IBHRE CCDS case studies
IBHRE CCDS · Put your knowledge to work in context.
The Certified Cardiac Device Specialist (CCDS) credential is awarded through IBHRE, the International Board of Heart Rhythm Examiners, based in Washington, DC. IBHRE describes the underlying examination as the Examination for Competency in Cardiac Rhythm Device Therapy for the Allied Professional, and states that the exam was designed to establish a standard knowledge base for those involved in assisting physicians and other health care professionals in the implantation and management of pacemakers and ICDs. The IBHRE CCDS case studies are 5 cases and about 3,277 words.
1Inappropriate ICD Shocks During Atrial Fibrillation With Rapid Ventricular Response
A 68-year-old man with ischemic cardiomyopathy (LVEF 30%) and a dual-chamber ICD implanted 2 years ago for secondary prevention takes apixaban for atrial fibrillation and amiodarone. While gardening he received two ICD shocks; he felt palpitations beforehand but did not lose consciousness.
723 words, about 4 min2Loss of Ventricular Capture Nine Days After Pacemaker Implant
A 74-year-old woman with complete AV block received a dual-chamber pacemaker 9 days ago for syncope. She now presents with presyncope and fatigue.
688 words, about 3 min3Elective Surgery With Monopolar Electrocautery in an ICD Patient
A 61-year-old man with nonischemic cardiomyopathy (LVEF 35%) and a single-chamber ICD implanted 3 years ago for primary prevention is scheduled for elective laparoscopic cholecystectomy under general anesthesia. The surgeons plan to use monopolar electrocautery.
632 words, about 3 min4Pocket Erosion Four Months After ICD Implant
A 55-year-old woman with nonischemic cardiomyopathy (LVEF 30%) received a dual-chamber ICD 4 months ago. She presents with a 2-cm area of erythema over the generator pocket and a small sinus tract; the edge of the generator is visible through thin skin.
589 words, about 3 min5Non-Conditional Pacemaker at Elective Replacement Indicator and a Needed Brain MRI
A 70-year-old man with a single-chamber pacemaker implanted in 2009 for sinus node dysfunction now needs a brain MRI with gadolinium for a suspected pituitary lesion. The device and lead are not MRI-conditional.
645 words, about 3 min