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Course Outlines

CARD 3330 Electrocardiography and Pacemakers

School School of Health Sciences
Program Cardiology Technology
Course Credits 4
Minimum Passing Grade 60%
Start Date January 04, 2021
End Date March 26, 2021
Total Hours 48
Total Weeks 12
Hours/Weeks 4
Delivery Type Other
Pre-requisites CARD 2201 and CARD 2219 and CARD 3252
CRN 15387

Acknowledgement of Territories

The British Columbia Institute of Technology acknowledges that our campuses are located on the unceded traditional territories of the Coast Salish Nations of Sḵwx̱wú7mesh (Squamish), səl̓ilwətaɁɬ (Tsleil-Waututh), and xwməθkwəy̓əm (Musqueam).

Instructor Details

Name Lucy Marchiori
E-mail Instructor to provide
Office Hours Instructor to provide

Course Description

Students in this course will advance their knowledge in ECG recognition and evaluation, 12-lead electrocardiogram and pacemaker ECG evaluation. A detailed examination of cellular mechanisms, conduction, pathology and the disease processes responsible for irregularities of the heart rate are presented. Special attention is directed to methods of determining axis, rate, rhythm, myocardial damage, and conduction disturbances, as well as understanding pacemaker behavior.

Course Learning Outcomes/Competencies

Upon successful completion of this course, the student will be able to:

  • Explain the action potential in each part of the conduction system including the principle ions involved.
  • Define automaticity, excitability, conductivity, contractility and refractoriness of cardiac tissue.
  • Differentiate aspects of the conduction system from the SA node, AV node, Bundle of His, bundle branches through to the Purkinje Network.
  • Identify ECG criteria of conduction abnormalities including SA block, Sick Sinus Syndrome, AV block, fascicular block and BBB.
  • Explain the mechanisms and treatment options of atrial fibrillation and atrial flutter.
  • Explain the mechanisms and ECG characteristics of various escape rhythms.
  • List rhythm abnormalities related to valvular pathology.
  • Describe ECG changes possibly associated with left and right ventricular hypertrophy as well as endocarditis, cardiomyopathy, various congenital defects and acquired syndromes.
  • Describe the effect of electrolyte imbalances on the conduction system.
  • Define mechanisms of tachyarrhythmia, such as, accessory pathways, re-entry, abnormal automaticity, pre- excitation.
  • Identify various tachyarrhythmia on ECG.
  • Identify indications for and methods of implanting loop recorders (ILR), pacemakers, implantable defibrillators (ICD) and cardiac resynchronization (CRT) devices.
  • Recognize normal and abnormal single and dual chamber pacemaker function.
  • Explain pacemaker functions such as sensing, capturing, rate response and upper rate behaviours.
  • Define common programmable parameters and timing cycles.
  • List features of lead technology.
  • Identify the therapeutic and diagnostic indications for electrophysiology (EP) testing.
  • Identify EP test intervals and cycle lengths.

Learning Resources

Tom Kenny (2009). The Nuts and Bolts of Paced ECG Interpretation. Austin Texas.

Galen S. Wagner & David G. Strauss (12th Edition). Marriott’s Practical Electrocardiography. Philadelphia PA.

ACC/AHA Guidelines for Cardiac Implanted Devices:



Evaluation Criteria

Criteria % Comments
Module 1-2 Quiz15
Module 3-4 Quiz15
Module 5-6 Quiz15
Module 6-7 Quiz15
Final Exam40Must acheive a minimum of 50% on the final exam to pass the course.

BCIT Policy

Any student who needs special assistance in the event of a medical emergency or building evacuation (either because of a disability or for any other reason) should promptly inform their course instructor(s) and Accessibility Services of their personal circumstances.

Human Rights, Harassment and Discrimination:
The BCIT community is made up of individuals from every ability, background, experience and identity, each contributing uniquely to the richness and diversity of the BCIT community as a whole. In recognition of this, and the intrinsic value of our diversity, BCIT seeks to foster a climate of collaboration, understanding and mutual respect between all members of the community and ensure an inclusive accessible working and learning environment where everyone can succeed.

Respect, Diversity, and Inclusion is a supportive resource for both students and employees of BCIT, to foster a respectful learning and working environment. Any student who feels that they are experiencing discrimination or harassment (personal or human rights-related) can confidentially access this resource for advice and support. Please see Policy 7507 – Harassment and Discrimination and accompanying procedure.

Students should make themselves aware of additional Education, Administration, Safety and other BCIT policies listed at

Guidelines for School of Health Sciences

No school specific policies, please refer to main BCIT Policy.


I verify that the content of this course outline is current.
Lucy Marchiori, Instructor
January 04, 2021

I verify that this course outline has been reviewed.
Cindy Mazerolle, Faculty
January 04, 2021

I verify that this course outline has been reviewed and complies with BCIT policy.
Treena Cardiff, Acting Associate Director
January 04, 2021

Note: Should changes be required to the content of this course outline, students will be given reasonable notice.