Answer from the Question on LinkedIn (2-23-2020): When a patient presents with a credible history of chest pain and the only obvious change on the 12-lead ECG is ST depression in Leads II, III and aVF, you are likely looking at a reciprocal change to a basolateral (formerly "high lateral") ischemia. There will likely be some STE in the precordial chest leads beginning with V2 and extending through V4 - V6. These changes may not qualify as STE requiring cath lab intervention. There may - or may not - be STE in Lead aVL. Likely the required STE will appear in the course of repeating the ECG every 15 minutes, but you must remember that ST depression in the inferior leads is reciprocal to ischemia in the basolateral area represented by leads I and (especially) aVL. They are NOT reciprocal to the precordial leads which represent the mid-septum and apicolateral precordium. Just remember Jones's Rule!
When you see ST depression in the inferior leads with ST elevation in precordial leads V2 - V4, you are likely seeing an acute occlusion of the LAD proximal to D1 (first diagonal branch). An occlusion of the LCx is NOT going to cause STE in the septal or anterior precordial leads.
I frequently post ECGs and "Pearls" on LinkedIn and I respond to questions on that site as well. Follow me there!
July 20 - 23, 2020
3 - 5 participants: $1449.00 each
6+ participants: $1249.00 each
Houston | 713/931-5423 (M-F, 9 am - 5 pm)
London | +44 800 011 9654 (M-F, 3 pm - 11 pm)
Email | email@example.com
This class will be limited to 20 participants only. We cannot accommodate more than that. Earn 28.0 AMA PRA Category 1 Credits!
Formerly "Advanced ECG Interpretation Boot Camp"
Same Internationally-Recognized Advanced Curriculum
Same Number of AMA PRA Category 1 Credits
Ask Questions at any Time
More In-Class Participation
Almost Like Private Tutoring!
Presented by Internationally-Recognized Expert | Jerry W. Jones, MD
Travel and lodging not included.
Just a reminder that our Masterclasses are kept very small. Don't wait until the last minute to enroll because you may miss a great opportunity!
Welcome to Medicus of Houston!
Imagine an advanced ECG course where...
...there are just a few other participants besides you,
...you are seated in a private conference room,
...everyone addresses each other by name,
...you can ask questions at any time,
...the instructor will review a concept for you,
...there are complimentary refreshments
...and there are breaks every hour!
Casual atmosphere, comfortable and luxurious surroundings, spontaneity and flexibility.
This is what a CME course should be!
Be a participant... not just an audience!
Welcome to the “Rolls-Royce of advanced ECG courses” as a former participant described us. You will have the same instructor throughout the course and you will participate in the interpretation of complex ECGs - during the class - while the instructor guides and assists you with the significant findings. No other course challenges you with such active participation - up to 14 hours of advanced ECG interpretation. Dr. Jones will be teaching the course and he is available each evening by phone, email or text messaging until 10 pm should you have any questions after class.
A Truly Advanced Curriculum
All our scheduled courses are advanced. This is NOT a review course! Participants should already have at least an intermediate level of skill in reading and interpreting 12-lead ECGs and should have been reading them for at least two years. The only time spent on the “basics” is in clearing up some frequent misconceptions. Click HERE to view the four-day curriculum.
Class Materials Provided!
To make certain that each student has the materials needed to properly read and interpret the 12-lead ECGs, we provide a program manual that includes not only the notes for the individual lectures but copies of the ECGs and rhythm strips you will be interpreting during the class. In addition, you receive a set of ECG calipers, a 3X magnifying lens and a straight-edge strip for aligning deflections on the ECG tracing. An extensive Program Manual and discussions of all the ECGs are available for download at no extra expense from this website. You will be sent a password after enrollment in the boot camp.
Continuing Medical Education Accreditation
This activity has been planned and implemented in accordance with the essential areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The University of Texas Medical Branch at Galveston and Medicus of Houston. The University of Texas Medical Branch at Galveston is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Texas Medical Branch at Galveston designates this live activity for a maximum of 28.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Attention Nurses, Nurse Practitioners and Physician Assistants...
For the purpose of recertification, the American Nurses Credentialing Center (ANCC) accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM issued by organizations accredited by the ACCME (Accreditation Council for Continuing Medical Education).
For the purposes of recertification, the American Academy of Nurse Practitioners Certification Board (AANPCB) and the American Association of Nurse Practitioners (AANP) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credits™ issued by organizations accredited by ACCME.
The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
Participants from these fields of medicine should check with their own state and/or national organizations to verify acceptibility.
Continuing Medical Education (CME) content is developed for physicians to address medical and health care specialties. Accredited CME providers may issue documentation of participation in an activity to non-physicians specifying the number of hours of participation. 1 CME = 1 contact hour.
Substantial Discounts for Groups and Returning Participants
There are substantial discounts for groups offered in the Masterclass in Advanced Electrocardiography that are no longer offered in the Advanced ECG Interpretation Boot Camp. Groups of 3 - 5 participants pay only $1449.00 per person and groups of 6 or more pay only $1249.00 per person.
Returning participants - including those who took the course before the name changed to Masterclass in Advanced Electrocardiography - may repeat the course as many times as they want for only $825.00. That includes the CME credits and all the materials used in the course. Note that this is less than the enrollment fee for the (new) Advanced ECG Interpretation Boot Camp!
Accommodations and Travel To/From Houston
Houston has two major airports. The George H. W. Bush Intercontinental Airport has non-stop flights to and from North and South America, Europe, the Middle East, Africa, Asia and the Pacific. The William P. Hobby Airport is smaller with mostly shorter domestic flights as well as a few international flights to Mexico, Central America and the Caribbean. Both airports offer limo service that will take you to your hotel.
Below is a list of the most convenient, very nearby hotels. Just left-click on the name to be taken to the respective website for reservation information...
Homewood Suites by Hilton - Our Home in Houston!
The Homewood Suites by Hilton in the beautiful, upscale Galleria area of Houston will be our home base. Homewood Suites is located diagonally across the street from the elegant Galleria Mall - a grand venue for shopping and dining.
You can stay at the Homewood Suites or any of the nearby hotels.