV
Instructor(s): Russell White		9/16/2010 – 9/17/2010By Aug 16 2010 then $1250.00


You may also register by phone, fax or mail

CME Conference Agenda

Breakfast and Registration
7:30am – 8:00am daily

There will also be a daily 15 minute mid-morning and a 15 minute mid-afternoon break.

Day One
8:00-12:15pm
Overview/history
Principles of ECG’s/indications
ECG calculations:
P wave, P-R interval, Q wave, QRS complex, R wave, Q-T interval, S-T segment, T wave, U wave
Hypertrophy
Heart blocks
Infarctions

12:15-1:15pm
Lunch

1:15-5:00pm
Example ECG tracings
Pericarditis
Electrolyte effects
S-T segments
Special leads
Miscellaneous
Unknown ECG tracings
“Tournament of Tracings”

Day Two
8:00-Noon
Holter monitoring
Examples
Clinical case presentations
Unknowns
ECG workshop
Lead reversal, Errors, Pitfalls, Technical problems
Equipment and supplies
Coding and billing
Examples of coding/billing
Questions and answers

Noon-1:00pm
Lunch

1:00-5:00pm
History of Holter monitoring
Indications
 ·   Evaluation for arrhythmias
 ·   Assess therapeutic treatment of arrhythmias
 ·   Evaluation of silent ischemia
 ·   Evaluation of symptoms secondary to cardiac disease
  − Dizziness
  − Palpitations
  − Pre-syncope, near-syncope, syncope
Equipment Settings/ Technical Aspects
 ·   Settings—Automatic vs. Specific
 ·   Automatic
  − Pauses
  − Supraventricular ectopic settings
  − ST-segment settings
  − Tracings
 ·   Technical Aspects
  − Batteries
  − Wires
  − Electrodes
  − Device
Pre-test Procedure
 ·   Baseline-12-lead ECG
 ·   Attach Holter monitor
 ·   Diary instructions
 ·   Special cautions
 ·   Monitor return
Interpretation/ Analysis
 ·   Review of common arrhythmias found with Holter monitoring
 ·   Summary analysis
 ·   Full-disclosure analysis
Report
 ·   Patient profile
 ·   Indication for test
 ·   Baseline ECG
 ·   Trend analysis
  − Heart rate
  − ST-segment changes
  − Rhythm
  − Arrhythmia
Case studies
Codes/ Reimbursements
Questions/ Discussion/ Conclusions