IBHRE CCDS Exam Review



James Holland, MS, CCDS

James Holland, MS, CCDS

President & CEO

Kimber Walters, RN, BSN, CCDS, MBA

Kimber Walters, RN, BSN, CCDS, MBA

Vice President & COO

Sarah Fritzsche, CCDS

Sarah Fritzsche, CCDS

CRM Specialist

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.

Online Review Course: $500 Registration Fee - To Purchase/Register Click Here

The Registration Fee for the online review course includes an online version of the practice exam of 384 questions, over 14 hours of online video lecture recorded from a live review course, and a set of review books. 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 and access the over 14 hours of video content reviewing the exam questions. The current lecture content was recorded from a review course held in 2019. Your access to the online review course will remain available for two exam seasons. Online course purchases before the exam in August will have access until the day after the exam in August of the following year.

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. This class does not qualify for CME/CEU credits.


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


Your team did a wonderful job.


"The IBHRE Course has been awesome.  Not only the content of the materials, but feeling more comfortable with how and what to look for in the correct answers. You can tell the time and quality to put this course together.  Having the most awesome staff and teachers is a plus!"

"Very knowledgeable staff. Staff made class fun. Facility was nice and comfortable."

"Extremely helpful and well organized. Thanks for a great week!"

Very enjoyable course. Hard to teach such a boring and complex subject, but Mark and Jim made it fun. Learned a lot. Enjoyed the comic videos. Very laid back but learned a bunch."

June 2019