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Challenger ECG Cases
Basic Electrocardiography Case Studies, Quiz, and Atlas

Complete Review in ECG Interpretation
Test your knowledge with ECG Cases...
Challenger ECG Cases identifies normal features and variations on electrocardiograms and demonstrates all common electrocardiographic abnormalities in a comprehensive, peer-reviewed program. You will appreciate the cutting-edge clinical text, imagery, and over 400 case-based interactive questions and answers with instant remediation feedback. Challenger ECG Cases provides a variety of cases to test the physician's knowledge in cardiology and electrocardiography. The program describes the elements of cardiac anatomy, electrophysiology, and pathophysiology that are relevant to ECG interpretation.

This comprehensive review course assists physicians in recognizing the common disease entities that may be suspected from the electrocardiogram, including coronary artery disease, arrhythmias, conduction defects, inflammatory cardiac conditions, certain congenital and valvular cardiac defects, and many more.
 
Designed to Address Multiple Needs
Reference, Review, CME? We've got you covered...
In medicine the best tools are the most versatile and easiest to use. If you're one of the thousands of physicians seeking clinical review, CME credits, or a quick and modern clinical reference resource, wouldn't you like a tool to fulfill all your needs? Look no further. Challenger ECG Cases, like all Challenger products, provides the resources and functionality you need in one, cost-effective, easy-to-use, go-anywhere package.

Challenger ECG Cases consists of state-of-the-art clinical information in 4 chapters covering over 20 essential topics on the proper interpretation of ECGs and treatment of ECG abnormailties. Enhance your mastery of these subjects through challenging assessment quizzes and also earn up to 35.0 AMA PRA Category 1/ACEP Category I credits.
 
Powerful Search Engine
 
Whether you are looking for a specific topic, collection of images, or specific phrase, Challenger's Internet-based search engine allows you to locate references in seconds. Best of all, you can launch right into the clinical section you wish to see. With this searchable, point-of-care reference, not only will you have immediate access to the latest developments in your specialty, you will also save time by identifying the specific information you need when you need it.
 
Practice, Review, Assess, and Score
Three steps to success on any examination...
The Challenger review process is elegantly designed to promote the highest level of retention possible. Questions are written by clinical experts to emulate clinical examination standards and to enhance your knowledge of current best practices. Whether you are seeking to acquire Continuing Medical Education credits, preparing for an examination, or reaffirming your knowledge, our review and testing structure will help.

Our three-step progression—Practice, Review, Assess—incorporates the proven educational regime of programmed learning. You will remember the material longer and recall it more easily.
 
Study At Your Own Pace
Don't get pushed around...
Keep time requirements under your control. Save features capture your scores from wherever you are in the course. Work in one topic in the morning, then jump to something completely different in the afternoon. You're not locked into any enforced content order, remote schedule, or lecture circuit with Challenger products, so your valuable review time is used at your discretion.
 
Interact As You Study
Hundreds of fully expandable, high resolution images...
Full-color, high-resolution imagery has always been one of the hallmarks of Challenger programs. Every image is assigned to the appropriate standard-of-care topic, and most can be enlarged for detailed examination and observation. Where specific features of an image are salient for instruction, overlays point to items being illustrated. Move your mouse over the image below to see a caption.

Early ECG Changes of Acute Pericarditis

In early acute pericarditis, there is diffuse epicardial injury with diffuse elevation of most ST segments, except for lead aVR, which overlies the valvular base of the ventricles. The ST segment and T waves vectors initially point in approximately the same direction. The PR (PQ) segments are often depressed in leads with upright P waves due to atrial injury.



Click here to see a larger image.



ECG: Multiple PVCs with R on T Phenomenon and LBBB

ECG findings in the 69-year-old man include:
> Sinus rhythm, rate 86
> Multiple ventricular premature complexes, with
> R on T phenomenon
> Left bundle branch block
> Diffuse ST-T abnormality
> Possible right atrial enlargement



Click here to see a larger image.



