IBHRE Exam Review

for Allied Professionals


Mark Sweesy

Mark Sweesy

FHRS, CCDS, CEPS, RCES - President & Director of Education

James Holland

James Holland

MS, CCDS - Technical Director

Kimber Walters

Kimber Walters

RN, BSN, CCDS, MBA - Clinical Director

Tristan Pendergrass

Tristan Pendergrass

CCDS, CEPS - Clinical Applications Coordinator

The International Board of Heart Rhythm Examiners (IBHRE) offers an Allied Professional Cardiac Device Therapy Certification Exam on an annual basis in August.  In order to help allied professionals prepare for this exam, ATI developed a two and a half day review course. The course is conducted by reviewing questions in a practice exam, allowing ATI faculty to address over a hundred different topics.  ATI now offers an online option for its review course, details below. 

In-Person Review Course $600 Registration Fee

Course dates:  June 19 – June 21, 2019

The Registration Fee for the in-person (non-physician) review course includes the materials needed for the Review which consists of a practice test of 384 questions and a book containing over 600 pages including the answer key and supporting slides.  Upon receipt of payment, your IBHRE Test Booklet will be shipped to you, however considering its bulkiness, the Answer Book will be distributed when you arrive at ATI for the Review Course. The practice exam is to be taken before attending and will need to be brought with you to the course.

The Review Course Schedule runs from 8:00am to 4:30pm the first 2 days and 8:00am to 12:00pm the 3rd day.  Lunch will be provided for the first two days.

Online Review Course $800 Registration Fee
(Add Cardiac Device Exam Review Book Set +$150) 

The Registration Fee for the online review course includes an online version of the practice exam of 384 questions. Upon receipt of payment, you will receive an email with log-in instructions to the web portal through which you will be able to take practice exam (maximum of 3 attempts of the exam) and access the over 14 hours of video content reviewing the exam questions. The lecture content was recorded from a review course held in 2017.  We recommend taking the practice exam prior to watching the review videos.  The online review course will remain available until the day after the exam in August, 2018.

CONTENT (Topics)

1) To describe any and all concepts related to Basic and Applied Science and Technology in cardiac devices.

Basic Science and Technology will be discussed to include: Basic energy calculations, charge, coated-wire technology, conductor construction, ICD battery depletion, action potentials, appropriate pacemaker programming, unipolar and bipolar electrical signals, anodal stimulation, strength duration curves.
2) To discuss the medical application of Pacemakers, ICDs, and CRT devices. This will include the understanding of the current Indications for device implant, as well as appropriate device selection, based on patient needs. Pharmacology and the effects of common medications on the cardiac action potential will also be discussed.
3) To discuss any and all concepts around Clinical pacing. Clinical pacing will be discussed to include: Atrial and ventricular capture, rate smoothing, crosstalk inhibition, ECG interpretation, atrial overdrive, lead insulation breaches, EMI inhibition, PMT, follow-up complications, battery depletion, rate responsive pacing, mode-switching, atrial and ventricular sensing issues.
4) To discuss any and all concepts around Clinical ICD. Clinical ICD will be discussed to include: DFT testing at implant, the management of ICD complications, the follow-up of single and dual chamber ICDs, the steps to troubleshooting an ICD episode, indications for ICD implant.
5) To discuss any and all concepts related to Radiography in implanted device cases.

Radiography and its use will be discussed to include: AP and lateral views, over-penetrated films, pulse generator location, pule generator model and polarity, visualization of the connector block, lead polarity and fixation mechanism, lead integrity, and proper lead positioning (Endocardial, Epicardial, Coronary Sinus, Extra Cardiac, etc.)

6) To discuss Heart Failure and CRT device programming. Heart Failure and CRT will be discussed to include: Tied output devices (recognition of various losses of capture), coronary venous anatomy, AV optimization, V-V optimization, Heart Failure classes and stages, commonly used medications to treat HF, anodal capture, and commonly used HF diagnostics from implanted devices.

This course is especially geared toward the Allied Professional preparing for the Allied Professional IBHRE Cardiac Device Therapy Certification Exam (Non-Physician).


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*Our courses are IBHRE endorsed

ATI Is Proud To Call Greenville South Carolina Home

Thank you for the review, could not have passed without that weekend. C.I.

Your team did a wonderful job. B.T.