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However, the amount of training provided for resident cardiologists is variable, due to the availability of patients. Thus, the use of simulators for this cardiologic procedure could be used as training tools.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The present study aimed to develop a simulator system for TvTP implantation based on electrograms, called ETTIS (Electrogram\u2010guided Transvenous Temporary\u2010pacemaker Implantation Simulator), and to evaluate its educational potential and cardiology residents' perceived learning efficacy as a training tool.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>The development of the ETTIS involved three stages: (1) Adaptation of an anatomical mannequin; (2) Design and manufacture of electronic circuits and software capable of identifying the catheter contact site within the heart chambers and reproducing electrograms in both surfaces (<jats:italic>mode\u2010on<\/jats:italic>) and intracavitary (<jats:italic>mode\u2010off<\/jats:italic>); (3) To evaluate its educational potential, a modified Likert questionnaire was administered to nine cardiology experts. Additionally, to evaluate the perceived learning efficacy, another modified Likert questionnaire was given to six cardiology residents both before and after training with the ETTIS. Descriptive statistics with measures of position and dispersion were employed, and the weighted Kappa test was used for agreement analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A high rate of acceptance (over 90%) was found among experts who evaluated the ETTIS. The cardiology residents showed significant self\u2010perceived learning gains, as evidenced by a lack of agreement between their responses to a questionnaire before and after training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The ETTIS is a promising tool for medical training, displaying both educational potential and efficacy. It has been shown to be effective in learning a variety of skills, including cardiac catheterization and electrophysiology. Additionally, the ETTIS is highly engaging and allows cardiology residents to practice in a safe and controlled environment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14886","type":"journal-article","created":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T17:06:52Z","timestamp":1701536812000},"page":"36-44","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An electrogram\u2010guided transvenous temporary pacemaker implant simulator"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6671-4747","authenticated-orcid":false,"given":"F\u00e1bio Kadratz","family":"Klemz","sequence":"first","affiliation":[{"name":"Gaspar Vianna Clinics Hospital: department of Arrhythmology UEPA: Post Graduation (Professional Master on Cirurgia e Pesquisa Experimental \u2010 CIPE)  Bel\u00e9m Par\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9rgio Augusto Gon\u00e7alves","family":"Amaral","sequence":"additional","affiliation":[{"name":"UFPA: Centro de Excel\u00eancia em Efici\u00eancia Energ\u00e9tica da Amaz\u00f4nia \u2010 CEAMAZON  Bel\u00e9m Par\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcos Victor Almeida dos","family":"Santos","sequence":"additional","affiliation":[{"name":"UFPA: Institute of Technology, Federal University of Par\u00e1 (UFPA)  Bel\u00e9m Par\u00e1 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helder Henrique Costa","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"UFPA: Institute of Health Science, Federal University of Amap\u00e1 (UNIFAP)  Macap\u00e1 Amapa Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f4nio Pereira","family":"J\u00fanior","sequence":"additional","affiliation":[{"name":"UPFA: Institute of Technology, Laboratory of signal processing"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00falio C\u00e9zar Costa","family":"Furtado","sequence":"additional","affiliation":[{"name":"UNIFAP: Department of Technology Science"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivete Furtado Ribeiro","family":"Caldas","sequence":"additional","affiliation":[{"name":"UEPA: Department of Biomedicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael Oliveira","family":"Chaves","sequence":"additional","affiliation":[{"name":"UEPA: Post Graduation (Professional Master on Cirurgia e Pesquisa Experimental \u2010 CIPE); 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