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Medical Transcription Fundamentals
Lesson Plans
Chapter 11—Cardiology
Learning Objectives:
The lesson plan for each objective starts on the following page.
11-1
Name and describe the anatomic structures of the heart and associated blood vessels.
11-2
Explain cardiac conduction and describe the cardiac cycle.
11-3
Discuss blood pressure measurement and how blood pressure readings are obtained.
11-4
Describe common diseases and disorders related to the heart and their treatments.
11-5
Discuss common laboratory tests and diagnostic studies used to identify heart disease.
11-6
Discuss the Insight relating to cardiology.
11-7
Discuss the soundalike terms regarding cardiology.
11-8
Identify the combining forms used in relation to cardiology and the heart.
11-9
Review the abbreviations used in cardiology.
11-10
Explain the terminology used when transcribing cardiology documents.
You Will Need:
Gather the following materials for the following lessons:
11-1
A segment of a rubber hose, 1 inch in diameter.
11-3
Several manual sphygmometers and/or digital blood pressure machines.
11-4
Stedman’s Medical Dictionary or Physicians' Desk Reference, several copies.
11-5
An EKG machine.
11-8
A set of 3x5 index cards for each combining form listed in the Combining Forms table at the end of Chapter 11 (students will provide).
11-9
A set of 3x5 index cards for each abbreviation listed in the Abbreviations table at the end of Chapter 11 (students will provide).
Page 11-1
Copyright © 2009 Lippincott Williams & Wilkins
Medical Transcription Fundamentals
Chapter11 — Cardiology
Date:
Objective 11-1: Name and describe the anatomic structures of the heart and associated blood vessels.
Lecture Outline—Objective 11-1
Content
Introduction
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In-Class Activity
 Cardiology—the medical speciality dealing
with the diagnosis and treatment of diseases
and disorders of the heart.
 The heart pumps blood around a closed
circle or circuit of vessels in a continuous
loop from birth to death.
Anatomy of the Heart
 The heart—composed almost entirely of
muscle.
 The heart is actually two different pumps
 The right side pumps blood into the
lungs to gather oxygen.
 The left side pumps oxygenated blood
to the rest of the body.
 Layers
 The pericardium surrounds the heart
like a transparent sac.
 Three layers in heart wall
 Outer: epicardium,
 Middle: myocardium,
 Inner: endocardium.
 Chambers—2 on the left, 2 on the right
 Upper chambers—left and right atria.
 Lower chambers—left and right
ventricles.
 Left atrium and ventricle receive
oxygen-rich blood and pump it to the
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Copyright © 2009 Lippincott Williams & Wilkins
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Resources and
In-Class Activities
Figure
11.1,
Anatomy of the
heart, p. 272
Make PowerPoint slides
for this chapter available
to students as a handout or
by posting them on a
school web site or sending
them as an e-mail
attachment prior to class.
The students can use slide
show sheets to follow
lecture and supplement
with handwritten notes.
In-Class Activity
272
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272
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Choose one student to
select one of the terms
related to the anatomy of
the heart. Have students
play a “To Tell The Truth”
type game, taking turns
asking the student “yes” or
“no” questions based on
the information learned to
determine the anatomic
term chosen by the
student. The winner gets
to select the next term and
the game is played again.
Outside Assignments/
Evaluation
OLC: List the chambers,
ventricles and valves of the
heart and explain each
function.
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-1
Content
body.
Right atrium and ventricle receive
deoxygenated blood from the body and
pump it to the lungs for gas exchange to
occur.
 Valves—open and close to ensure proper
blood flow
 Tricuspid valve—between the right
atrium and right ventricle.
 Pulmonary valve—opens from the right
ventricle to the pulmonary artery.
 Mitral valve--between the left atrium
and left ventricle.
 Aortic valve—between the left ventricle
and the aorta.
 Each valve contains leaflets
 Regulate blood flow
 Prevent backflow of blood from
ventricles to the atria
 Arteries and Vessels
 Blood Vessels – a network of
interconnecting arteries, arterioles,
capillaries, venules, and veins that
provide the pathway in which blood is
transported between the heart and the
body cells.
 Arteries and arterioles – carry blood
away from the heart
 Capillaries
 Act as a bridge between arteries
and veins.
 Allow oxygen and nutrients to pass
from the blood into tissues and
allow waste products to pass from
tissues back into the blood.
 Veins and venules—carry blood back to
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
Page 11-3
Copyright © 2009 Lippincott Williams & Wilkins
Figure
11.2, The coronary
arteries and veins,
p. 274
In-Class Activity
Demonstrate to students
that the aorta is the largest
Outside Assignments/
Evaluation
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-1
Content
the heart
Coronary Arteries
 Left coronary artery (LCA) and
right coronary artery (RCA) branch
from the aorta.
 Posterior descending artery
(PDA)—main branch of RCA.
 Left main coronary—initial
segment of the left coronary artery.
 The LCA branches into the left
anterior descending artery (LAD)
and the left circumflex artery
(LCA).
 The lesser coronary vessels
 Diagonal branches (D1, D2),
which arise from the LAD
 Obtuse marginal branches
(OM1, OM2), which arise
from the LCA.
 Myocardial infarction (MI)—
results from blockage of coronary
arteries by plaques
 Blood’s Path Through the Heart
 Blood empties into vena cavae:
 Superior vena cava: Carries blood
from upper body to right atrium
 Inferior vena cava: Carries blood
from lower body to right atrium
 Blood in right atrium empties into right
ventricle
 Pumped by pulmonary artery to lungs
 Through left atrium and left ventricle
Pumped into the aorta for circulation
throughout the body
Text

