 To preview portions of the 12 Lead ECG Interpretation Course, CLICK HERE. You will be able to view screenshots of important aspects of the course. Introduction to the 12-Lead ECG Online Course
 Overview :
When you register for this on-line course. you will be supplied all the instructional material needed to learn 12-lead ECG interpretation.
The material is separated into 10 modules and each should be opened in sequence. The on-line time required for each Module will be given as an approximate guideline. The actual required time will of course depend upon the background and experience of the student.
The modules will include the following :
Topics Covered -
A detailed outline of contents of the module.
Student Assignment -
Assigned reading from the textbook and workbook (offline).
Diagrams and 12-Lead Tracings -
A series of diagrams and tracings with special comments regarding the topic. The Tracings will represent examples of all the classic patterns you will encounter in your practice of medicine. They are carefully labeled to show the salient features of each pattern.
Homework Sets (graded on-line with immediate feedback) -
• 15 Practice Tracing Sets of 5 each (total of 75 Tracings) multiple choice matching.
• 7 homework sets consisting of a total of 80 fill-in-the blank or true/false questions with interactive answers.
Quizzes (graded on-line with immediate feedback) -
• 3 quizzes consisting of a total of 30 samples of tracings with interactive answers.
Final Comprehensive Exam -
Total of 100 questions consisting of :
60 fill-in-the blank matching and true/false questions
20 samples of tracings with matching answers
20 tracings with matching answers
Note:
If your Institution is registered as a Medical Education Partner, the Final Exam
may be retaken as per the guidlines of your Institution i.e.,
if your submitted Exam scored less than a specified pass rate, then you may retake the Exam at your convience and resubmit. The number of allowable retakes will be specified by your school.
CEU CREDIT:
This activity has been approved by the West Virginia Board of Registered Nursing for 30 CEs. The WVBRN is accredited by the ANCC. Because regulations vary with each state nursing board, we recommend that the practitioner check with his/her individual state nursing board to ensure that credit granted upon completion of the course will be honored.
CME CREDIT :
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of ACEP and Texas Chapter of ACEP and EMEDS. The American College of Emergency Physicians is accredited by the Accreditation Council for Continung Medical Education to provide continuing medical education for physicians. The American College of Emergency Physicians designates this educational activity for a maximum of 30 Category I credits towards the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity. Approved by the American College of Emergency Physicians for 30 hours of ACEP Category I credit.
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ECG Course Details...
The COURSE OUTLINE is listed below :
1. Electrical System of the Heart
A. Anatomy
B. Concept of Automaticity
C. Components of the P-QRS-T Complex
D. Intervals and their Normal Range: PR Interval, QRS Duration, QT Interval
2. Attachment of the Leads
A. Limb Leads and Einthoven's Triangle
B. Precordial Leads
3. Vector Concepts
A. Frontal Plane
B. Transverse Plane
4. Predicting the waveshape of the Normal 12-Lead ECG
A. Polarity of deflection on the ECG
B. Depolarization sequence and direction of the normal heart
C. Leads associated with areas of the heart
D. Parameters defining the normal 12-Lead ECG
E. Development of the predicted waveshape of the normal 12-Lead ECG
F. R-wave progression and the transition zone
5. Characteristic of the T-wave
A. Asymmetrical wave
B. HyperAcute T-wave
C. Inversion vs. upright
6. Characteristic of the ST-segment
A. ST-segment baseline
B. ST-segment elevation: (1). concave down, (2). concave up
C. ST-segment depression
7. ECG changes of ischemia
8. ECG changes of injury (acute myocardial infarction)
9. Concept of Reciprocity
10. ECG changes of old infarction
11. Locating the MI
A. Associated Leads with specified area of heart: (1). Inferior, (2). Septal, (3). Anterior, (4). Lateral, (5). High Lateral
B. Location of Reciprocal Leads
C. Right ventricular infarction
D. Posterior infarction
12. Development of the Patterns of the Following Aberrant Conduction
A. RBBB
B. LBBB
C. Left Anterior Fascicular Block (LAFB)
D. Bifascicular Block
E. Preexcitation Syndrome (WPW)
F. Left Posterior Fascicular Block (LPFB)
G. Primary and Secondary T-wave changes of RBBB and LBBB
13. Hexaxial System
A. Definition of Axis of Frontal Plane
B. Categories: (1). Normal Axis, (2). Right axis deviation, (3). Left axis deviation, (4). Severe right axis deviation
C. Calculation of axis (examples)
D. Rapid method to recognize axis more negative than -30 degrees
14. Concept of Hypertrophy
15. Criteria of LVH
16. Waveshape Distortion Due to LVH
A. ST-T changes of repolarization (strain)
B. Precordial Q-waves and ST-segment elevation (pseudoinfarction patterns)
17. Concept of Sensitivity and Specificity
18. Hypertrophy Criteria Relating to Age of Patient
19. Systematic approach to 12-Lead Analysis
A. Mnemonic with utilization of the acronym H-E-A-R-T to apply to every ECG
B. Example tracings interpreted with use of acronym and "Stanley's Heart Rule)
20. Putting it all in perspective
A. The LVH pattern and its associated ST-T changes and Q-waves
B. The LBBB pattern and its associated ST-T changes and Q-waves. Emphasis on the hazard (virtual impossibility) of diagnosis of the acute MI
C. ECG changes of ventricular aneurysm
21. Revisiting ST-segment Elevation
22. Revisiting ST-segment Depression
23. Revisiting T-wave Inversion
24. Revisiting Q-waves
25. Important Truisms: One-liners frequently misunderstood by the practitioner
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PREREQUISITES
The only prerequisite to taking this course is possessing a fundamental knowledge of the anatomy and physiology of the heart. A knowlege of common cardiac rhythms would be helpful but is not necessary.
INTERNET PACKAGE
To complete this course, the package includes all written material needed to use in conjunction with the internet electronic images :
A. Textbook - 12-Lead ECG Interpretation for Emergency Personnel by V. R. Stanley MD, PhD
B. Workbook - 12-Lead Workbook for the Medical Practitioner by V. R. Stanley MD, PhD
C. Stanley HEART Rule - by V. R. Stanley MD, PhD - a laminated guide of the essential parameters necessary for the interpretation of the 12-Lead.
D. Tracings Manual - by V.R. Stanley MD, PhD referred to from the internet course and contains in excess of 200 Tracing examples of common patterns you will encounter in your practice.
TIME REQUIREMENT
This will depend on the student's background and pre-knowledge of electrocardiography. The course is designed to be taken at the convenience of the student's schedule. In order to receive credit, the student must read the text, workbook, complete all homework, quizzes, and the comprehensive examination.
COST
The cost includes items listed in "Internet Package" and CME certificates. All homework, quizzes, and final exam will be graded online. The cost for college credit will be determined by the institution of higher learning with which you are registered.
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