Cardiac Care: Advanced ECG Interpretation
- : Brisbane City QLD 4000
2 Day Seminar to Build on Your Existing KnowledgeOverview
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 ECG. Attending this seminar will build on your existing knowledge and assist you to understand advanced ECG’s and therefore improve patient outcomes.Purpose of Program
To improve patient outcomes for people who display complex cardiac arrhythmias by increasing ability to understand and interpret advanced ECG’s.Your Learning Outcomes
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:
- Conduction system
- Electrophysiology of the heart.
9:45amCardiac Axis and Axis Deviations
An understanding of cardiac axis and an ability to read and interpret axis deviations provides foundation knowledge of this seminar. This session will look at the following key principles:
- Which leads do we look at to measure axis deviation and why?
- What degree or shift is normal?
- Why would a current heading in one direction be significant?
- Right axis deviations - examples and common causes
- Left axis deviations - examples and common causes
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.
10:30amAtrioventricular Nodal Blocks
Atrioventricular node (also referred to as AV nodal, blocks).
- First degree heart blocks
- Second degree heart blocks
- Third degree heart blocks
11:00am - Morning Tea and Coffee
11:30amSinoatrial Nodal Blocks
This interesting session offers an in-depth look at the sinoatrial node or sinus node (also referred to as SA nodal, blocks), and its role in the pathophysiology of heart blocks.
Practice identifying 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.
1:00pm - Lunch Break and Networking
1:45pmRecognising Supraventricular Tachycardia
- Atrial fibrillation
- Atrial flutter
- Atrial tachycardia
- Junctional tachycardia
- Re-entry tachycardia
3:00pm - Afternoon Tea and Coffee
3:15pmChamber 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?
- 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.
4:30pm - Close of Day One of ProgramDay Two
9:00am - Commencement of Day Two
9:00amBundle 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:
- Right bundle branch block
- Left bundle branch block
- Left anterior fascicular block
- Left 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.
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.
- Mechanism of the disease
- Recognising the condition on an ECG trace
Practice testing 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 and Coffee
11:30amSupraventricular (SVT) versus Ventricular Tachycardias (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 looking at a range of ECGs and determine which are SVT and which are VT.
1:00pm - Lunch Break and Browse the Book Display
1:45pmUnusual 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.
- How does a long-QT syndrome appear on an ECG trace and why does it look like it does?
- Learn about Brugada Syndrome
- Why would pulmonary embolism be evident on an ECG trace?
- How do electrolyte derangements manifest on an ECG trace?
2:45pm - Afternoon Tea and Coffee
3:00pmFinal 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.
4:00pm - Close of Seminar and Evaluations
Freda spent 20 years working clinically in a variety of intensive care and cardiac units. Since then she has had extensive experience as a nurse educator in critical care, cardiac areas and resuscitation, both in Australia and Singapore. Recently she has worked as a clinical lecturer and maintains a special interest in all aspects of cardiac nursing and resuscitation. Freda has a Master of Education and a Post Graduate Certificate in Clinical Practice (Cardiac).