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Beyond the 12-Lead ECG: Ambulatory Cardiac Monitoring in Clinical Practice

Tracking # 20-1384003

$18.00

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Method Computer-Based Training

What you'll learn

After completing this course, learners will be able to:

  1. Describe the types of ambulatory ECG monitors, including Holter monitors, event recorders, patch monitors, and implantable loop recorders, along with their technical features and monitoring durations.
  2. Identify the clinical indications for ambulatory ECG monitoring in patients with palpitations, syncope, unexplained stroke, and suspected arrhythmias using current evidence-based guidelines.
  3. Interpret common findings from ambulatory ECG reports, including atrial fibrillation, ventricular arrhythmias, and conduction abnormalities, to distinguish clinically significant from benign findings.
  4. Select a structured decision-making framework to select the most appropriate monitoring device and duration for a given patient based on symptom frequency and clinical context.
  5. Evaluate findings from ambulatory ECG monitoring to support evidence-based next steps, including referral, medication review, and further diagnostic workup, within the learner’s professional scope of practice, licensure, institutional protocols, and applicable state or board requirements.

Course overview

This 3-hour continuing education course gives healthcare professionals a clear, practical framework for ambulatory ECG monitoring. Learners will understand how the five main device types work and what distinguishes them, when to order monitoring based on clinical presentation and symptom frequency, how to read an ambulatory ECG report and identify clinically significant findings, and how to translate those findings into specific management decisions. The course uses plain language, real clinical cases, and evidence-based guidance drawn from current ACC/AHA and HRS guidelines so that what is learned can be applied directly in practice. Ambulatory ECG monitoring is one of the most commonly ordered cardiac diagnostic tools, yet clinicians across specialties frequently lack confidence selecting the appropriate device for a given patient, interpreting the findings that come back, and connecting those findings to an actionable management decision. A patient with unexplained syncope may leave the hospital with a short-duration monitor that has virtually no chance of capturing an infrequent arrhythmia. A patient with cryptogenic stroke may be discharged without a plan for extended cardiac surveillance, even though paroxysmal atrial fibrillation is among the most common and treatable causes. Consumer wearables are now generating cardiac data that patients bring to appointments before any clinician has ordered monitoring, and many providers are unsure how to evaluate or act on those results. This course addresses all three gaps with evidence-based, clinically applicable content designed for clinicians and healthcare team members who encounter ambulatory ECG results, patient-reported rhythm symptoms, or consumer wearable alerts. Diagnosis, prescribing, anticoagulation initiation, medication adjustment, ablation referral, pacemaker referral, and ICD evaluation should be performed within the learner's professional scope of practice, licensure, institutional protocols, and applicable state or board requirements.

Subject areas

This course counts toward the state boards and subject areas below.

Alabama Board of Nursing

Certified Nurse Midwife

3h General CE

Certified Registered Nurse Anesthetist

3h General CE

Certified Registered Nurse Practitioner

3h General CE

Clinical Nurse Specialist

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Alaska Board of Nursing

Advanced Practice Registered Nurse

3h Clinical Management of Patients (Other Organization)

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Arkansas State Board of Nursing

Certified Nurse Practitioner

3h Practice-Focused Continuing Education

Certified Registered Nurse Anesthetist

3h Practice-Focused Continuing Education

Clinical Nurse Specialist

3h Practice-Focused Continuing Education

Licensed Practical Nurse

3h Practice-Focused Continuing Education

Licensed Psychiatric Technician Nurse

3h Practice-Focused Continuing Education

Registered Nurse

3h Practice-Focused Continuing Education

Registered Nurse Practitioner

3h Practice-Focused Continuing Education

Arkansas State Medical Board - Medical Doctors & Osteopathic Doctors

Medical Doctor

3h Category 1 Hours (Physician's Area of Primary Practice)

