Comprehensive EKG Course (20.0 CME Credits)
Comprehensive EKG Course (20.0 CME Credits)
  • Purchase includes:
    • 12-month online access to all course material
    • 20.0 CME credits and certificate upon completing course requirements
  • Course instructor: Anthony Kashou, MD (The EKG Guy)
  • Course overview: The Comprehensive EKG Course is an accredited course designed for those with little to no knowledge of EKGs as well as those interested in a refresher in EKG interpretation from beginner to advanced topics. It is comprised of 136 lessons with corresponding videos and abundant practice material to master topics along the way. Course objectives are described below.
  • Target audience: This activity is appropriate for all healthcare providers interested in learning more about ECG interpretation, especially ECG technicians, physicians, and allied health staff among others.
  • Credit and certificate requirements:
    • Complete pre-course assessment
    • Complete all 136 lesson videos and corresponding practice material
    • Successfully pass post-course assessment
    • Complete course evaluation
Joint Accreditation ImageAccreditation Statement: In support of improving patient care, this activity is planned and implemented by Mayo Clinic College of Medicine and Science and The EKG Guy.  Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
Credit statement: 
Mayo Clinic College of Medicine and Science designates this enduring material for a maximum of 20.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Course Objectives
  1. Describe basic cardiac anatomy and circulation.
  2. Describe the electrical conduction system of the heart.
  3. Identify the locations of various leads on the standard 12-lead ECG.
  4. Identify and describe various aspects of the cardiac cycle and their normal appearance on the EKG.
  5. Determine the regularity and rate of a rhythm.
  6. Describe and determine ventricular (QRS) axis in the frontal plane.
  7. Describe and determine transition zone and R wave progression in the precordial leads.
  8. Explain the mechanism of various atrial rhythms.
  9. Describe the ECG features associated with various atrial rhythms.
  10. Identify various atrial rhythms on a 12-lead ECG.
  11. Explain the mechanism of various AV junctional rhythms.
  12. Describe the ECG features associated with various AV junctional rhythms.
  13. Identify various AV junctional rhythms on a 12-lead ECG.
  14. Explain the mechanism of various ventricular rhythms.
  15. Describe the ECG features associated with various ventricular rhythms.
  16. Identify various ventricular rhythms on a 12-lead ECG.
  17. Describe the clinical significance of various atrial, AV junctional, and ventricular rhythms.
  18. Describe the difference between asystole and pulseless electrical activity.
  19. Identify the basic ECG features associated with single-chamber atrial and ventricular pacemakers as well as with dual-chamber pacemakers.
  20. Describe the ECG features associated with left atrial, right atrial, and biatrial enlargement.
  21. Identify left atrial, right atrial, and biatrial enlargement on a standard 12-lead ECG.
  22. Describe clinical conditions associated with left atrial, right atrial, and biatrial enlargement.
  23. Describe the ECG features associated with left ventricular, right ventricular, and biventricular hypertrophy.
  24. Identify left ventricular, right ventricular, and biventricular hypertrophy on a standard 12-lead ECG.
  25. Describe clinical conditions associated with left ventricular, right ventricular, and biventricular hypertrophy.
  26. Describe the ECG features associated with various forms of atrioventricular (AV) blocks and intraventricular conduction defects.
  27. Identify various forms of AV blocks and intraventricular conduction defects on a standard 12-lead ECG.
  28. Describe clinical conditions associated with various forms of AV blocks and intraventricular conduction defects.
  29. Recall the normal cardiac anatomy and distribution of myocardial blood flow.
  30. Recall the definition and underlying pathophysiology of myocardial ischemia and infarction.
  31. Describe the difference between stable angina, unstable angina, non-ST elevation myocardial infarction (NSTEMI), and ST-elevation myocardial infarction (STEMI).
  32. Describe ST-segment and T wave changes suggestive of myocardial ischemia.
  33. Describe the ECG findings necessary to fulfill STEMI criteria.
  34. Identify myocardial ischemia and injury on a standard 12-lead ECG.
  35. Describe and identify the findings of non-STEMI equivalent patterns (eg, Wellens' syndrome, de Winter's sign) on a standard 12-lead ECG.
  36. Localize myocardial injury to various regions of the heart.
  37. Describe the what is meant by coronary artery dominance.
  38. Describe the left ventricular anatomy and vascular supply.
  39. Identify the culprit coronary artery in myocardial ischemia based on a standard 12-lead ECG.
  40. Define Prinzmetal's angina and its associated ECG findings.
  41. Recall the coronary arteries that supply various components of the heart's electrical conduction system.
  42. Describe and identify the findings associated with myocardial ischemia in the setting of left bundle branch block or a ventricular-paced rhythm.
  43. Describe the conduction defects associated with myocardial infarction involving various regions.
  44. Describe and identify the ECG features associated with hypothermia, intracranial hemorrhage, early repolarization, acute pericarditis, and pericardial effusion.
  45. Describe and identify the key ECG features associated with various inherited arrhythmia disorders (eg, Brugada syndrome, long and short QT syndrome, arrhythmogenic right ventricular dysplasia).