RS: ECG Muscle Tremor or Motion Artifact

Note the rapid, irregular spikes caused by muscle tremor. These are due to electrical interference caused by depolarization of the patient's tremulous muscles. This can be remedied by getting the patient to relax, giving him a warm blanket if he is shivering, or moving the limb leads closer to the trunk (if limb tremor is responsible).
Findings summary:
> Sinus tachycardia
> Motion artifact


Click here to see a larger image.

You just can't do this with a book!
 
Built-in Flexibility
Two points of access...
Don't have time to drive or fly to that CME seminar? Have it come to you. When you purchase any Challenger program, you will receive a CD-ROM and an instructional help guide. You will also be automatically set up in our Challenger Online Learning Portal, so you can access your course material via the Web from any computer with an Internet connection. Review, study and take assessments online just as if you were at home. This convenience is crucial, given time constraints shouldered by today's clinical professionals.
 
Quick and Easy CME Fulfillment - For FREE
Simple instructions, multiple options...
Obtaining your CME certificates has never been easier. You can request CME credits, in blocks of 10, any time upon completion of whole or partial sections of content. Challenger provides multiple score submission options and simple-to-follow instructions. Just mail or fax your printed scores or submit them directly via your online Challenger account. Your scores and required evaluation form (provided) are processed immediately. Challenger works closely with our prestigious institutional sponsors to maintain the most rewarding educational experience possible. For most of our courses, Challenger issues CME certificates on behalf of our sponsors directly from our office, speeding their delivery.
 
Free Technical Support
We're always there...
We'll be with you every step of the way. Should you need assistance, our LIVE technical support staff is on standby during normal business hours to assist you for FREE. You can always reach them between 8 a.m. and 6 p.m. CT from Monday through Friday, except on national holidays.
 
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Challenger ECG Cases
$295.00 USD

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Don't Get Left Behind!
Become a customer for life...
Challenger prides itself on staying up-to-date in all aspects of medicine. All our courses are routinely peer-reviewed and updated. Future upgrades are provided to Challenger clients at a fraction of the standard retail cost. This way, as the face of medicine changes, our valued customers can cost-effectively keep their coursework and reference library current. Of course, the best value Challenger offers is the Challenger Lifetime Subscription (CLS) -- all products and upgrades for a one-time enrollment fee.

With the Challenger Lifetime Subscription you never have to worry about the time demands of education again. No more year-end rush to get CME hours, no more thrashing around for materials to study for recertification, no more hit-or-miss purchases of study guides for skills enhancement and refresher training. It's all here in one place for one price, good for as long as you practice medicine…at a cost of less than $400 per year over the life of your practicing career! Don't get left behind! Join today.
 
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Challenger ECG Cases
$295.00 USD

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Challenger ECG Bundle
ECG Challenger Principles of Electrocardiography Series and Challenger ECG Cases
$595.00 USD

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Course Highlights...
4 chapters cover over 20 essential topics in ECG interpretation and treatment

Over 400 case-based interactive questions and answers

Over 420 high-resolution expandable images

Earn up to 35.0 AMA PRA Category 1/ACEP Category I credits

2006 Clinical Reviewer / Contributing Author:
Kevin Coonan, MD
NLM Fellow and Adjunct Assistant Professor
Division of Emergency Medicine -and-
Department of Medical Informatics
University of Utah School of Medicine
Salt Lake City, Utah

Post-question remediation for instant feedback and better retention

Multiple score submission options and direct CME certificate fulfillment

Comprehensive review on your home or office computer - online as well

 
Chapter Listing...

