IBHRE CEPS case studies
IBHRE CEPS · Put your knowledge to work in context.
The Certified Electrophysiology Specialist (CEPS) credential is issued by the International Board of Heart Rhythm Examiners (IBHRE), an independent certifying body for heart rhythm professionals. IBHRE maintains separate CEPS exam pathways for allied professionals and for physicians, each with its own application, eligibility policy, content outline, fees page, and recipients list. The IBHRE CEPS case studies are 5 cases and about 2,379 words.
1Asymptomatic Pre-Excitation in an Airline Pilot
A 29-year-old first officer for a regional airline is referred after a routine ECG shows a PR interval of 92 ms, a broad QRS of 132 ms with a slurred upstroke, and negative QRS in V1, consistent with a right-sided accessory pathway. He has never had palpitations, syncope, or presyncope, and a 14-day ambulatory monitor shows no arrhythmia.
526 words, about 3 min2Frequent Outflow Tract PVCs Suppressed by Sedation
A 47-year-old woman with palpitations and fatigue has a 22% premature ventricular contraction burden on a 14-day monitor. The PVCs have a left bundle branch block morphology, an inferior axis, and a transition at V3; there is a notched intrinsicoid deflection in the inferior leads.
488 words, about 2 min3Two ICD Episodes: One VT, One Atrial Fibrillation
A 66-year-old man with a dual-chamber ICD for ischemic cardiomyopathy (LVEF 28%) presents after three shocks while gardening. Interrogation reveals two treated episodes.
465 words, about 2 min4Dofetilide Initiation With Borderline QTc and Renal Impairment
A 71-year-old woman with symptomatic persistent atrial fibrillation and heart failure with preserved ejection fraction (LVEF 52%) is admitted for dofetilide initiation after amiodarone was stopped because of thyrotoxicosis. Her medications are furosemide 40 mg daily, lisinopril 10 mg daily, metoprolol succinate 50 mg daily, and apixaban 5 mg twice daily.
465 words, about 2 min5Brugada Syndrome With Fever-Triggered Syncope
A 23-year-old man is evaluated after a syncopal episode that occurred at rest during a febrile illness with a temperature of 39.2°C. He had no prodrome, no seizure activity, and no injury.
435 words, about 2 min