  46. Identify key ECG features associated with various electrolyte disturbances.
  47. Describe the mechanism and physiologic effects of digoxin.
  48. Define the ECG features associated with digoxin effect and toxicity.
  49. Explain the purpose of Einthoven's triangle.
  50. Identify bipolar and augmented unipolar leads.
  51. Describe limb electrode placement and the limb leads that generate from the electrodes.
  52. Explain what occurs to Einthoven's triangle in various limb lead reversals.
  53. Identify the presence and type of lead reversal present based on a standard 12-lead ECG.
  54. Identify the culprit electrode associated with artifact.
  55. Define the expected ECG features associated with various forms of motion and muscle artifacts.
  56. Identify motion and muscle artifact on a standard 12-lead ECG.
Additonal Course Information
  • Disclosure summary: As a provider accredited by Joint Accreditation Interprofessional Continuing Education, Mayo Clinic College of Medicine and Science must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of these relevant financial relationships will be published in activity materials so those participants in the activity may formulate their own judgments regarding the presentation.
  • Relevant financial relationship(s) with industry: None.
  • No relevant financial relationship(s) with industry: Anthony Kashou, M.D.
  • References to off-label and/or investigational usage(s) of pharmaceuticals or instruments in their presentation: None.
  • Disclaimer: Participation in this educational activity does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course. You should be aware that substantive developments in the medical field covered by this recording may have occurred since the date of original release.
  • Prerequisites for participation: There are no prerequisites needed prior to participating in this education activity.
  • Method of participation: Participation in this activity consists of reviewing the educational material, completing the learner assessment, and course evaluation.
  • Release date: 01/01/2021
  • Expiration date: 12/31/2023
  • Acknowledgement of Commercial Support: No commercial support was received in the production of this activity.
  • Bibliographic Resources: Bibliographic resources are provided within the activity.
  • Preliminary Assessment (Comprehensive EKG Course)
  • Cardiac Anatomy & Circulation Duration: 6:03
  • Electrical Conduction System of the Heart Duration: 10:32
  • Action Potential & Automaticity Duration: 12:52
  • Vectors & Electrical Axis Duration: 6:51
  • Electrodes Duration: 5:58
  • Standard Leads Duration: 8:05
  • Right-Sided Leads Duration: 5:36
  • Posterior Leads Duration: 6:44
  • ECG Paper Duration: 12:20
  • Standard 12-Lead ECG Duration: 7:27
  • Localizing ECG Leads Duration: 7:41
  • Basic Terms Duration: 12:30
  • Cardiac Cycle & Complex Formation Duration: 19:30
  • P Wave Duration: 12:37
  • Ta Wave Duration: 8:24
  • PR Segment Duration: 6:26
  • PR Interval Duration: 9:02
  • QRS Complex Duration: 12:01
  • QRS Nomenclature Duration: 7:52
  • Intrinsicoid Deflection Duration: 5:19
  • ST Segment Duration: 6:32
  • T Wave Duration: 11:11
  • QT Interval Duration: 9:53
  • U Wave Duration: 6:34
  • TP Segment Duration: 4:49
  • PP & RR Intervals Duration: 2:55
  • Determining Regularity Duration: 6:36
  • Determining Rate Duration: 11:16
  • Determining Axis (Frontal Plane) Duration: 13:01
  • Transitional Zone Duration: 10:28
  • R Wave Progression Duration: 6:21
  • Approach to Rhythms Duration: 4:27
  • Normal Sinus Rhythm Duration: 12:18
  • Sinus Arrhythmia Duration: 13:25
  • Sinus Bradycardia Duration: 10:30
  • Sinus Tachycardia Duration: 9:40
  • Sinus Pause & Arrest Duration: 11:49
  • Sinoatrial Exit Block Duration: 11:48
  • Premature Atrial Contraction Duration: 14:14
  • Ectopic Atrial Tachycardia Duration: 12:49
  • Wandering Atrial Pacemaker Duration: 8:09
  • Multifocal Atrial Tachycardia Duration: 10:18
  • Atrial Flutter Duration: 18:16
  • Atrial Fibrillation Duration: 15:51
  • Premature Junctional Contraction Duration: 15:14
  • Junctional Escape Beat Duration: 14:06
  • Junctional Escape Rhythm Duration: 14:28
  • Accelerated Junctional Rhythm Duration: 12:36
  • AV Nodal Reentrant Tachycardia Duration: 19:05
