British Columbia Institute of

Important Notice: COVID-19 Institute response


CARD 3330 - Electrocardiography and Pacemakers

Cardiology/Cardiovascular Part-time Studies Course

School of Health Sciences

BCIT is planning for a substantial return to on-campus activity for the fall 2021 term as informed by BC Public Health Officer guidelines. Refer to each course listing for details.

Course Details

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.


CARD 2201 and BHSC 2219 and CARD 3252





Winter 2022

Below is one offering of this course for the Winter 2022 term.

CRN 15387

Tue Jan 04 - Fri Mar 25 12 Weeks

Class Meeting Times

Dates Days Times Locations
Jan 04 - Mar 25 Distance


Lucy Marchiori

Course Outline

TBD – see Learning Outcomes in the interim




  1. Guided learning format.
  2. This online Learning Hub course is for students in the Cardiology Diploma program. Students are responsible for ensuring prerequisite courses are completed PRIOR to registration. See course description for a list of individual prerequisites. IMPORTANT NOTE: Registration is available on an individual course basis for those who wish to take continuing education credits (Max 3 courses). Registration does not imply admission to the program. This course may be subject to cancellation if registration numbers are low.
  3. Important course information will be sent to you prior to your course start date. Check your myBCIT email account to access this information.

Learning Outcomes

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.

Effective as of Winter 2019

Related Programs

CARD 3330 is offered as a part of the following programs:

School of Health Sciences

  1. Cardiac Sciences (Cardiovascular Technology Option)
    Part-time/Distance & Online Learning   Advanced Certificate
  2. Cardiology Technology
    Part-time/Distance & Online Learning   Diploma


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