The Basics Module 4 (Basics-Module 4) 

Module 4 reviews the materials that are taught in the ElectrophysiologyTraining Program, Basic Course. You may review the material at your leisure for review or take the quiz for CEU credit.  You may visit the site multiple times before you take the quiz for credit, as the goal is mastery of the material.  The link to the quiz is found on the classroom page on the left margin. We hope you enjoy the course.

Narrow and Wide QRS Tachycardias

COURSE DESCRIPTION AND INTENDED AUDIENCE:

The purpose of this 2 hour module is to acquaint the electrophysiology lab staff or electrophysiology nurse with the types and criteria of wide and narrow QRS tachycardias.

COURSE OBJECTIVES:  Upon completion of this module the learner will be able to:

 1. List 2 types of narrow-QRS tachycardia. 

2.  Describe the anatomy which supports AV node reentry tachycardia (AVNRT).

3.  Detail the criteria for rhythm strip analysis in the most common form of AVNRT.

4.  State the most common ablative approach to AVNRT.

5.  Differentiate AVNRT from the tachycardia of Wolff-Parkinson-White (WPW) on a 12 lead EKG.

6.  Describe the embryological origin of WPW syndrome.

7.  Define the criteria for rhythm strip analysis in SR with WPW syndrome and describe the reasons for each abnormal finding.

8.  Determine pathway locations in WPW using V1 and V2 in sinus rhythm.

9.  Define orthodromic and antidromic circus movement tachycardias (CMT).

10. Differentiate orthodromic from antidromic CMT.

11. State the conditions under which WPW syndrome is treated and the most common treatment approach.

12. Define aberrant ventricular conduction.

13. Identify aberrant ventricular conduction on a rhythm strip.

14. State the lead of the 12 lead EKG most useful in the diagnosis of aberrant ventricular conduction.

15. Describe the morphology of the QRS found most often in aberrant conduction.

16. List the 6 EKG criteria examined for determination of VT.

17. Describe the QRS configurations which may be seen in VT.

18. Define AV dissociation.

19. State the more common axis findings with VT.

20. Define capture and fusion beats.

21. Describe concordance of the precordial leads.

22. Analyze a 12 lead EKG with wide QRS, assessing for the 6 VT criteria.