Arkansas State Medical Board - Physician Assistants

Physician Assistant

3h General CME

Bahamas Medical Council

Medical Practitioner

3h Cardiology

Specialty Medical Practitioner

3h Cardiology

California Board of Registered Nursing

Clinical Nurse Specialist

3h General

Nurse Anesthetist

3h General

Nurse Midwife

3h General

Nurse Midwife Furnisher

3h General

Nurse Practitioner

3h General

Nurse Practitioner Furnisher

3h General

Registered Nurse

3h General

California Board of Vocational Nursing

Licensed Vocational Nurse

3h General

Colorado Board of Nursing

Advanced Practice Registered Nurse

3h General CE

Advanced Practice Registered Nurse - Prescriptive Authority

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Delaware Board of Nursing

Advanced Practice Registered Nurse

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

District of Columbia Board of Nursing

Certified Nurse Midwife

3h Relevant to Clinical Nurse Midwife Specialty

Clinical Nurse Specialist

3h Relevant to Clinical Nurse Specialty

Licensed Practical Nurse

3h Licensed Practical Nurse - Continuing Education

Nurse Practitioner

3h Relevant to Nurse Practitioner Specialty

Registered Nurse

3h Registered Nurse District of Columbia - Continuing Education

Registered Nurse Anesthetist

3h Relevant to Registered Nurse Anesthetist Specialty

Florida Board of Medicine

Anesthesiologist Assistant

3h General (AMA Category I)

Area of Critical Need Medical Doctor

3h General (AMA Category I)

Medical Doctor

3h General (AMA Category I)

Medical Doctor Faculty Certificate

3h General (AMA Category I)

Medical Doctor Limited License

3h General (AMA Category I)

Medical Doctor Limited to Cleveland Clinic

3h General (AMA Category I)

Medical Doctor Limited to Mayo Clinic

3h General (AMA Category I)

Medical Doctor Public Health Certificate

3h General (AMA Category I)

Medical Doctor Public Psychiatry

3h General (AMA Category I)

Medical Doctor Visiting Faculty Certificate

3h General (AMA Category I)

Florida Board of Nursing

APRN Temporary Certificate for Practice in Areas of Critical Need

3h General

Advanced Practice Registered Nurse

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Florida Board of Pharmacy

Pharmacist

3h General

Registered Pharmacy Technician

3h General

Florida Physician Assistants

Physician Assistant

3h General (AMA Category I)

Physician Assistant Temporary Certificate for Practice in Areas of Critical Need

3h General (AMA Category I)

Georgia Board of Nursing

Licensed Practical Nurse

3h General

Registered Professional Nurse

3h General

Georgia Composite Medical Board - Physician Assistants

Physician Assistant

3h Cardiology

Georgia Composite Medical Board - Physicians & Telemedicine

Institutional Physician

3h General CME

Physician

3h General CME

Physician Compact

3h General CME

Telemedicine

3h General CME

Hawaii Board of Nursing

Advanced Practice Registered Nurse Practitioner

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Idaho Board of Nursing

Certified Nurse Midwife

3h General CE

Certified Nurse Practitioner

3h General CE

Certified Registered Nurse Anesthetist

3h General CE

Clinical Nurse Specialist

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Illinois Board of Nursing

APRN Controlled Substance

3h CE in the Area of Specialty Practice

APRN Full Practice Authority

3h CE in the Area of Specialty Practice

APRN-FPA Controlled Substance

3h CE in the Area of Specialty Practice

Advanced Practice Registered Nurse

3h CE in the Area of Specialty Practice

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Indiana State Board of Nursing

APRN - Compact Registered Nurse

3h General

APRN - Prescriptive Authority

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Iowa Board of Nursing

Advanced Registered Nurse Practitioner

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Kansas State Board of Nursing

Clinical Nurse Specialist

3h Approved CNE Related to the Advanced Practice Registered Nurse

Licensed Mental Health Technician

3h Continuing Nursing Education (CNE)

Licensed Practical Nurse

3h Continuing Nursing Education (CNE)

Nurse Midwife

3h Approved CNE Related to the Advanced Practice Registered Nurse

Nurse Practitioner

3h Approved CNE Related to the Advanced Practice Registered Nurse

Registered Nurse

3h Continuing Nursing Education (CNE)

