This activity was planned with a goal to improve competence in treating patients with ventricular arrhythmias in the setting of ischemic heart disease. This case is in response to the 2017 AHA/ACC/HRS/Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.

Accreditation Statement

Physicians
The American College of Cardiology Foundation (ACCF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The ACCF designates this enduring material for a maximum of up to .25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

While offering CME credits noted above, this program is not intended to provide extensive training or certification in the field.

MOC
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to .25 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Target Audience

This activity is intended for adult cardiovascular physicians, family physicians and internists.

Important Dates:

Date of Release: January 22, 2018
Term of Approval/Date of CME/CE Expiration: January 22, 2021

Learner Objectives
Upon completion of this program, you should be able to:

• Describe the appropriate workup for ventricular arrhythmias in the setting of ischemic heart disease.
• Discuss the relative merits and downsides of the different types of available implantable cardioverter-defibrillators.
• Explain the mechanism responsible for the development of ischemic ventricular arrhythmias.
• Describe the epidemiology and survival from sudden cardiac death.
• Discuss the utility of catheter ablation for the treatment of ventricular arrhythmias in the setting of ischemic heart disease.

Method of Participation and CME Certificate
Requesting AMA PRA Category 1 CME Credit™ and continuing education credit for this activity

To request credit, you must:

• Read all text and view all tables and/or figures in the case for which you wish to receive credit.
• Answer the questions in each case for which you wish to claim credit. After you have answered all the questions, click on the Exam Summary button. A Claim Credit button will appear on this page if you have achieved a passing score of 70% or better. If you did not achieve a passing score, please click the Reset Scores link and retake the exam.
• Click the Claim Credit button and answer the evaluation questions in the pop-up window.
• Enter the total amount of time you actually spent in the activity in the box provided. Please note that you may only claim once for each module in this activity. Click Submit.
• You will receive a message that your request has been submitted and a link to view your certificate. You may view and download the certificate when you receive the message, you may also view it at any time in the My Transcript section of My ACC.

This CME-certified activity may contain links to other educational resources such as clinical trial summaries, journal articles, guidelines, etc., that may not be CME-certified. Please note that clicking on the links provided to view these resources will open new windows, which are outside of this CME-certified activity.

Authors:
Nishant Verma, MD

Bradley P. Knight, MD, FACC

Peer Reviewers:
Zachary D. Goldberger, MD, FACC

Mahmoud Houmsse, MD, FACC