Course # 9036 • Clinical Management of Ventricular Arrhythmias
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- Define basic concepts of normal cardiac conduction, including cellular events, and normal electrocardiogram (ECG) waveform.
- Identify premature ventricular complexes (PVCs), including electrophysiological characteristics, patterns of occurrence, related symptoms and common precipitating causes.
- Describe monomorphic ventricular tachycardia, including electrophysiological characteristics, impact on physiological functioning, and underlying pathophysiology.
- Identify polymorphic ventricular tachycardia, including electrophysiological characteristics, impact on physiological functioning, and underlying pathophysiology.
- Describe ventricular fibrillation, including electrophysiological characteristics, impact on physiological functioning, and underlying pathophysiology.
- List key points in the American Heart Association's "Chain of Survival," including the use of automated external defibrillators (AED).
- List key points in the emergency management of life-threatening ventricular arrhythmias for patients, as recommended by ACLS guidelines.
- Outline the assessment, diagnosis, and risk stratification process for patients who have, or are deemed to be at risk for, ventricular arrhythmias.
- Describe the management of PVCs and nonsustained VT in persons with and without heart disease.
- State major indications for implantable cardioverter-defibrillators (ICDs) and outline the basic components, functions, therapy options, and implantation procedure for current generation ICDs.
- Discuss basic discharge education, home safety measures, psychosocial considerations, and medical follow-up for a person post ICD-implantation.
- Discuss problems that may occur with ICD functioning, including ICD storm, delivery of inappropriate shocks, and failure to deliver therapy.
- Describe the use of antiarrhythmic medications in the long-term management of ventricular arrhythmias.
- Describe additional therapies that may be used in the management of ventricular arrhythmias, including the optimization of medical therapy for underlying heart disease and the use of ventricular reconstruction surgery.
- Discuss current trends and issues in the management of persons who have, or are at risk for, ventricular arrhythmias.
- Using simulated clinical data, discuss the clinical management of a person with ischemic cardiomyopathy and nonsustained ventricular tachycardia, and the clinical management of a person who experiences multiple ICD shocks.
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