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Course Outlines

CARD 5500

Advanced Electrophysiology Diagnostics

School School of Health Sciences
Program Cardiac Sciences (Electrophysiology Technology Option)
Course Credits 3
Minimum Passing Grade 60%
Start Date April 05, 2021
End Date June 25, 2021
Total Hours 36
Total Weeks 12
Hours/Weeks 3
Delivery Type Other
Pre-requisites CARD 5301
CRN 63385

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 Emily Murtagh
E-mail Instructor to provide
Location Distance Instructor
Office Hours Instructor to provide

Course Description

This course is designed to acquaint students with a more in-depth understanding of a diagnostic electrophysiology study. The focus is the cardiac stimulation techniques used by EP labs to determine the mechanisms of various arrhythmias. The course addresses arrhythmia mechanisms, the basic diagnostic study, the EP study for VT, the EP study for Syncope and EP studies for a variety of Supraventricular arrhythmias. In addition, specific diagnostic pacing interventions to confirm the diagnosis and subsequent treatment of various arrhythmias will be discussed. Other topics include the mechanisms of various arrhythmias, the interventions into these mechanisms that help to prove the mechanism and the subsequent treatment of these arrhythmias with ablation therapy.

Course Learning Outcomes/Competencies

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

  • Explain the electrophysiology concepts of impulse formation and impulse propagation.
  • Explain the principles of the diagnostic electrophysiologic study.
  • Articulate the appropriate EP study protocol for supraventricular arrhythmias.
  • Articulate the appropriate EP study protocol for ventricular arrhythmias.
  • Recognize the different mechanisms that cause syncope, their associated treatments, and the clinical tests used for diagnosing syncope.
  • Demonstrate pace termination of supraventricular and ventricular arrhythmias.
  • Describe how RF energy is used to ablate an inducible arrhythmia.
  • Describe how CRYO works to create ablation lesions.
  • Differentiate the use of Para-Hisian pacing, Base pacing and Apex pacing.

Learning Resources

Required: Cardiac Electrophysiology, A Visual Guide for Nurses, Techs and Fellows, by Paul D Purves et al, Cardiotext Publishing, ISBN 978-1-935395-49-2

Recommended: 1. Handbook of Electrophysiology by Francis D Murgatroyd et al, ReMedica Publishing, ISBN 1-901346-37-4 2

2. Electrophysiology Testing by Richard N. Fogoros, Fifth Edition, Blackwell Scientific Publications, ISBN 9780470674239

3. Arrhythmias 101, by Glenn N Levine, Jaypee Brothers Medical Publishers, ISBN 978-93-5090-499-2

4. Cardiovascular Physiology Concepts by Klabunde, LIPP, ISBN 978-1-4511-1384-6

Evaluation Criteria

Criteria % Comments

6 Assignments



Final Exam 40
A passing grade of 60% is required

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.
Jennifer Perry, Instructor on behalf of Emily Murtagh, Instructor
March 19, 2021

I verify that this course outline has been reviewed.
Robin Wolfe, Faculty
March 19, 2021

I verify that this course outline has been reviewed and complies with BCIT policy.
Treena Cardiff, Acting Associate Director
March 19, 2021

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