ABIM Clinical EP case studies
ABIM Clinical EP · Put your knowledge to work in context.
Clinical Cardiac Electrophysiology (CCEP) is an ABIM subspecialty certification for physicians already certified in cardiovascular disease who have completed accredited electrophysiology fellowship training and can document procedural volume, clinical competence, and a valid, unrestricted license. Candidates must also attest to committing at least 50% of professional time and effort to CCEP since finishing training. The ABIM Clinical EP case studies are 5 cases and about 3,582 words.
1Recurrent Syncope After ICD Implant in a Patient with a Single-Chamber Device
A 68-year-old man with ischemic cardiomyopathy (LVEF 30%) had a single-chamber ICD placed 6 weeks ago for secondary prevention after an episode of sustained VT. He now presents after two witnessed collapse episodes in the past month, both without prodrome, each lasting seconds with rapid recovery.
838 words, about 4 min2Wide-Complex Tachycardia in a Patient on Flecainide: Rate Versus Rhythm Control Decision
A 57-year-old woman with paroxysmal atrial fibrillation and no structural heart disease (echo normal, LVEF 60%) has been on flecainide 100 mg twice daily and metoprolol for 2 years. She presents to the ED with palpitations and near-syncope.
767 words, about 4 min3Asymptomatic Pre-Excitation in a 24-Year-Old Pilot: Risk Stratification and Duty to Warn
A 24-year-old man applying for a commercial pilot medical certificate is found to have a delta wave on a routine ECG. He is entirely asymptomatic, with no palpitations, syncope, or family history of sudden death.
666 words, about 3 min4Device Advisory and Recall in a Patient with a Recalled ICD Lead
A 71-year-old woman with a dual-chamber ICD for primary prevention (LVEF 25%, prior MI) has a recalled lead under advisory. Interrogation shows stable sensing (R wave 9 mV), stable pacing threshold (1.0 V at 0.4 ms), and stable impedance (520 ohms) with no noise.
686 words, about 3 min5VT Storm in Advanced Heart Failure: When to Escalate to Mechanical Support
A 63-year-old man with nonischemic cardiomyopathy (LVEF 18%), NYHA class III symptoms, and a prior ICD is admitted with recurrent VT. Over 24 hours he has received 9 shocks despite amiodarone 200 mg daily (started 3 weeks ago) and metoprolol succinate 100 mg daily; lidocaine infusion was started 6 hours ago with two further shocks.
625 words, about 3 min