EP ESSENTIALS TRAINING

Get started with your EP simulator training – learn how to adjust sweep speed, explore a 12-lead ECG, and try basic pacing maneuvers.

Learn how to place diagnostic EP catheters, interpret intracardiac electrograms, and organize signals in your EP recording system for clear, localized analysis of atrial and ventricular activity.

Understand the normal activation sequence during sinus rhythm, identify atrial and ventricular electrograms, and train your eye to spot abnormal conduction patterns in EP recordings.

Learn to distinguish near-field vs. far-field signals in your EP recordings and understand their clinical relevance for catheter positioning and identifying lines of block.

Learn how to measure key EP intervals like PQ, QRS, QT, and cycle length (RR) accurately — and understand what each reveals about conduction delays or preexcitation.

Master how to measure the AH and HV intervals accurately, understand their normal ranges, and learn what they reveal about AV node and His-Purkinje conduction.

Explore how refractoriness is tested during an EP study and how to measure the ERP of the atrium, ventricle, and AV node using S1S2 pacing protocols.

Practice incremental atrial pacing and learn how changes in the AH interval reveal key insights into AV node function and the presence of accessory pathways.

Master one of the core EP maneuvers—extra-stimulus pacing—and learn how to set safe pacing parameters, capture reliable signals, and detect conduction abnormalities.

Use burst pacing to assess sinus node function and learn how to measure SNRT at different cycle lengths while monitoring for induced arrhythmias in a safe simulation setting.

Understand the atrial pacing thresholds that can lead to atrial fibrillation (AF) and learn how to recognize early warning signs, manage induction, and prepare for safe cardioversion.

Assess the Wenckebach point and AV node ERP to understand the decremental properties of AV conduction—and recognize what unusual responses can reveal about conduction blocks or accessory pathways.

Trigger an AH jump and uncover signs of dual AV-nodal physiology—a key step in identifying and training for AVNRT using reproducible S1S2 pacing techniques.

Visualize and measure concentric activation patterns in the coronary sinus, and learn how normal AV conduction produces early-to-late atrial activation during ventricular pacing.

Identify antegrade preexcitation and track changes in QRS morphology during atrial pacing to reveal accessory pathway conduction and uncover hidden AV node delays.

Differentiate between type 1 and type 2 AV block by analyzing AH and HV intervals, and learn how supra- vs. infra-hisian conduction patterns influence clinical decision-making.

Recognize signs of type 2 AV block, spot a prolonged HV interval, and learn how to identify a ventricular escape rhythm—a critical skill when facing conduction system failure.

Discover how AV conduction can paradoxically recover at faster pacing rates through the gap phenomenon, and explore the interplay between supra- and infra-hisian conduction delays.

Test for retrograde VA conduction and learn how to confirm a true VA block, rule out accessory pathways, and understand what influences retrograde signal behavior during ventricular pacing.

Perform ventricular pacing to assess the retrograde Wenckebach point and measure VA effective refractory periods using both incremental and programmed stimulation techniques.

Explore retrograde concentric atrial activation by pacing from different CS sites, and learn how to identify conduction via the AV node or septal accessory pathways.

Detect retrograde conduction via accessory pathways by analyzing changes in atrial activation sequence during ventricular pacing—and take the first step in localizing an eccentric AP.

Learn how to recognize dangerous pacing thresholds, avoid unintentional VT or VF induction, and prepare for emergency defibrillation during high-risk ventricular stimulation.