CARDIAC ANATOMY AND CONDUCTION SYSTEM

An introduction to basic cardiac anatomy in relation to cardiac pacing, detailing conduction system and its conduction pathway.

TYPES OF PACEMAKER AND INDICATION

Presentation on Standard indication of bradyarrythmia for CIED implantation, indication based types of pacemaker.

ONLINE WEEKLY ASSESSMENT

ELECTRICAL CONCEPTS OF PACEMAKER

Electrical concepts are presented including Ohm's Law, stimulation thresholds, basic and derived quantities, units of measurement, relationship on voltage, current and resistance, and energy and power.

COMPONENTS OF PACEMAKER & LEAD DESIGN

Understanding about the electronic circuit components: capacitors, resistor, diodes, sensors and energy source. Discussion on lead types, insulation, electrodes, conductors and connectors.

"INTERACTIVE SESSION 1
&
ONLINE WEEKLY ASSESSMENT"

NBG CODES AND BASIC TIMING CYCLES

Explaination of NASPE generic-code concept to pacemakers, introduction to Timing cycles of pacemaker - single chamber timing cycle (lower rate, rate response, hystersis rate, sleep/rest rate, refractory period, blanking period).

ADVANCED TIMING CYCLES

Dual chamber timing cycles - atrial based/ventricular/modified atrial based timing, upper rate/2:1 rate behaviour, av dealy, pvarp, pvab, pavb & mode switch rate.

ONLINE WEEKLY ASSESSMENT

SENSING AND PACING CONCEPTS OF CIEDS

Understanding of sensing, threshold, impedence, evoke reponse, polarization effect, pulse amplitude, pulse width, sensitivity, configuration - pace/sense, polarity switch.

PACEMAKER IMPLANTION

Understanding about the protocals and steps during pacemaker implant, fluroscopy views, lead positions, intra operative measurement during implant.

"INTERACTIVE SESSION 2
&
ONLINE WEEKLY ASSESSMENT"

BRADYCARDIA ALGORITHM - PART I

presentation on algorithms - auto extension of av delay to promotes intrinsic rhythm, auto adjustment of output, auto sensing, cross talk prevention.

BRADYCARDAIA ALGORITHM - PART II

Presentation on algorithms - prevent crosstalk, prevent PMT, intervene and Terminate PMT, atrial tachy prevention and termination algorithms for neurocardiogenic syncope/vasovagal syncope.

ONLINE WEEKLY ASSESSMENT

PACEMAKER FOLLOW UP AND TROUBLESHOOTING

Case based discussion - Tests during follow up, application of algorithms realtime EGM, clinical interpretaion of chronic diagnostics and data.

INTRODUCTION TO TACHYCARDIA THERAPY

Presentation and discussion on indication for icd, when and how to decide for dual chamber ICD, ATP & Shocks, discussion on single/dual coil, truebipolar/integrated bipolar lead.

"INTERACTIVE SESSION 3
&
ONLINE WEEKLY ASSESSMENT"

CASCADE OF ICD

Understanding functional flow of icd - Sensing, Detection, Discrimination and Therapy.

ICD FOLLOW UP AND TROUBLESHOOTING

Case based discussion - Tests during follow up, application of algorithms realtime EGM, clinical interpretaion of chronic diagnostics and data, How to intervene appropriate vs inappropriate episodes.

ONLINE WEEKLY ASSESSMENT

INDICATION AND IMPLANTATION TECHNIQUES OF CRT

Presenation on indiaction of CRT, Mechanism of CRT, understanding the steps and fluroscopy views for CRT implant, cannualtion of CS and its Tributory, How to choose best tributory vien for CS lead.

CRT POST IMPLANT OPTIMIZATION AND TROUBLESHOOTING

Case based discussion - test during follow, programming strategies - lv off set, anodal stimulation, pacing vetor selection, av delay optimization, case based troubleshooting.

"INTERACTIVE SESSION 4
&
ONLINE WEEKLY ASSESSMENT"

CSP - DEFINITION AND ECG PATTERNS

Presenation on emerging alternative pacing modality, introduction to CSP, entities of CSP, ECG patterns of CSP.

CSP - TOOLS AND IMPLANTATION TECHNIQUES

Understanding about the industry tools for CSP, steps to follow for CSP case, fluroscopy view, intraoperative test for confirming CSP cature.

ONLINE WEEKLY ASSESSMENT

CSP - PROGRAMMING CONSIDERATION AND FOLLOW UP PROTOCOL

Case based discussion on progarmming options for CSP, algorthims to be on/off for CSP, output optimization, test dusring follow up.

LEADLESS PACEMAKER

when to choose Leadless pacemaker, implantation technique and programming leadless pacemaker.

"INTERACTIVE SESSION 5
&
ONLINE WEEKLY ASSESSMENT"

SUBCUTANEOUS ICD

Indication for S-ICD, implanantion technique of S-ICD, programming and therapy of S-ICD, egm analysis in S-ICD, ATP in S-ICD.

CIED - BEHAVIOUR DURING BATTERY DEPLETION

Understanding of CIED during battery depletion, behaviour during maget in ERI, Therapy withold during ERI.

ONLINE WEEKLY ASSESSMENT

PROGRAMMING CONSIDERATION - SURGERY/MRI

Interference in CIED behaviour during surgery/MRI scanning, programming consideration for patient with CIED bferore and after procedure.

AN OVERVIEW - REMOTE MONITORING AND REMOTE PROGRAMMING OF CIEDS

Current technology on remote monitoring in industry, advantages of remote monitoring, evolution of technology, remote programming and its need.

"INTERACTIVE SESSION 6
&
ONLINE WEEKLY ASSESSMENT"

REVISION - BRADYCARDIA

Summarizing bradycardia pacemaker and its functions.

REVISION - IMPLANTABLE DEFIBRILLATORS

Summarizing on ICD and its functions.

REVISION - CRT/CRTD/CSP

Summarizing CRT/CRT-D/CSP.

OPEN SESSION

Discussion on completed topic, exam date and outline discussion, result date, feedback on course, closing.

FINAL ASSESSMENT