Registered Nurse Anesthetist

3h Approved CNE Related to the Advanced Practice Registered Nurse

Kentucky Board of Nursing

Advanced Practice Registered Nurse

3h Continuing education related to nursing

Licensed Practical Nurse

3h Continuing education related to nursing

Registered Nurse

3h Continuing education related to nursing

Louisiana State Board of Medical Examiners - Physicians & Surgeons

Physician & Surgeon

3h Category I CME

Physician and Surgeon Compact License

3h Category I CME

Louisiana State Board of Medical Examiners - Podiatric Physicians

Podiatrist

3h Category I CME

Louisiana State Board of Nursing

Registered Nurse

3h General CE

Louisiana State Board of Practical Nurse Examiners

Licensed Practical Nurse

3h General

Maine State Board of Nursing

Certified Nurse Midwife

3h Category I

Certified Registered Nurse Anesthetist

3h Category I

Clinical Nurse Specialist

3h Category I

Licensed Practical Nurse

3h General CE

Nurse Practitioner

3h Category I

Registered Nurse

3h General CE

Maryland Board of Nursing

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Massachusetts Board of Registration in Nursing

Advanced Practice Registered Nurse

3h General

License Practical Nurse

3h General

Registered Nurse

3h General

Michigan Board of Medicine

Medical Doctor

3h Category 1 Hours

Medical Doctor Compact License

3h Category 1 Hours

Michigan Board of Nursing

Licensed Practical Nurse

3h General

Licensed Practical Nurse Special Volunteer

3h General

Registered Nurse

3h General

Registered Nurse Special Volunteer

3h General

Michigan Board of Pharmacy

Pharmacist

3h General

Pharmacist Special Volunteer

3h General

Pharmacy Technician

3h General

Pharmacy Technician Special Volunteer

3h General

Minnesota Board of Nursing

Certified Nurse Midwife

3h General

Certified Nurse Practitioner

3h General

Certified Nurse Specialist

3h General

Certified Registered Nurse Anesthetist

3h General

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Mississippi Board of Nursing

Licensed Practical Nurse

3h Continuing education related to nursing

Registered Nurse

3h Continuing education related to nursing

Mississippi State Board of Medical Licensure

Doctor of Osteopathy

3h AMA Category I

Medical Doctor

3h AMA Category I

Physician Assistant

3h AMA Category I

Missouri Board of Nursing

Advanced Practice Registered Nurse

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Montana Board of Nursing

Advanced Practice Registered Nurse

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Nebraska Board of Nursing

Certified Registered Nurse Anesthetist

3h General

Clinical Nurse Specialist

3h General

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Nevada State Board of Nursing

Advanced Practice Registered Nurse

3h General

Certified Registered Nurse Anesthetist

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

New Hampshire Board of Medicine

Physician

3h Category 1 Hours

New Hampshire Board of Pharmacy

Pharmacist

3h Contact Hours

New Jersey Board of Nursing

Advance Practice Nurse - Non Resident

3h General CE

Advance Practice Nurse - Resident

3h General CE

Licensed Practical Nurse - Single State

3h General CE

Registered Professional Nurse - Single State

3h General CE

New Mexico Board of Nursing

Certified Nurse Practitioner

3h Continuing education relevant to nursing practice

Certified Registered Nurse Anesthetist

3h Continuing education relevant to nursing practice

Clinical Nurse Specialist

3h Continuing education relevant to nursing practice

Registered Nurse

3h Continuing education relevant to nursing practice

New Mexico Medical Board

Medical Doctor

3h General CME - AMA/AOA Category 1

New York State Board for Nursing

Clinical Nurse Specialist

3h General

Licensed Practical Nurse

3h General

Nurse Practitioner

3h General

Registered Nurse

3h General

North Carolina Board of Nursing

Certified Nurse Midwife

3h General

Certified Registered Nurse Anesthetist

3h General

Clinical Nurse Specialist

3h General

Licensed Practical Nurse

3h CE Relevant to the Practice of Nursing

Nurse Practitioner

3h General

Registered Nurse

3h CE Relevant to the Practice of Nursing

North Dakota Board of Nursing

Advanced Practice Registered Nurse

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Ohio Board of Nursing

Certified Nurse Midwife

3h General CE

Certified Nurse Practitioner

3h General CE

Certified Registered Nurse Anesthetist

3h General CE

Clinical Nurse Specialist

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Oklahoma Board of Medical Licensure and Supervision - Medical Doctors

