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Electives - Cardiology

Electrophysiology Consult Service

Elective Number: (Oasis E26g) 1660

Rotation Supervisor: Dr. Rohit Malhotra

Rotation Coordinator: Karen Ward, (434) 243-9397, krw5v@virginia.edu

Available: 1a, 2, 3b & 4-11

Duration: 2 weeks

Report to: Electrophysiology Consults Fellow (PIC 1821) or Attending (PIC 1723)

Time to Report: 7:45 am (morning rounds begin at 8:00 am)

Place to Report: 2nd Floor, Interventional Conference Room

Typical Day: 7:30 am -4:00 pm Monday - Friday

Suggested Preparatory Reading: (Claude Moore Health Sciences Library 2 week checkout) Dubin's Rapid Interpretation of EKG's. Additional (optional) references: Fogoros' Electrophysiologic Testing Fourth Edition; Chou's Electrocardiography in Clinical Practice: Adult and Pediatric

Number of students per rotation: 1

Course Goals: Learn management of arrhythmias and improve ECG reading skills.

Topics of study: Diagnosis and management of atrial and ventricular arrhythmias; Medication therapy for arrhythmias; Indications for pacemakers, defibrillators, and electrophysiology studies; Interpretation of basic and complex ECGs.

Course Description: Each student will work directly with the fellow and attending assigned to this service. Students will evaluate patients who require electrophysiology consultation and present to the attending physician. The student will also participate in pacemaker and defibrillator interrogations, drug loading, and elective cardioversions as supervised by the fellow and attending. Students will gain experience with state-of-the-art management of arrhythmias. The complete interpretation of ECGs is emphasized.

Students are encouraged to attend any of the CV Division lectures and conferences (notified by email weekly), including Cardiology Grand Rounds on Mondays from 7-8 am (Sept 15 – June) and Cath Conference on Fridays from 7-8 am, at locations noted in email. In particular, they should attend Electophysiology Group Conference Thursdays, from 7-8 am in the CVRC Classroom, MR5, room 1005 and the CV Fellow’s noon time ECG/Arrythmia related conference held on the second through fourth Thursdays of every month in the Blue Ridge conference room (4th floor hospital expansion-thru walkway from 4 East of UVa Hospital).

Learning Objectives:
Students on this rotation are expected to learn the evaluation and management of common arrhythmias:

  • Atrial fibrillation
  • Atrial flutter
  • Atrial tachycardia
  • Paroxysmal supraventricular tachycardia
  • Ventricular tachycardia
  • Bradyarrhythmias
  • Evaluate syncope and risk of sudden cardiac death.

Students will also learn the indications for:

  • Pacemakers
  • Defibrillators
  • Cardiac resynchronization therapy
  • Lead extraction
  • Implantable loop recorders
  • Tilt table testing
  • Cardioversion

Students will gain the following skills:

  • Interpretation of basic and complex ECGs