PROPOSED SYLLABUS FOR BPEG EXAM



PROPOSED SYLLABUS FOR BPEG EXAM – July 2004

1. Anatomy of the heart.

Structure, blood supply, conduction system, cardiac cycle, action potential, automatism of cardiac muscle. Cellular physiology.

2. Haemodynamics.

Normal physiology, the vascular system, autonomic regulation , cardiac output - exercise, Cardiac failure, A-V synchrony.

3. Pathology.

Sinus node disorders, aetiology, clinical findings. Related syndromes, Brady/tachy syndrome, Chronotropic incompetence, Carotid sinus syndrome, Conduction system disorders. Cardiac arrhthmias. Indications for pacing. Cardiomyopathy. Sudden Cardiac Death. Heart failure.

4. Pacemakers defibrillator, atrial tachycardia devices and Biventricular devices.

Device circuitry, Sensing technology, battery technology. Capacitors. Conductors and impedance.

Lead technology, unipolar bipolar, connectors, high impedance / low impedance leads. Steroid eluding, Strength duration curves. Defibrillator testing. Shock polarity.

Sensor technology. Rate adaptive pacing. Mode switching . Pacemaker / defibrillator and lead codes. Implant indications. Battery depletion. Device headers. Lead adaptability. Lead and device extraction. Defibrillator / pacemaker box change. EMI.

5. Clinical concepts.

Implantation - transvenous, epicardial techniques. Lead positioning. Generator change. Radiography of implanted devices. Complications of implantation. Antibiotic cover and devices. All aspects of infection. Pacemaker syndrome. Implant complications. Management of infected implanted devices. Wound evaluation. Metabolic stress testing.

6. Pacemaker, defibrillator, atrial tachycardia and cardiac resynchronisation electrocardiography.

Timing cycle and parameter characteristics. Diagnostic and evaluation of device programming, malfunction, optimisation. Atrial fibrillation \ Defibrillation detection algorithms.

7. Follow up of the paced patient.

8. Follow up of the patient with a cardiac resynchronisation device.

9. Follow up of the patient with an implanted defibrillator.

10. EMI and implanted devices.

11. Lead extraction.

12. Drugs.

Antiarrhythmic drugs and effect on defibrillators / pacemakers. Heart failure drugs. Anaesthetic drugs used at implant.

13. Driving regulations.

14. Cinical Trials.

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