Medical Doctor

3h Category I CME

Oklahoma Board of Medical Licensure and Supervision - Physician Assistants

Physician Assistant

3h Category I CME

Oklahoma Board of Nursing

Certified Nurse Midwife

3h Prescriptive Authority Required Hours

Certified Nurse Practitioner

3h Prescriptive Authority Required Hours

Clinical Nurse Specialist

3h Prescriptive Authority Required Hours

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Oregon Board of Nursing

Certified Registered Nurse Anesthetist

3h CE Related to Population Focus

Clinical Nurse Specialist

3h CE Related to Population Focus

Licensed Practical Nurse

3h General CE

Nurse Practitioner

3h CE Related to Population Focus

Registered Nurse

3h General CE

Rhode Island Board of Nursing

Certified Nurse Practitioner

3h CE Related to Nursing Practice

Certified Registered Nurse Anesthetist

3h CE Related to Nursing Practice

Clinical Nurse Specialist

3h CE Related to Nursing Practice

Licensed Practical Nurse Single State

3h CE Related to Nursing Practice

Registered Nurse Single State

3h CE Related to Nursing Practice

South Carolina Board of Medical Examiners

Medical Doctor

3h Cardiovascular Disease

South Carolina Board of Nursing

Licensed Practical Nurse

3h General

Registered Nurse

3h General

South Dakota Board of Nursing

Certified Nurse Midwife

3h General CE

Certified Nurse Practitioner

3h General CE

Certified Registered Nurse Anesthetist

3h General CE

Clinical Nurse Specialist

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

State Medical Board of Ohio

Doctor of Medicine

3h AMA Category I

Doctor of Medicine Compact

3h AMA Category I

Doctor of Osteopathic Medicine

3h AMA Category I

Doctor of Osteopathic Medicine Compact

3h AMA Category I

Tennessee Board of Medical Examiners

Medical Doctor

3h AMA Category I CME

Tennessee Board of Nursing

Advanced Practice Registered Nurse

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Texas Board of Nursing

Certified Nurse Midwife

3h Continuing Nursing Education (CNE)

Certified Nurse Practitioner

3h Continuing Nursing Education (CNE)

Certified Registered Nurse Anesthetist

3h Continuing Nursing Education (CNE)

Clinical Nurse Specialist

3h Continuing Nursing Education (CNE)

Licensed Vocational Nurse

3h Continuing Nursing Education (CNE)

Registered Nurse

3h Continuing Nursing Education (CNE)

Texas Medical Board - Physician Assistants

Physician Assistant

3h Category I

Texas Medical Board - Physicians

Physician

3h Formal Category 1 or 1A Hours

Utah Board of Nursing

Advanced Practice Registered Nurse

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Vermont Board of Nursing

Advanced Practice Registered Nurses

3h General

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Virginia Board of Nursing

Advanced Practice Registered Nurse

3h CE in the Area of Specialty Practice

Licensed Practical Nurse

3h CE Relevant to the Practice of Nursing

Registered Nurse

3h CE Relevant to the Practice of Nursing

Washington State Board of Nursing

Advanced Registered Nurse Practitioner

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

West Virginia Board of Registered Nurses

Advanced Practice Registered Nurse

3h Clinical Management of Patients

Registered Nurse

3h Clinical Management of Patients

Wisconsin Board of Nursing

Advanced Practice Nurse Prescriber

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Wisconsin Medical Examining Board

Physician

3h Category I CME

Wyoming Board of Nursing

Certified Nurse Midwife

3h General

Certified Nurse Practitioner

3h General

Certified Nurse Specialist

3h General

Certified Nursing Assistant

3h General

Certified Registered Nurse Anesthetist

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Disclosure statements

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

AchieveCE is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

AchieveCE Nationally Approved PACE Program Provider for FAGD/MAGD credit. Approval does not imply acceptance by any regulatory authority or AGD endorsement. 9/1/2025 to 8/31/2029. Provider ID# 386503

AchieveCE is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

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