Skip to main content

Clinical Challenges in Electrocardiography - 6 CME Credits

Reading electrocardiograms to identify common and life-threatening conditions

Start Date: Aug 21, 2018
Duration: ~ 6 hours
Price: $299

Course Description

Course registration is currently closed while we upgrade our learning platform with enhanced functionality and self-service options for learners. If you would like to be notified when the course re-opens in March 2020, please click here.

This course will provide a series of multiple-choice questions based on 12-lead electrocardiograms as encountered in inpatient and outpatient-based settings. The emphasis will be on common and potentially life-threatening clinical entities including acute coronary syndromes, major cardiac arrhythmias, and metabolic problems affecting the ECG as well as other conditions such as drug toxicities.

These cases will feature multimedia adjuncts including echocardiograms and cardiac catheterization images to engage the participant and to enhance the clinical correlates. Emphasis will be on differential diagnosis and avoiding common clinical pitfalls. The faculty for the course is from the Beth Israel Deaconess Medical Center.

This course is directed at physicians and allied health personnel from a wide range of disciplines including emergency medicine physicians, internists, family practice physicians, anesthesiologists, and cardiologists. Participants will have the chance to review and advance their knowledge of state-of-the-art ECG interpretations by taking this course.

What You'll Learn

  • Review common and life-threatening clinical conditions which can be diagnosed via ECG findings as encountered in the emergency department, general wards, intensive care units, and outpatient settings
  • Practice case-based clinical problem-solving using multiple-choice questions
  • Identify a variety of acute and chronic conditions


Ary L. Goldberger, MD

Ary L. Goldberger, MD Professor of Medicine, Harvard Medical School; Chief, Division of Interdisciplinary Medicine and Biotechnology, Director, Margret and H.A. Rey Laboratory for Nonlinear Dynamics in Medicine; Beth Israel Deaconess Medical Center

Larry A. Nathanson, MD

Larry A. Nathanson, MD Assistant Professor of Medicine, Harvard Medical School; Director, Emergency Medicine Informatics, Beth Israel Deaconess Medical Center


Clinical Challenges in Electrocardiography is organized as a series of 30 cases. Each case consists of an ECG image accompanied by patient information and a multiple-choice question. These knowledge check questions contain expert explanations for each correct and incorrect answer, and may also include additional ECG images, links to reference materials, and in several cases, electrocardiograms in a video format. The following is an outline of the course:

Precourse Information:
Accreditation and AMA Credit Designation
Disclosure Statement
How to Take This Course
Viewing Videos
Grading and Certificates

Clinical Challenges in Electrocardiology
ECG Cases 1-10
ECG Cases 11-20
ECG Cases 21-30

CME Certificate
CME Posttest
Course Evaluation



The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.


The Harvard Medical School designates this enduring material for a maximum of 6 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Disclosure Policy

Harvard Medical School has long held the standard that its continuing medical education courses be free of commercial bias.

In accord with the disclosure policy of the Medical School as well as standards set forth by the Accreditation Council for Continuing Medical Education (ACCME), course planners, speakers, and content reviewers have been asked to disclose any relevant relationship they, or their spouse or partner, have to companies producing, marketing, re-selling or distributing health care goods or services consumed by, or used on, patients. In addition, faculty have been asked to list any off-label uses of pharmaceuticals and/or devices for investigational or non-FDA approved purposes that they plan to discuss.

Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide the course director and participants with information that might be of potential importance to their evaluation of a given presentation.

Disclosure Statement

All individuals including course directors, planners, reviewers, faculty, staff, etc., who are in a position to control the content of this educational activity have, on behalf of themselves and their spouse or partner, reported no financial relationships related to the content of this activity.


Dr. Ary L. Goldberger is the director of the Margret and H.A. Rey Laboratory for Nonlinear Dynamics in Medicine and a professor of medicine at Harvard Medical School. He is also the Program Director of the Research Resource for Complex Physiologic Signals (, which is funded by the National Institutes of Health.

Dr. Goldberger has a long-standing interest in electrocardiography and noninvasive electrophysiology. He is the author of two standard textbooks on ECG analysis (Goldberger AL. Clinical Electrocardiography: A Simplified Approach, 7th edition, St. Louis, Mosby, 1999, and Goldberger AL. Myocardial Infarction: Electrocardiographic Differential Diagnosis, 4th edition, Elsevier/Mosby-Year Book, 2006). Both books have been translated into a number of languages.

Dr. Larry A. Nathanson is an emergency physician at Beth Israel Deaconess Medical Center and an assistant professor of medicine at the Harvard Medical School. He is also the director of emergency medicine informatics in the Department of Emergency Medicine. Dr. Nathanson's research interests include computer generation of ECG's, medical education, and ED informatics, including patient tracking and surveillance techniques for bioterrorism.


Clinical Challenges in Electrocardiography:
Original Release: 5/5/2010
Most Recent Update: 8/21/2018

End Date: 8/21/2021 (Enrollment ends 7/21/2021)


How long will this course take?

This course should take approximately 6 hours to complete. You do not need to complete it all at once. You may come back as often as you like.

How long will this course be available?

This self-paced course will close enrollments three years after its start date.

What web browser should I use?

The platform works best with current versions of Chrome, Firefox, or Safari, or with Internet Explorer version 11 and above. See our list of supported browsers for the most up-to-date information.

What if I want to learn more about this topic?

HMS Continuing Education holds live topic-focused conferences throughout the year. Please see our course catalog for upcoming events.