Cardiac Care: Advanced ECG Interpretation Seminar
- : Surry Hills NSW 2010
2 Day Seminar to Build on Your Existing Knowledge
Despite the rapid advances in investigative cardiology, the 12-lead ECG remains a cornerstone of cardiac assessment. As a nurse, you may often be involved in both performing and evaluating ECGs. However, if you are to perform this role competently, you will need extra tuition and guidance on a regular basis. Extend your knowledge by looking at advanced concepts such as:
- Heart blocks
- Bundle branch and fascicular blocks
- SVT and VT
- Chamber hypertrophy
- Unusual ECG abnormalities
This educational program is specially designed for nurses who already have a good, working knowledge of the 12-lead ECG and want to build on this.
Need for Program
The 12-lead ECG remains a cornerstone of cardiac assessment. Nurses are increasingly involved in both performing and evaluating ECGs. However, interpretation can be difficult, due to the complex nature of the underlying pathology and its manifestation on an ECG. Attending this seminar will build on your existing knowledge and assist you to understand advanced ECGs and therefore improve patient outcomes.
Purpose of Program
To improve patient outcomes for people who display complex cardiac arrhythmias by increasing the ability to understand and interpret advanced ECGs.
Your Learning Outcomes
- Revise the normal electrophysiology of the heart and relate it to the pathophysiology of cardiac arrhythmias
- Determine the cause of complex cardiac arrhythmias and how to identify them on ECG traces
- Describe the impact of and the evidence-based nursing actions for electrolyte derangements on cardiac function
- Appraise and consolidate skills in advanced ECG interpretation and the differentiation of abnormal cardiac rhythms through case discussion and practice
- Schedule Day One
8:30am - Registration and Refreshments
9:00amReview 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 electrophysiology of the conduction system in the heart
- The various ECG waveforms and intervals
- Einthoven’s triangle and the 12 lead ECG
- ECG vectors
10:30am - Morning Tea
11:00amDifferentiating the Different Heart Blocks
This interesting session offers an in-depth look at both sinoatrial exit blocks and atrioventricular nodal blocks. It will help you differentiate further between:
- First-degree heart blocks
- Second-degree heart blocks (type 1 and type 2)
- Third-degree heart blocks
12:30pm - Lunch and Networking
1:30pmBundle 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 practice identifying right and left bundle branch blocks and left fascicular blocks on an ECG trace. Learn how to clearly understand the distinctive features of these conditions. Learn about:
- Right bundle branch block
- Left bundle branch block
- Anterior fascicular block
- Posterior fascicular block
Practice identifying 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.
2:45pm - Afternoon Tea
3:15pmSupraventricular Tachycardia (SVT) Versus 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. Learn the causes of SVT and VT and the differences in treatment. This session will focus on the following types of SVT:
- Atrial fibrillation
- Atrial flutter
- Atrial tachycardia
- Junctional tachycardia
- Re-entry tachycardia
4:30pm - Close of Day One of SeminarDay Two
9:00am - Commencement of Day Two
9:00amChamber Hypertrophy and Enlargement
An interesting session that looks at the impact of chamber hypertrophy and cardiac enlargement on ECG traces. Practice testing your skills and see if you can figure out when part of the heart is enlarged in the displayed sample of ECG traces. What happens to the ECG trace when the following parts of the heart are enlarged?
- Left atrium
- Right atrium
- Left ventricle
- Right ventricle
Practice testing your skills and see if you can figure out when part of the heart is enlarged in the displayed sample of ECG traces.
This syndrome, a heart condition in which there is an extra electrical pathway in the heart, causes unusual traces on an ECG that 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 and practice testing your skills to see if you can identify this syndrome on an ECG trace. We will look at:
- The mechanism of the disease
- Recognising the condition on an ECG trace
Linking the pathophysiology to the ECG recording
11:00am - Morning Tea
11:30amUnusual ECG Abnormalities
This challenging 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. Explore:
- How does a long QT syndrome appear on an ECG trace and why does it look like it does?
- What is Brugada Syndrome?
- Why would pulmonary embolism be evident on an ECG trace?
- How do electrolyte derangements manifest on an ECG trace?
12:30pm - Lunch and Networking
1:30pm12-Lead ECG Changes Seen in Acute Coronary Syndromes
In this session, you will learn to interpret a 12-lead ECG with a specific emphasis on the patient experiencing cardiac chest pain. It will help you in identifying:
- The ECG changes associated with myocardial ischaemia, injury, and/or infarction
- Where in the heart the ischaemic event is occurring – anterior, lateral, inferior, or posterior
2:45pm - Afternoon Tea and Coffee
3:15pmFinal Practice Session
Can you defend the assumptions you are making about heart health from your interpretation of an ECG? Now is the time to ensure you understand the basics of ECG interpretation. Test how much you have learned from the program and ask any final questions to ensure you have absolute clarity in regard to this important nursing skill.
4:30pm - Close of Seminar and Evaluations
Joanne Reading is a clinical educator within the 42 bed ICU at the Royal Melbourne Hospital, which also services critically ill patients from the Peter MacCallum Cancer Centre and the Royal Women’s Hospital. Joanne holds a critical care graduate certificate and a master of health science with a focus on education. She is also the author of her own nursing education website called “Blogging for your Noggin”. With a special interest in all things cardiac and respiratory. Joanne is passionate about ensuring that education not only fosters critical thinking but is entertaining in the process!