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Figures, Tables,
and Features
Resources and
In-Class Activities
Outside Assignments/
Evaluation
artery in the body. Show
the students a segment of a
rubber hose that is 1 inch
in diameter, the same
diameter as the aorta, to
show how large this vessel
really is. Pass around the
rubber hose for students to
inspect.
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Legend: PPt, PowerPoint; IRCD, Instructor Resource CD-ROM; SRCD, Student Resource CD-ROM, OLC, Online Course.
Page 11-4
Copyright © 2009 Lippincott Williams & Wilkins
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Date:
Objective 11-2: Explain cardiac conduction and describe the cardiac cycle.
Lecture Outline—Objective 11-2
Content
The Cardiac Cycle
 Cardiac cycle—the sequence of events in
one heartbeat. Cardiac conduction is the
name given to the conduction system that
controls the heart rate.
 Two basic components
 Contraction phase (systole)—blood is
ejected from chambers of the heart.
 Relaxation phase (diastole)—heart is at
rest and chambers fill with blood.
 Process:
 The SA node generates an electrical
impulse that travels to the AV node.
 The AV node delays the impulse to
give the atria time to contract.
 The impulse travels on to the bundle of
His.
 The impulse travels to the left and right
bundle branches off the bundle of His.
 The impulse travels to the Purkinje
fibers.
 Ventricles contract, pushing blood out
of them into the lungs and body.
 The tricuspid and mitral valves shut
tight and the pulmonary and aortic
valves open so the atria can fill with
blood again.
 The heart rests for a moment and the
cycle begins again.
 Heart sounds—vibrations in the tissues and
blood caused by closure of the valves.
Page 11-5
Copyright © 2009 Lippincott Williams & Wilkins
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Figures, Tables,
and Features
Figure
11.3, The cardiac
cycle, p. 275
Resources and
In-Class Activities
Outside Assignments/
Evaluation
In-Class Activity:
Outside Assignment
Have students determine
their own heart rates by
taking their pulse.
Demonstrate how to
obtain a pulse either from
the wrist or the carotid
artery in the neck. Tell the
students to count the
number of beats they feel
in 10 seconds and
multiply by 6, which will
equal the resting heart rate
per minute. Have students
take their pulse while
seated, and then stand up
and march in place at a
fast pace for 1 minute, and
take the pulse again.
Compare the results.
Have students research the
Internet to learn about
pacemakers. Under what
circumstances would a
person would require a
pacemaker device? What
heart defects would require
a pacemaker? What kinds
of pacemakers are
available? Have them write
a short paper on their
findings. The next day,
have students discuss their
findings with the class.
In-Class Activity
Have students research the
Internet for web sites that
contain .wav files of
different heart sounds and
OLC: Incorporate online
activity from the outside
assignment regarding the
pacemaker.
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-2
Content




Lub-dub-sound of valves closing
 Lub-(S1)—closure of the mitral
and tricuspid valves at the
beginning of a ventricular
contraction.
 Dub-(S2) —closure of the aortic
and pulmonary valves at the end of
ventricular systole, or when blood
is released from the ventricles.
Murmur-abnormal heart sound.
Normal heart rate—sinus rhythm.
Abnormal heart rhythm—
arrhythmia/dysrhythmia. Other terms:
 Bradycardia, a slow heartbeat,
defined as usually less than 60
beats per minute.
 Tachycardia, a fast heart rate,
defined as greater than 100 beats
per minute.
 Atrial flutter, which is an
arrhythmia in which the atrial
rhythm is regular, but the rate is
abnormally fast.
 Fibrillation refers to an
uncoordinated, irregular
contraction of the heart muscle
which may originate in the atria
(called atrial fibrillation) or the
ventricles (called ventricular
fibrillation).
 Heart block, which is an impaired
conduction of the heart’s electrical
impulses, leading to a slow
heartbeat.
 Paroxysmal atrial tachycardia,
which is a rapid heart rate that
Page 11-6
Copyright © 2009 Lippincott Williams & Wilkins
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listen to each one. Then
discuss their findings.
How were the sounds
different in each?
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Outside Assignments/
Evaluation
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-2
Content

