AFHRA Education and Certification Program
The AFHRA Education and Certification Program in Cardiac Electrophysiology is designed to strengthen heart rhythm care across Africa by offering structured training and certification pathways for healthcare professionals.
The program connects physicians, cardiologists, electrophysiologists, and allied healthcare professionals to enhance expertise in arrhythmia diagnosis, cardiac electrophysiology, and heart rhythm management.
Certification Tracks
Non-Invasive Arrhythmia Certification
Foundational certification covering arrhythmia recognition, ECG interpretation, and non-invasive heart rhythm management.
Invasive Electrophysiology (EP) Certification
Advanced certification focusing on electrophysiology procedures, mapping, and catheter ablation.
Cardiac Implantable Electronic Devices (CIEDs)
Specialized certification for pacemakers, ICDs, and cardiac device management.
Allied Professionals Certification
Designed for nurses, technologists, and allied healthcare professionals working in cardiac rhythm care.
Program Timeline
Non-Invasive Arrhythmia Certification Program
Advanced Certification Programs (Invasive EP, CIEDs, Allied Professionals)
Examinations are conducted twice per year in July and January.
Preparatory Course for the Eligibility Exam
AFHRA offers a preparatory course designed to help candidates successfully prepare for the Certification Eligibility Exam.
- 26 March 2026 -28 March 2026
- 26 March 2026 -28 March 2026
AFHRA Certification Eligibility Exam
AFHRA offers a preparatory course designed to help candidates successfully prepare for the Certification Eligibility Exam.
- Thursday, 4 June 2026
- 07:00 PM – 08:00 PM (Cairo Time)
NOTE : Successful completion of the eligibility exam is a mandatory prerequisite for enrollment in all AFHRA certification pathways.
AFRA Arrhythmia Course Specifications
12 Lead ECG Module
Topic: Normal 12 Lead ECG
- ECG lead placement
- Waves generation
- Artefacts
- Calibration & heart rate
- Axis & sinus rhythm
- P, QRS, T waves
- ST, QT, PR intervals
Topic: ECG in Arrhythmia
- Narrow & wide tachycardia
- SVT, WPW, AF
- Atrial flutter, AT, MAT
- VT & pre-excited AF
- Bradycardia
- AV blocks
- PACs & PVCs
- Escape rhythms
Topic: ECG in Ischemia & Structural Heart Diseases
- STEMI
- ST abnormalities
- T wave changes
- Q waves
- LVH & RVH
- Atrial enlargement
- Electrolytes disorders
- Low voltage ECG
- Paced rhythm & devices
- Fast review
Clinical Arrhythmia Course
4 Lectures – Each Thursday 7 PM to 8 PM Cairo Time (45 min lecture + 15 min discussion)
Topic: Management of Tachyarrhythmias
- Approach to tachycardia in ER (Diagnosis & management)
- SVT, AT, VT
- Pharmacological management – antiarrhythmic drug classes, side effects & interactions
- Indications for referral for ablation
- Overview on catheter ablation
Topic: Management of Atrial Fibrillation
- Burden of AF, diagnosis & screening
- Types of AF & assessment of AF burden
- Anticoagulation
- Rate & rhythm control
- Overview on AF ablation
Topic: Management of Bradycardia and CIED
- Approach to bradycardia in ER (Diagnosis & management)
- Temporary pacemaker, indications of pacing
- Indications of ICD & CRT
- Advances in device therapy (Leadless ECG, CSP)
- Emergency situations & infections related to CIED
- Management before surgery & MRI
Topic: Syncope
- Pathophysiology and types of syncope
- Diagnostic workup of syncope
- Channelopathies: Long QT, Short QT, CPVT, Brugada Syndrome, Idiopathic VF
- CMP: HCM, ARVC, Sarcoidosis
Non-Invasive Electrophysiology Course
3 Lectures – Each Thursday 7 PM to 8 PM Cairo Time (45 min lecture + 15 min discussion)
Topic: Ambulatory ECG
- Introduction & types of Holter
- Connection to patient
- Recording analysis & troubleshooting for common software
- Other modalities for monitoring heart rhythm: Smartwatch, Implantable loop recorder, External loop recorder, Cardia
- Role of AI in monitoring
Topic: Stress ECG
- How to perform stress ECG
- Different indications & protocols
- Blood pressure response & chronotropic incompetence
- Calculation of METs
- Contraindications & results interpretation
- Role in arrhythmia and ischemia
Topic: Head Up Tilt Test (HUTT)
- Introduction & how to perform HUTT
- Contraindications
- Types of response & interpretation of results
Final Exam and feedback ( On Thursday 4 th of June 2026 )