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How to Map Complex Atrial Arrhythmias Using Classical Maneuvers and High Density Electrodes

Activity Type:

  • On-Demand

This activity has expired

Release Date: 9/20/2017

Expiration Date: 9/20/2018

  • CME: 1.5
  • Participation - no CE credit: 1.5



How to Map Complex Atrial Arrhythmias Using Classical Maneuvers and High Density Electrodes

As presented on May 13, 2017 at the Heart Rhythm 2017 in Chicago, IL

Learning Objectives

  • To discuss different pathophysiological mechanisms of complex atrial arrhythmias
  • To outline old and new strategies to understand the pathophysiology of these arrhythmias
  • To identify possible new tools and techniques for mapping these arrhythmias
  • To describe ablation techniques for complex arrhythmias

Target Audience

  • Physician
  • Electrophysiology Fellow
  • Cardiology Fellow


Gregory F. Michaud, MD, FHRS
Brigham and Women's Hospital
Boston, MA

Natasja De Groot, MD, PhD
Erasmus Medical Center
Rotterdam, Netherlands

Gregory K. Feld, MD, FHRS, CCDS
University of California - San Diego
La Jolla, CA

Stephan Willems, MD, PhD
University Heart Centre Hamburg
Hamburg, Germany

Albert L. Waldo, MD, PhD, FHRS, CCDS
Case Western Reserve University Case Med Ctr
Cleveland, OH


Planners –
Larry A. Chinitz, MD, FHRS
Medtronic, Inc., Pfizer, Inc., Biotronik, Boston Scientific Corp.

Edward P. Gerstenfeld, MD, FHRS
Medtronic, Inc., Boston Scientific Corp., St. Jude Medical, Boehringer Ingelheim, Rhythm Diagnostic Systems Inc., Biosense Webster, Inc.

Faculty –
Gregory F. Michaud, MD, FHRS
Boston Scientific Corp., Medtronic, Inc., Biosense Webster, Inc., St. Jude Medical, Biotronik.

Natasja De Groot, MD, PhD

Gregory K. Feld, MD, FHRS, CCDS
Catheter Robotics, Inc., Biotronik, Boston Scientific Corp., Medtronic, Inc., St. Jude Medical, Biosense Webster, Inc.

Stephan Willems, MD, PhD
Daiichi, Boehringer Ingelheim, St. Jude Medical, Sanofi Aventis, Bayer HealthCare, LLC, Bristol Meyers Squibb, Biosense Webster, Inc.

Albert L. Waldo, MD, PhD, FHRS, CCDS
Abbott Vascular, Biotronik, Daiichi, Biosense Webster, Inc., Gilead Sciences, Inc., CardioInsight Technologies, AtriCure, Inc., ChanRx, Pfizer, Inc., Bard Electrophysiology, St. Jude Medical, Janssen Pharmaceuticals, Bristol Meyers Squibb

Staff –
Chloe Thomas – None
Russell Werlinich, CMP - None


This enduring material supported in part by Biosense Webster.

CME Information

The Heart Rhythm Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Heart Rhythm Society designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The AMA has determined that physicians not licensed in the United States who participate in this CME activity are eligible for AMA PRA Category 1 Credit™.

A Certificate of Participation (for non-physicians) will be provided to individuals seeking credit from the following organizations which accept AMA PRA Category 1 Credit(s)™. Note that participants are advised to contact their certifying body for specific information regarding credit submissions:

  • American Academy of Family Practice (AAFP) for elective credit
  • American Academy of Nurse Practitioners Certification Board (AANPCB)
  • American Academy of Physician Assistants (AAPA)
  • American Nurses Credentialing Center (ANCC)
  • American Osteopathic Association (AOA) for Category 2 credit
  • European Board of Accreditation in Cardiology (EBAC)
  • European CME Credits (ECMEC)


It is the policy of the Heart Rhythm Society to ensure balance, independent objectivity, and scientific rigor in all its certified educational activities. Everyone involved in the planning and participation of continuing medical education activities is required to disclose any real or apparent conflicts of interest related to the content in his/her presentation(s) and also disclose discussions of unlabeled/unapproved uses of drugs or devices during his/her presentation(s). Detailed disclosure information will be available prior to the activity and in the activity slides.