Text
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starts and stops suddenly and
unpredictably.
Premature atrial contraction, which
describes an extra heartbeat that
originates from the atria before it
should.
Legend: PPt, PowerPoint; IRCD, Instructor Resource CD-ROM; SRCD, Student Resource CD-ROM, OLC, Online Course.
Page 11-7
Copyright © 2009 Lippincott Williams & Wilkins
Outside Assignments/
Evaluation
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Date:
Objective 11-3: Discuss blood pressure measurement and how blood pressure readings are obtained.
Lecture Outline—Objective 11-3
Content
Blood Pressure
 Blood pressure—the measurement of this
force, or the force of the blood pushing
against the walls of the arteries each time the
heart pumps.
 Systolic pressure is the blood pressure
at its highest when the heart beats,
pumping the blood.
 Diastolic pressure is the blood pressure
at its lowest, when the heart is at rest,
between beats.
 Sphygmomanometer—measures blood
pressure. Indicated in terms of millimeters of
mercury, abbreviated as mmHg.
 Two numbers are involved in making a
blood pressure reading, expressed as a
fraction, for example, 120/80.
 The systolic blood pressure, or the
top number, represents the
maximum pressure in the arteries as
the heart contracts and pumps
blood into the arteries.
 The diastolic pressure, which is the
bottom number, reflects the
minimum blood pressure as the
heart relaxes following a
contraction.
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Resources and
In-Class Activities
Figures, Tables, and
Features
In-Class Activity:
Have students experience
taking blood pressure or
having their own blood
pressure taken. This can
be done two ways:
(a) Invite someone from
the school nursing staff to
visit the classroom,
demonstrate how blood
pressure is measured, and
explain what the results
mean. The nurse can then
take students' blood
pressure; OR
(b) Bring in several
sphygmomanometers,
both manual and digital.
Ask for a volunteer and
demonstrate to the class
how to take a blood
pressure. Then have the
students take turns taking
each other’s blood
pressure. Have the
students write down their
completed measurements.
At the end, have students
compare the results.
Legend: PPt, PowerPoint; IRCD, Instructor Resource CD-ROM; SRCD, Student Resource CD-ROM.
Page 11-8
Copyright © 2009 Lippincott Williams & Wilkins
Outside Assignments/
Evaluation
Outside Assignments
Skills Quick Check 11.1, p.
277
Can be completed in class
or assigned as homework.
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Date:
Objective 11-4: Describe common diseases and disorders related to the heart and their treatments.
Lecture Outline—Objective 11-4
Content
Common Cardiac Diseases and Treatments
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 Signs of heart problems:

Cyanosis: Bluish tinge

Pallor: Paleness

Edema: Swelling of tissues

Diaphoresis: Excessive sweating

Angina (angina pectoris): Severe chest
pain
 Hypertension—a condition in which the
pressure of the blood in the arteries is too
high
 Primary hypertension—where there is
no identifiable cause.
 Secondary hypertension—where
another disease or medication is the
cause.
 Treatments:
 Diuretics—Promote excretion of
excess water in the body, lowering
the blood pressure within the
vessels.
 Beta-blockers—Slow the heart rate
and reduce the force of the
heartbeat.
 Angiotensin-converting enzyme
(ACE) inhibitors—prevent the
formation of angiotensin II that
constricts the blood vessels.
 Calcium-channel blockers—
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Features
Resources and
In-Class Activities
Outside Assignments/
Evaluation
In-Class Activity
Outside Assignment:
Choose one student to
select one of the terms
related to diseases and
disorders of the heart.
Have students play a “To
Tell The Truth” type
game, taking turns asking
the student “yes” or “no”
questions based on the
information learned to
determine the disease or
disorder term chosen by
the student. The winner
gets to select the next term
and the game is played
again
Have students research the
Internet and locate
information about the
effects of uncontrolled
hypertension. Have them
write a brief summary of
the diseases and disorders
that are a result of untreated
hypertension, including
signs, symptoms, and
treatments.
In-Class Activity:
Assign each student the
name of one drug that is
used to treat heart disease.
Ask the students to use a
medical dictionary,
Physicians Drug
Reference, or other
resource (including the
Internet) to find out more
about the type of drug,
class, indications, dosages,
OLC: Have students
contact their local
healthcare clinic and
"interview" the EKG
technician. Prepare a short
paper on the symptoms a
patient should have before
an EKG is ordered. Ask
the technician to describe
the procedure of placing
leads on the patient. There
are 10-lead tracings as well
as 12-lead tracings. If
possible, ask the EKG
technician for a copy of an
EKG.
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-4
Content
decrease the heart's pumping
strength and relax blood vessels.
 Coronary artery disease (CAD)
 Refers to the narrowing of the coronary
arteries sufficiently to prevent adequate
blood supply to the heart muscle.
 Also called cardiac ischemia.
 Cause: the gradual buildup of plaques in
the coronary arteries (atherosclerosis)
 Arteries become hardened and
narrowed, reducing the flow of
blood through them, also called
hardening of the arteries
 Symptoms: Angina pectoris (intense
chest pain), dyspnea (shortness of
breath), or a heart attack.
 Other complications of CAD
 Heart failure—weakened heart
muscle does not pump the way it
should.
 Congestive heart failure (CHF)—
The heart's weak pumping action
causes congestion in the lungs and
other body tissues.
 Result: Breathing difficulties while
lying down (orthopnea) or the
sudden onset of breathing difficulty
occurring at night, usually after
falling asleep (paroxysmal
nocturnal dyspnea).
 Treatment:
 Medications—nitrates dilate blood
vessels, making it easier for the
heart to pump blood through the
body. Hypertension medications
can also be used.
Page 11-10
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and side effects.
278
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Figure
11.4, Coronary artery
disease, p. 279
19
Outside Assignments/
Evaluation
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-4
Content
Text
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Features

