SICP Update

Educational Cardiac Electrophysiology Guidelines: Society of Invasive Cardiovascular Professionals (SICP)

CVT Core Curriculum Topics

  1. Cardiac and Vascular Embryology
  2. Introduction to the Conduction System of the Heart
  3. Fetal Embryology and Circulation
  4. Introduction to Sinus Rhythms
  5. Introduction to Structural Characteristics of the Vascular System
  6. Abdominal and Peripheral Vascular Anatomy
  7. Gross Cardiac Anatomy and Adult Circulation
  8. Gross Cardiac Anatomy and CV Innervations
  9. CVT Seminar — Introduction to Echo, EP, INV, PVT, Endovascular
  10. The Cardiac Cycle
  11. Normal Hemodynamics
  12. Introduction to Basic Hematology and Coagulation
  13. Supraventricular Tachycardias
  14. Blocks — SA Node, AV Node
  15. Medical Math
    • Basics
    • Review of Number Relations and Introduction to Serial Dilution
    • Numerical Manipulation
    • Relating Properties of Fluid Motion to Numerical Values
    • Drawing Conclusions from Numerical Values
    • Doppler Physics
  16. Ventricular Rhythms
  17. Paced Rhythms
  18. 12-Lead Interpretation — Putting It All Together
  19. Normal and Abnormal Lab Values Associated with Various Disease States
  20. Introduction to Atherogenesis
  21. Vascular Disease States and Hemodynamic Findings
  22. Peripheral Arterial Disease
  23. Thrombogenesis and Introduction to DVT
  24. Correlations of Ischemic Heart Disease — Non-Invasive Testing
  25. Introduction to Myocardial Diseases
  26. The Acute MI
    • Correlate Clinical Presentation and Findings
  27. Introduction to CHF and Cardiogenic Shock
    • Hemodynamic Findings
  28. Introduction to Valvular Disease States
  29. Introduction to Cardiomyopathies
  30. Pericardial Diseases
  31. Hypertension and Renovascular Hypertension
  32. Congenital Heart Disease

EP Specialty Topics

  1. Introduction to EP
    • What is Cardiac Electrophysiology and How Did it Begin?
    • Review H&P
  2. Introduction to Sterile Techniques
    • Scrubbing
    • Donning Gowns
    • Donning Gloves — Open and Closed Glove Technique
  3. Infection Control
    • Hand Hygiene
    • Nosocomial Infections
  4. Non-Invasive Testing
    • Stress Testing
    • Tilt Table Testing
    • Holter Monitoring, Event Recorders, Loop Recorders
    • Pharmacologic Treatments of What? – consider as separate numbered item
  5. EP Instrumentation
    • Arterial and Venous Access Techniques and Tools
    • Device Implant Instruments — What’s on the Pacemaker Tray?
  6. Introduction to Patient Prep
    • Prepping 101 — Back to the Basics
  7. Cardiac A&P for the RCES
    • RA Structures/LA Structures
    • RV/LV Structures
  8. Introduction to Patient Care
    • Patient Safety
    • Moderate Sedation
    • Patient Assessment
  9. Review Patient Pathway (Symptoms to Discharge)
  10. EP Lab Observation — Roles and Responsibilities
  11. Introduction to Action Potentials
    • Identify Phases 0-4
    • Identify Ion Channels
  12. Action Potentials and Pharmacology
    • Vaughan-Williams Classification System
  13. Basic Introduction to Device E-grams
    • Near-field/Far-field
    • Identifying Nomenclature
  14. Radiation Production and Safety
    • X-ray Tube Anatomy
    • Principles of ALARA
    • Inverse Square Law
  15. Recognizing Anatomy Under Fluoroscopy
    • RAO/LAO Views
  16. Introduction to IV Therapy
  17. Introduction to Vascular Access and Management
  18. Introduction to Foley Catheters
  19. Principals of Electricity — Modules
  20. Equipment in the EP Lab
    • Recording System
    • EMR
    • Stimulation Box
    • Mapping System
    • RF Equipment
  21. Introduction to Intracardiac Echocardiography 
    • Images
    • Equipment
  22. Rhythm Disorders
    • Mechanism of Bradycardia
    • Mechanism of Tachycardia
  23. Fundamentals of Devices
    • Pacemaker Technology
    • Pacing Codes and Nomenclature
    • Implant Guidelines
    • Implant Techniques
    • Flow of Instrumentation
    • Lead Technology
  24. Bradycardia 
    • Single Chamber Concepts
      • Capture/Sense
    • Single Chamber ECG Analysis
    • Dual Chamber Concepts
      • Atrial Alert Period
      • AV Delay
      • PVARP
      • Ventricular Refractory Period
      • Ventricular Blanking Period/Crosstalk Detection Window
      • Ventricular Alert Period
      • Atrial Escape Interval
      • Rate-Responsive AV Delay
      • Four States of DDD Pacing
      • Upper Rate Behavior
    • Dual Chamber ECG Analysis
    • Special Features
      • ATP
      • AMS
      • Hysteresis
      • MTR/MSR
      • PMT
      • Rest-Rate
      • Rate-Responsive
  25. Introduction to Device Programmers
    • Vendor-Led Workshops
  26. Review Action Potential/Mechanism of Arrhythmia
  27. ICD/CRT Trials
  28. Venography
    • Equipment
    • Techniques
  29. CRT Programming — Vendor-Led Workshops
  30. Lead Extraction
    • Equipment
    • Techniques
  31. Pericardiocentesis
    • Equipment
    • Techniques
  32. Transseptal Approach
    • Equipment
    • Techniques
  33. Tilt-Table Testing
    • Patient Monitoring
    • Equipment
  34. Introduction to Basic EP Study
    • Protocols
    • Measurements
    • Channel Markers
    • Near-field/Far-field
  35. Introduction to Tachyarrhythmias
  36. EPS — Atrial Flutter/Atrial Fibrillation
    • Typical/Atypical
    • 3 P’s 
    • Eccentric/Concentric 
    • Orthodromic/Antidromic 
    • LA Anatomy (specific to Pulmonary Veins)
    • E-gram Indicators
    • Stim Protocols
  37. EPS — AVNRT
    • Dual Nodal Pathway
    • Eccentric/Concentric
    • Orthodromic/Antidromic
    • E-gram Indicators
    • Stim Protocols
  38. EPS — AVRT
    • Eccentric/Concentric
    • Orthodromic/Antidromic 
    • E-gram Indicators
    • Stim Protocols
  39. EPS — AT (MAT/FAT)
    • Eccentric/Concentric
    • Orthodromic/Antidromic 
    • E-gram Indicators
    • Stim Protocols
  40. EPS — VT (BBR-VT, OT-VT, Scar-VT) also Fascicular, VF, Consider Focal VT (can be inflow, pap muscle, etc.)
    • Eccentric/Concentric
    • Orthodromic/Antidromic 
    • E-gram Indicators
    • Stim Protocols
  41. Introduction to the OR/Hybrid Room
  42. Ablation Physics
  43. Introduction to 3D Mapping
    • Carto
    • EnSite
  44. CT/MRI Differential Imaging — Geometry of AFib
  45. Mapping Atrial Arrhythmias
    • AFib
    • Aflutter
    • AT
    • AVNRT
    • AVRT
  46. Mapping Ventricular Arrhythmias
    • BBR-VT and fascicular VT
    • OT-VT (focal)
    • Scar-VT
  47. Introduction to Array
  48. Registry Prep
  49. Mock Registry
  50. Certification Exam