Content Development and Validation

All Heart Rhythm Society content--from objectives to content development, evaluation and measuring outcomes--is developed in compliance with ACCME guidelines. The Society’s education content is developed by expert physicians and vetted through the Education Committee to ensure alignment with organization strategic goals and that content is appropriate. Content is then reviewed by the CME Subcommittee to ensure quality and balance. HRS deploys a standard content validation form that must be signed by reviewers that states the content has been reviewed and approved.

The 2017 program was developed by the Heart Rhythm Society’s 2017 Program Committee members based on the following areas:

  • Gaps identified in a Heart Rhythm Society needs assessment
  • Expert opinion from practitioners or other knowledgeable sources
  • Data from outside sources (e.g.: National Institutes of Health, Public Health Service)
  • Formal or informal requests from HRS membership
  • Literature review
  • New medical technology
  • Tests that determine physician competence (e.g.: pre and post test results, self assessment activities)
  • Staff input (e.g.: department meeting discussion of CME needs, periodic survey of membership, interview with physician leaders).
  • Changes in the healthcare landscape


Heart Rhythm Society takes steps to assure its learners and the public that the content of certified activities is accurate and reliable. The following principles are applied to the process of validating CME content. The content is peer- reviewed to ensure the following:

  • Fair Balance - that content is balanced among various options available for treatment and not biased toward a particular product or manufacturer.
  • Patient Treatment Recommendations - that patient treatment recommendations contained in the content are evidence-based, are appropriate for the target audience, and that the patient treatment recommendations contribute to overall improvement in patient care.
  • Scientific Validity - that scientific studies cited in the activity conform to standards accepted by the scientific community.
  • Learning Objectives - that the educational content supports the learning objectives of the activity, and that the objectives stated for performance-in-practice are actionable and measurable.
  • Omission and Commission - are there any studies, data, or best evidence that is missing?

CME Mission Statement

The Heart Rhythm Society CME Mission provides a framework for guiding and conducting the organization’s CME program and its educational activities. The CME Mission is clearly aligned with the Organizational Mission. The CME Mission Statement consists of six essential elements: purpose, scope, target audience, content, types of activities, and expected results. The purpose and scope of the Heart Rhythm Society CME Mission is to provide academically rigorous learning through the use of innovative teaching methods and advanced technologies that will enhance the ability of heart rhythm specialists worldwide to provide excellent patient care throughout their careers. The target audience is primarily heart rhythm physician specialists, but also includes scientists and other healthcare professionals who are dedicated to the study and management of heart rhythm disorders. The content covers any topic that addresses disturbances of the heart's rhythm or electrical activation, including the diagnosis, treatment, and prevention of bradyarrhythmias, tachyarrhythmias, sudden death, and cardiac dysfunction associated with electrophysiologic abnormalities. Emphasis will be placed on education designed to improve quality of life and survival for patients.

To accomplish the CME Mission, the Heart Rhythm Society currently develops the following types of educational activities:

  • Educational courses and symposia, including didactic presentations, interactive computer sessions and workshops;
  • Enduring materials, including audiotapes, CD-ROMs, and Webcasts;
  • Activities, such as those listed above, developed through collaboration with other medical organizations, in compliance with the ACCME Essentials and Standards

Expected results include improved knowledge and understanding resulting in improvements in health care provider competence, performance, or patient outcomes. Whenever possible, educational activities will be designed to address gaps in performance as compared to accepted performance measures or benchmarks determined by expert consensus and based upon scientific evidence. Evaluation of changes in behavior as a result of educational interventions will help guide future initiatives.


Allegations of conflict of interest and bias are taken seriously and are investigated by the Ethics Oversight Committee, Scientific Sessions Program Committee and/or the Education Committee. Your complaint will be referred to the appropriate committee, and you will be informed in writing of the outcome of its review and decision. Submit a confidential complaint by completing the form at  or submit an email message to