  • Wolff-Parkinson-White (WPW) Syndrome Duration: 12:28
  • Lown-Ganong-Levine (LGL) Syndrome Duration: 5:36
  • AV Reentrant Tachycardia Duration: 12:51
  • Premature Ventricular Contraction Duration: 15:37
  • Ventricular Escape Beat Duration: 7:04
  • Ventricular Escape (Idioventricular) Rhythm Duration: 8:12
  • Accelerated Idioventricular Rhythm Duration: 11:52
  • Fusion & Capture Beats Duration: 6:47
  • Brugada's & Josephson's Signs Duration: 2:59
  • Ventricular Tachycardia Duration: 15:34
  • Reentrant Ventricular Tachycardia Duration: 7:30
  • Torsades de Pointes Duration: 8:02
  • Ventricular Flutter Duration: 3:33
  • Ventricular Fibrillation Duration: 6:34
  • Asystole Duration: 2:06
  • Pulseless Electrical Activity Duration: 3:35
  • Pacemaker Rhythms Duration: 11:55
  • Right Atrial Enlargement Duration: 9:35
  • Left Atrial Enlargement Duration: 13:00
  • Biatrial Enlargement Duration: 5:01
  • Right Ventricular Hypertrophy Duration: 12:29
  • Left Ventricular Hypertrophy Duration: 17:23
  • Biventricular Hypertrophy Duration: 6:52
  • First-Degree AV Block Duration: 5:55
  • Second-Degree AV Block Mobitz I (Wenckebach) Duration: 12:42
  • Second-Degree AV Block Mobitz II Duration: 11:56
  • Third-Degree (Complete) AV Block Duration: 14:00
  • AV Dissociation Duration: 8:47
  • Right Bundle Branch Block Duration: 14:21
  • Left Bundle Branch Block Duration: 12:35
  • Left Anterior Fascicular Block Duration: 16:02
  • Left Posterior Fascicular Block Duration: 14:12
  • Bifascicular Block Duration: 12:13
  • Nonspecific Intraventricular Conduction Delay Duration: 4:50
  • Ischemic Heart Disease Duration: 10:40
  • Acute Myocardial Infarction Duration: 8:10
  • ECG Classification of Ischemic Heart Disease Duration: 4:28
  • ECG Basics in Myocardial Ischemia & Infarction Duration: 9:51
  • ST-T Basics in Acute Myocardial Infarction Duration: 10:10
  • Transmural vs. Subendocardial Ischemia Injury Currents Duration: 10:35
  • ECG Progression in Acute Myocardial Ischemia Duration: 8:41
  • ST Elevation & Depression in Acute Myocardial Ischemia Duration: 12:38
  • T-Wave Changes in Acute Myocardial Ischemia Duration: 14:01
  • Wellens' Syndrome Duration: 4:37
  • de Winter's Sign Duration: 4:48
  • T-Wave Pseudonormalization Duration: 3:15
  • Pathological Q- & R-Waves Duration: 7:29
  • Coronary Artery Anatomy & Dominance Duration: 4:24
  • Left Ventricular Anatomy & Vascular Supply Duration: 5:37
  • Localizing Ischemia in STEMI Duration: 8:49
  • Right Coronary Artery Occlusion Duration: 13:13
  • Left Anterior Descending Artery Occlusion Duration: 15:45
  • Left Circumflex Artery Occlusion Duration: 8:16
  • Left Main Coronary Artery Occlusion Duration: 11:51
  • Prinzmetal's (Variant) Angina Duration: 4:29
  • Conduction System Vascular Supply Duration: 8:11
  • Conduction Defects in Myocardial Ischemia & Infarction Duration: 4:20
  • Sgarbossa Criteria Duration: 6:01
  • Conduction Defects in Inferior MI Duration: 5:22
  • Conduction Defects in Anterior MI Duration: 5:28
  • Digoxin Duration: 11:22
  • Hypercalcemia Duration: 4:46
  • Hypocalcemia Duration: 3:35
  • Hyperkalemia Duration: 9:22
  • Hypokalemia Duration: 6:16
  • Sodium & Magnesium Imbalances Duration: 1:41
  • Einthoven's Triangle Duration: 8:13
  • Left Arm-Right Arm Lead Reversal Duration: 7:05
  • Left Arm-Left Leg Lead Reversal Duration: 5:38
  • Right Arm-Left Leg Lead Reversal Duration: 7:20
  • Left Arm-Right Leg Lead Reversal Duration: 7:27
  • Right Arm-Right Leg Lead Reversal Duration: 7:58
  • Left Leg-Right Leg Lead Reversal Duration: 3:57
  • Bilateral Arm-Leg Lead Reversal Duration: 8:44
  • Precordial (Chest) Lead Reversal Duration: 5:24
  • Identifying Culprit Electrode Duration: 7:00
  • Motion Artifact Duration: 5:03
  • Muscle Artifact Duration: 5:07
  • Brugada Syndrome Duration: 13:15
  • Long QT Syndrome Duration: 14:40
  • Short QT Syndrome Duration: 16:52
  • Arrhythmogenic Right Ventricular Dysplasia Duration: 15:09
  • Hypothermia Duration: 5:38
  • Intracranial Hemorrhage Duration: 5:56
  • Early Repolarization Duration: 8:13
  • Acute Pericarditis Duration: 10:54
  • Pericardial Effusion & Cardiac Tamponade Duration: 8:53
  • Final Assessment (Comprehensive EKG Course)
  • Course Evaluation (Comprehensive EKG Course)

Anthony Kashou, MD