ECG Masterclass for Doctors

ECG interpretation is an area that can cause GPs, GP trainees, and trainee hospital doctors a great deal of stress.

ECGs are commonly performed in GP surgeries and on hospital wards and require accurate interpretation. Although there have been improvements in modern ECG machines, the computer-generated interpretation at the top of the ECG still cannot be exclusively relied upon. Furthermore, faxing it to the local cardiology department can result in unwanted delay.

The purpose of this half-day course – ECG Masterclass for Doctors – is to discuss the types of ECGs that GPs and hospital doctors may encounter in the surgery or on the ward, with discussion around management of the associated cardiac condition.

This will include ECG training for GPs and hospital doctors on ‘normal variants’, 24 hour ECG recordings and, importantly, tips on how to spot artefact.

Next, we will cover rhythm abnormalities in detail. Starting with the recognition of AF, we will then focus on broad and narrow complex tachycardias and heart block. To aid understanding of these ECGs, the discussion will make reference to the electrophysiological mechanisms underlying the abnormalities.

Finally, we will focus on ischaemic changes, how to recognise atypical acute coronary syndrome, signs of heart strain, hypertension and other can’t miss diagnoses.

Delegates will benefit from an informal and interactive approach, and will subsequently be able to approach ECGs with increased confidence.

Our next ECG Masterclass will be run on Friday 11 May in Central London. It’s a half day course, and tickets are £85 to attend.

Tickets must be purchased in advance, so email us at admin@cambridgemedicine.org.uk and we’ll supply you with the necessary details.

This is a very popular course so, if you are keen to attend, please don’t delay in registering your interest to attend.

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 Speaker Programme

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10am-10.30am Analysis of 24-hour ECG recordings Dr Simon Fynn

Many GP practices now offer their own 24-hour ambulatory ECG recordings. This investigation is often used in patients complaining of palpitations. The recording may reveal the source of the palpitations or may equally present some unexpected findings which need explanation. The analysis will usually be accompanied by a brief summary of the findings but it is imperative that the recording can also be interpreted by the requesting doctor. This ECG training for GPs and hospital doctors will cover the common findings and how best to interpret their clinical relevance.

10.30am-11am Normal Variants and Artefact Dr Simon Fynn

An understanding of what a ‘normal’ ECG looks like is important. This can obviously be reassuring for patients and avoid unnecessary referral and investigation. Artefact on an ECG is common and if interpreted incorrectly, can result in the unnecessary prescription of medication, referral and even invasive testing. This session in our ECG Masterclass will cover these important areas showing excellent, frontline examples.

11am-11.40am Tachycardia and Bradycardia Dr Simon Fynn

Rapid heart rate (tachycardia) has several different potential mechanisms and the ECG can be invaluable in determining which is responsible. This session will cover the common possibilities and include discussion on the management of these conditions. Bradycardia can be secondary to sinus node disease or heart block. This part of the ECG training will cover this classification with concentration on the clinical relevance of these ECG findings, including which patients should be considered for a pacemaker and which patients can be reassured. Atrial fibrillation, which is the commonest arrhythmia, can present as either a tachycardia or bradycardia. Recognition of this and how these patients are best managed will also be discussed in this session.

12pm-1pm Big ECG Quiz – fingers on buzzers Dr Simon Fynn

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Delegate Feedback:

Really informative. A good revision and lots of new bits. Thank you!

GP partner, Newmarket

Very helpful. The quiz style format in the last session worked well – made it feel like real life!

CMT, London