ECG Basics, Anatomy & Electrophysiology
  • Cardiac Anatomy and ECG Technique
  • Cardiac Electrophysiology Basics
  • Chamber Strain and Hypertrophy
  • Conduction Defects
  • Reentry, Ectopy, and Arrhythmias
  • Myocardial and Pericardial Diseases
Recognizing ECG Abnormalities
  • Supraventricular Arrhythmias
  • Ventricular Arrhythmias
  • P Wave Abnormalities
  • QRS Complex Abnormalities
  • ST-T Abnormalities
  • Pacemakers and Artifacts
ECG Quick Cases
  • Coronary Disease & Vascular Disorders
  • Arrhythmias
  • Conduction Defects & Pacemakers
  • Drug, Electrolyte & Metabolic Problems
  • Inflammation, Infiltration and Infections
  • Congenital Cardiac Diseases
  • Valvular Heart Disease
  • Miscellaneous Disorders
Rhythm Strip Review
  • Rhythm Strip Set 1
  • Rhythm Strip Set 2
Related Courses
Challenger Lifetime Subscription
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Med-Challenger EM Career
ECG-Challenger Principles of Electrocardiography Series
Challenger Heart Sounds

Product ID: ECGC


Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American College of Emergency Physicians (ACEP), the Tennessee College of Emergency Physicians, and Challenger Corporation.

The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians.

Certification Statement
The American College of Emergency Physicians designates this educational activity for a maximum of 35.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Approved by the American College of Emergency Physicians for 35.0 hours of ACEP Category I credit.

Disclosure of Proprietary Interests
According to CME guidelines, authors must disclose all associations with proprietary entities that may have a direct relationship to their subject of discussion. All authors of this program have signed disclosure forms indicating that they have no associations with proprietary entities related to their subjects of discussion.

Activity Dates
Edition Release Date: September 11, 2007
Copyright Statement:
Challenger ECG Cases. Copyright © 1997 by Challenger Corporation. All rights reserved.

2006 Clinical Reviewer / Contributing Author:

Kevin Coonan, MD
NLM Fellow and Adjunct Assistant Professor
Division of Emergency Medicine -and-
Department of Medical Informatics
University of Utah School of Medicine
Salt Lake City, Utah

Contributing Authors:

Daniel R. Jones, MD
Challenger Corporation
Memphis, Tennessee

Michael McDonald, MD, FACC
The Sutherland Clinic, Inc.
Memphis, Tennessee

Gregory P. Moore, MD, FACEP
Attending Physician
Methodist Hospital
Associate Clinical Professor
Emergency Medicine Residency
Indiana University School of Medicine
Indianapolis, Indiana

Mubadda A. Salim, MD
Assistant Professor of Pediatric Cardiology
The University of Tennessee Health Science Center
Memphis, Tennessee

Lawrence B. Stack, MD, FACEP
Associate Professor of Emergency Medicine
Vanderbilt University
Nashville, Tennessee

Target Audience:
ECG-Challenger is intended for all medical practitioners who need to diagnose cardiac disorders and/or need to interpret electrocardiograms and ECG rhythm strips.

Educational Objectives:
The educational objectives of the ECG-Challenger training program are as follows. On completing the program, the medical practitioner will be able to:
  1. Describe those elements of cardiac anatomy that are relevant to ECG interpretation.


  2. Describe those aspects of cardiac electrophysiology and pathophysiology that are relevant to ECG interpretation.


  3. Accurately identify normal features and normal variations on electrocardiograms.


  4. Recognize all common electrocardiographic abnormalities.


  5. Identify the common disease entities that can be recognized or suspected from the electrocardiogram, including:
    • coronary artery disease
    • arrhythmias
    • conduction defects
    • drug, electrolyte, and metabolic problems
    • inflammatory cardiac conditions
    • certain congenital and valvular cardiac defects
    • relation of electrocardiographic findings to their associated history and physical findings
    • recognition of common rhythm abnormalities from the ECG rhythm strip


  6. Demonstrate mastery of the knowledge and cognitive skills required to achieve objectives 1-5 by scoring at least 80% on all topics studied for CME credit.
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