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Module Description
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Title
Code
Level
Credit rating
Pre-requisites
Type of module
Aims
Learning outcomes/objectives
Content
12-lead ECG Level 6
NH314
6
10 credits
Health care professionals working in an area
of acute care with normally 1 years’ postregistration experience
Extensive
The aim of the module is to enable students to
critically evaluate the use of the 12-lead ECG
as an assessment tool by reviewing
electrophysiological principles and applying
these principles to practice. The use of a
systematic analysis tool will enhance students’
learning and a variety of ECG abnormalities
will be explored.
By the end of the module the student should
be able to:
 Critically evaluate the derivation of the
normal frontal and horizontal plane ECG
leads, recognise normal variants and
identify QRS imposters using a systematic
analysis tool
 Utilise various methods for measuring
mean frontal plane QRS axis and critically
discuss the implications of axis deviation
for patient care
 Differentiate and recognise forms of
intraventricular conduction delay/block,
analyse this information and consider the
implications of the findings for patient care
 Critically explore the role of the 12-lead
ECG as an assessment tool in coronary
artery disease, recognise its limitations in
diagnosis of Coronary Heart Disease
(CHD) and its role in predicting outcomes
and in evaluating interventions
 Utilise a systematic analysis tool to identify
chamber enlargement, pulmonary and
valvular heart disease on the 12-lead ECG
 Cardiac anatomy, physiology and
electrophysiology
 Principles and laws of electrocardiograhy
 Systematic analysis tools
 Methods of determining QRS axis
 Bundle branch block, fascicular block
 Coronary artery disease, ischaemia, injury
and infarction
 Atrial and ventricular enlargement,
pulmonary and valvular heart disease
Teaching and learning strategies
Lectures will be provided by faculty staff and
invited multi-disciplinary clinical staff
Taught as shared delivery with level 5
Lectures, quizzes, group work and videos
All students will have a named clinical mentor
who will supervise development of practice in
the clinical area
Learning support
 30 hours taught
 35 hours independent study
 35 hours clinical skills
 100 hours total
Indicative reading:
Conover MB 2003 Understanding
Electrocardiography Eighth edition Mosby St.
Louis
Davis D 2001 Quick and accurate 12-lead
ECG interpretation Third edition Lippincott:
Philadelphia
Golberger AL 1999 Clinical
Electrocardiography: A simplified approach
Mosby St. Louis
Huszar RJ 2002 Basic Dysrhythmias:
interpretation and management Third edition
Mosby St. Louis
Houghton A and Gray D 1997 Making sense of
the ECG London Arnold
Wiederhold R 1999 Electrocardiography: the
monitoring and diagnostic leads Philadelphia
WB Saunders
Assessment tasks
Practice 50%
Skills Inventory – these skills assess the
student’s ability to apply theory to the clinical
setting
- 3 specified skills (from a choice) will be
assessed in practice by the student’s
mentor and assessor or course tutor
Theory 50%
Case Study
presentation of a patient using a case study
approach with specific emphasis on at least 2
of the patient’s ECGs. The student will
demonstrate the ability to use a systematic
analysis tool to critically evaluate and compare
the 2 ECGs to show how the
electrophysiological abnormality has either
improved or deteriorated in relation to patient
care. The student will also be able to
demonstrate how the ECG may be used to
predict potential outcome and evaluate care
given. A discussion of the professional and
clinical context should also be included. 2500
words
NB. A 40% pass must be achieved in each
assessment part. Failure to achieve 40% at
first attempt in any part will result in a
referral for the module and a maximum
final mark of 40%.
Brief description of module content and/or
aims (maximum 80 words)
Area examination board to which module
relates
Module team/authors/ coordinator
Semester offered, where appropriate
Date of first approval
Date of last revision
Date of approval of this version
Version number
Replacement for previous module
Field for which module is acceptable and
status in that field
Course(s) for which module is acceptable
and status in course
Word limit may be exceeded by up to 10%
where that is exceeded, the examiner
reserves the right to reduce the result by 10
%
The 12-lead ECG remains the most widely
used cardiac assessment tool for practitioners.
This module will explore electrocardiographic
principles and enable practitioners to develop
a systematic and analytical approach to the
analysis of the 12-lead ECG in a variety of
conditions. It is a module suitable for
interprofessional learning.
Critical care area examination board, INAM
Chrissie Spiers/Course Board
Both semesters
June 2004
1
No
Post registration health professionals
Mandatory option for Cardiac Surgery pathway
L3
Mandatory module for Cardiology pathway L3
Optional BSc (Hons) Professional Clinical
Practice
Optional BSc (Hons) Professional Practice
School home
External examiner
INaM – Faculty of Health
Jill Riley
Senior Lecturer
Thames Valley University