Evaluation of Suspected Cardiac Arrhythmia

Overview

4.6 out of 5 (352 Reviews)

Credits

1.50

Post Assessment Questions

5

Start Date

1 Sep 2023

Last Review Date

1 Sep 2023

Expiration Date

31 Aug 2026

Estimated Time To Finish

90 Minutes


 
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Activity Description

Three goals should be kept in mind when approaching a patient with suspected cardiac arrhythmia. These include understanding symptoms typically associated with cardiac arrhythmias, deciding whether the patient has potential risks of dying from an arrhythmia, and choosing the correct means of documenting the suspected rhythm disorder. Establishing a probable cause of an arrhythmia refers to the likelihood that an arrhythmia exists and is based on certain symptoms obtained in the history. An in-depth risk assessment is undertaken if there is a reasonable concern that death may be an outcome. This is largely based on a family history of sudden death, evidence of structural heart disease, or, in the case of the primary arrhythmia syndromes, unique ECG abnormalities. Making the diagnosis means documenting the arrhythmia and, in particular, linking it to the patient's symptoms. The best way to do this is to provide some form of ambulatory monitoring that brings the two together. This article outlines the various symptoms of cardiac arrhythmias, and their pathophysiologic basis, provides guidance in making a risk assessment and discusses the various means of reaching the correct diagnosis. It highlights the role of the interprofessional team in caring for patients experiencing arrhythmias.

Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Outline the three main goals when approaching the patient with suspected arrhythmia.
  • Explain how sustained low heart rates affect cardiac output and blood pressure, whether due to sinus bradycardia or AV block with rates in the 30 to 50 bpm ranges.
  • Describe how tachyarrhythmias affect blood pressure, particularly those with an abrupt onset and rates exceeding 160 to 180 beats per minute.
  • Summarize the three types of ambulatory monitoring devices and comment on when one might choose one over the other.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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American Board of Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

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  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

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Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

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Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

Lauren J. on 1/4/2023

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None

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Emily S. on 1/10/2023

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joy M. on 1/9/2023

Thanks

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Edward J. on 1/15/2023

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christine w. on 1/15/2023

Katie F. on 1/15/2023

I have recently retired as a certified school nurse and completed this CEU to increase my knowledge in a different field of expertise. It was excellent. However, filling out your basic information and eval was difficult due to the wording. As a retired nurse, I am still sharing knowledge, expertise and working with organizations. My practice is no longer with a particular healthcare team.

Debra P. on 1/16/2023

no coment

Sandra O. on 1/18/2023

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lori d. on 1/18/2023

Maria M. on 1/18/2023

Good course

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none

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Madeline M. on 1/30/2023

Lindsay G. on 1/30/2023

thank you very much; very informative

Terrence P. on 1/30/2023

Karen J. on 1/30/2023

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NICOLE H. on 1/30/2023

Diane B. on 1/30/2023

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Alaina C. on 1/30/2023

Videos and EKG illustrations are heartily welcomed for suspicion of cardiac arrhythmia.

Dung N. on 2/3/2023

Kristen C. on 1/31/2023

Kimberly P. on 1/31/2023

thanks

Julio B. on 1/31/2023

Taylor R. on 1/31/2023

richard b. on 1/31/2023

Desiree R. on 1/31/2023

It would be helpful if one could click on Figure names to go to figure immediately rather than having to scroll through entire article to see figure references….then have a return to text button to return to where you left to see Figures at end of article. (Mobile device use)

Nicole L. on 2/1/2023

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gracias por el curso

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MARIVI B. on 2/4/2023

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NUNTA C. on 2/9/2023

Yeah

Lawal H. on 2/9/2023

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Thank

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Lindsey M. on 3/1/2023

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Tasha C. on 3/2/2023

It was very good

Safak R. on 3/3/2023

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Abhirami R. on 3/11/2023

Rita O. on 3/11/2023

thank you for such life saving information

tamica c. on 3/11/2023

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This activity was excellent.

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