8:30am - Registration and Refreshments
9:00am - Review of Cardiac Electrophysiology
In order to interpret electrocardiograms (ECGs), it is essential that you understand the underlying electrophysiology and conductive mechanisms of the heart and how they impact on the heart's function.
This introductory session will set the scene for the two-day program. It will rapidly refresh and review your knowledge of the:
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Conduction system; and
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Electrophysiology of the heart.
9:45am - Heart Blocks
Heart block occurs when the electrical system of the heart is impaired. Importantly, heart block can be caused by a blockage in any part of the electrical conduction system of the heart. This has wide implications for the appearance of an ECG trace.
The remainder of the morning sessions will review the heart block in some detail. You will revise the different types of heart block and their underlying pathophysiology. This will enable you to better understand the rationale behind their characteristic presentation and appearance on the ECG trace.
Sinoatrial Nodal Blocks
This interesting session offers an in-depth look at the sinoatrial node or sinus node, and its role in the pathophysiology of heart blocks.
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Sinoatrial node, also referred to as SA nodal, blocks.
10:30am - Morning Tea & Coffee
11:00am - Atrioventricular Nodal Blocks
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Atrioventricular node, also referred to as AV nodal, blocks.
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First degree heart blocks
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Second degree heart blocks
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Third degree heart blocks
12:00pm - Practice Session
Practice: Identify SA nodal blocks and AV nodal blocks on an ECG trace. Clearly understand the distinctive features of these conditions. Describe why they look as they do.
12:30pm - Lunch Break & Networking
1:30pm - Bundle Branch Blocks and Fascicular Blocks
Both these types of heart blocks are conduction abnormalities that can be identified on the ECG. In this session, you will learn about:
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Right bundle branch block
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Left bundle branch block
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Left anterior fascicular block
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Left posterior fascicular block
Practice: Can you identify right and left bundle branch blocks and right and left fascicular blocks on an ECG trace? Learn how to clearly understand the distinctive features of these conditions.
3:00pm - Afternoon Tea & Coffee
3:30pm - Mechanism of Arrhythmia
Learn about the mechanisms of arrhythmias. This session will look at three basic tachycardia mechanisms and their effect on ECG traces.
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Three basic tachycardia mechanisms:
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Abnormal automaticity
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Triggered activity
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Re-entry
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How can you differentiate between these three types of tachycardia on ECG traces?
4:00pm - Close of Day One of Program
Start of Day Two
9:00am - Chamber Hypertrophy and Enlargement
An interesting session that looks at the impact of chamber hypertrophy and cardiac enlargement on ECG traces. What happens to the ECG trace when the following parts of the heart are enlarged?
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Left atrium
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Right atrium
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Left ventricle
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Right ventricle
Practice: Test your skills and see if you can figure out when part of the heart is enlarged in the displayed sample of ECG traces.
10:00am - Wolff-Parkinson-White Syndrome
This syndrome, a heart condition in which there is an extra electrical pathway in the heart, causes unusual traces on an ECG which you need to be aware of.
This session will look at this syndrome in some depth and explain why the ECG trace presents in such a manner. It will also show you how to identify this condition on an ECG trace.
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Mechanism of the disease
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Recognising the condition on an ECG trace
Practice: Test your skills to see if you can identify this syndrome on an ECG trace. Link the pathophysiology to the ECG recording.
11:00am - Morning Tea & Coffee
11:30am - Superventricular (SVT) vs. Ventricular Tachycardia (VT)
It is important that you can quickly determine whether a person is experiencing SVT or VT. In this session, you will learn to determine, at a glance, whether a person has SVT or VT.
What are the causes of SVT and VT and how do these manifest on an ECG trace? Also, learn about the major differences in treatment - what are they?
Practice: Look at a range of ECGs and determine which are SVT and which are VT.
1:00pm - Lunch Break and Browse the Book Display
2:00pm - Unusual ECG Abnormalities
This challenging afternoon session will look at some of the aberrant and less common cardiac disorders, that cause ECG traces to be abnormal. In this session, you will continue to be challenged and asked to connect underlying cardiac function to ECG traces.
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How does a long-QT syndrome appear on an ECG trace and why does it look like it does?
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Learn about Burgarda Syndrome
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Why would pulmonary embolism be evident on an ECG trace?
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How do electrolyte derangements manifest on an ECG trace?
3:00pm - Afternoon Tea & Coffee
3:15pm - Final Practice Session
Can you defend the assumptions you are making about heart health from your interpretation of an ECG? How is the time to ensure you understand the basics of ECG interpretation.
Test how much you have learned form the program, and ask any final questions to ensure you have absolute clarity in regard to this important nursing skill.
4:00pm - Close of Program and Evaluations
James McVeighJim is an authorised Nurse Practitioner in the field of High Dependency Nursing (Coronary Care/Cardiology). In this role, Jim is employed as the Co-ordinator of the Heart Failure Service at The Prince of Wales Hospital, Randwick. He was a founding member of the Australian Nurse Practitioner Association. In addition, Jim is a member of the Australasian Cardiovascular Nursing College. Jim’s postgraduate qualifications are: Coronary Care Certificate, Bachelor of Health Science (Nursing) and a Master of Clinical Nursing. He is well known as a knowledgeable and engaging teacher.
Ross ProctorRoss is currently employed as the Cardiac Nurse Educator at the Prince of Wales Hospital, Sydney. Ross has more than twenty years experience in cardiac nursing. This includes six years co-ordinating a post graduate cardiac nursing course. Ross is an accredited Advanced Life Support instructor with the Australian Resuscitation Council. Ross’ current professional representations include being a founding member and the President of the Australasian Cardiovascular Nursing College and NSW representative on the Cardiovascular Nursing Council of the Cardiac Society of Australia and New Zealand (CSANZ). Prior to this Ross was a past President of the Cardiac Nurses Network of Australia and New Zealand.