COCATS 4 Task Force 3: Training in Electrocardiography, Ambulatory Electrocardiography, and Exercise Testing

• Published in: Journal of the American College of Cardiology 2015-05, Vol.65 (17), p.1763-1777
• Main Authors: Balady, Gary J., MD, FACC, Bufalino, Vincent J., MD, FACC, Gulati, Martha, MD, MS, FACC, Kuvin, Jeffrey T., MD, FACC, Mendes, Lisa A., MD, FACC, Schuller, Joseph L., MD
• Format: Article
• Language: English
• Subjects: ACC Training Statement; Advisory Committees - standards; ambulatory electrocardiography; Cardiac arrhythmia; Cardiology; Cardiovascular; COCATS; Education, Medical, Graduate - methods; Education, Medical, Graduate - standards; Electrocardiography; Electrocardiography - methods; Electrocardiography - standards; Electrocardiography, Ambulatory - methods; Electrocardiography, Ambulatory - standards; exercise electrocardiography; Exercise Test - methods; Exercise Test - standards; exercise treadmill test; Heart attacks; Humans; Internal Medicine; Ischemia; Reporting requirements; Scholarships & fellowships; Sinuses; Skills; Societies, Medical - standards; stress test; Talent management; Task forces; Training
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/j.jacc.2015.03.021

General Features Normal ECG Normal variant Incorrect electrode placement Artifact Atrial Abnormalities Left atrial abnormality Right atrial abnormality Biatrial abnormality Sinoatrial Rhythm Normal sinus rhythm Sinus tachycardia Sinus bradycardia Sinus arrhythmia Sinoatrial pause or arrest Sinoatrial exit block Atrial Rhythms Atrial premature complexes (conducted; nonconducted) Atrial tachycardia (ectopic) Atrial tachycardia with atrioventricular block Atrial fibrillation Atrial flutter (typical and atypical forms) Atrial tachycardia, multifocal AV Junctional Rhythms Premature junctional complexes Atrioventricular node re-entrant tachycardia (AVNRT-common and uncommon types) Nonparoxysmal junctional tachycardia/accelerated junctional rhythm Atrioventricular re-entrant tachycardia (AVRT) with an accessory pathway AV junctional escape complex or escape rhythm Ventricular Rhythms Ventricular ectopic complexes Accelerated idioventricular rhythm Ventricular tachycardia: uniform (monomorphic), multiform (pleomorphic or polymorphic), sustained, nonsustained, bidirectional, and torsades de pointes Ventricular flutter, ventricular fibrillation Ventricular escape complexes or rhythm Atrioventricular Relationship and ConductionAtrioventricular dissociation due to: Slowing of dominant pacemaker Acceleration of subsidiary pacemaker Third-degree atrioventricular block Isorhythmic atrioventricular dissociation Atrioventricular Block First degree Second degree: 2:1, Mobitz type I (Wenckebach), Mobitz type II, high-degree atrioventricular block Third degree (complete) QRS Voltage and Axis Low voltage Left axis deviation Right axis deviation Left ventricular hypertrophy Right ventricular hypertrophy Biventricular hypertrophy Electrical alternans Intraventricular Conduction Disturbances Incomplete and complete left bundle-branch block Incomplete and complete right bundle-branch block Left anterior and left posterior fascicular blocks Indeterminate (nonspecific) intraventricular conduction defects Aberrant intraventricular conduction (rate related; Ashman) Ventricular pre-excitation syndromes (Wolff-Parkinson-White pattern) Myocardial Ischemia and Infarction ST-T wave changes due to ischemia Acute current of injury ST-elevation MI Q-wave MI Abnormal Q waves not associated with infarction Time course of ECG changes in MI (acute/recent; age undetermined/old) ECG localization of MI Miscellaneous ST-T, U-Wave Abnormalities Nonspecific ST-T wave abnormalities Prolonged Q-T interva