Surgical interventions
 Angioplasty opens narrowed
arteries by using a catheter that
is inserted into an artery in the
leg and guided to the site of the
blockage in the coronary artery
of the heart. In order to keep
the artery from re-stenosing, or
narrowing again after an
angioplasty procedure, an
expandable stent is implanted
at the site of the blockage to
keep the artery from
collapsing.
 Coronary artery bypass graft
(CABG) surgery—a procedure
in which section of vein or
artery from another part of the
body (a graft) is used to bypass
a blockage in a coronary
artery.
 Cardiomyopathy—the progressive
impairment of the structure and function of
the myocardium.
 Dilated cardiomyopathy—overall
enlargement of the heart chambers
 Hypertrophic cardiomyopathy—an
overgrowth of heart muscle that can
impair blood flow both into and out of
the heart.
 Restrictive cardiomyopathy—the
ventricles become stiff and do not fill
normally with blood between
heartbeats.
 Valvular heart disease—results in leaking
valves (regurgitation) or blocked valves
Page 11-11
Copyright © 2009 Lippincott Williams & Wilkins
Figure
Vascular stent used in
coronary angioplasty, p.
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Resources and
In-Class Activities
Outside Assignments/
Evaluation
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-4
Content
(stenosis).
 Pericarditis – an inflammation of the
pericardium that surrounds the heart
 Complications:
 Pericardial effusion—
accumulation of fluid in the
pleural sac.
 Cardiac tamponade—when
excess fluid causes
compression of the heart.
 Treatment—draining fluid
via catheter.
 Congenital Heart Disorders
 Atrial septal defect (ASD)
 Called a hole in the heart, a hole in
the atrial septum that separates the
atria of the heart.
 Treatment: Hole usually closes on
its own as child grows.
 Ventricular septal defect (VSD)
 Like ASD but hole, or defect, in the
wall that separates the ventricles of
the heart.
 Treatment: As with ASD, hole
usually closes over time, but large
defects may require surgical
closure.
 Patent ductus arteriosus
 Abnormal circulation of blood
between the aorta and pulmonary
artery due to the blood vessel that
connects them, the ductus
arteriosus, remaining open (patent)
and not closing after birth.
 Treatment: Condition will go away
on its own, or corrective surgery
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Features
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Outside Assignments/
Evaluation
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-4
Content


can be performed.
Transposition of the great vessels
 The location of the aorta and
pulmonary artery, referred to
collectively as the great vessels, is
switched.
 Treatment: Arterial switch
operation, in which the major
arteries are switched back..
Tetralogy of Fallot
 Too little oxygen levels in the
blood, leading to cyanosis.
 A combination of four different
heart defects: VSD; obstructed
outflow of blood from the right
ventricle to the lungs, called
pulmonary stenosis; a displaced
aorta, which causes blood to flow
into the aorta from both the right
and left ventricles; and abnormal
enlargement of the right ventricle,
called right ventricular
hypertrophy.
 Treatment: Surgery to increase
blood flow and correct the defects.
Text
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Features
Resources and
In-Class Activities
Outside Assignment
24
Legend: PPt, PowerPoint; IRCD, Instructor Resource CD-ROM; SRCD, Student Resource CD-ROM, OLC, Online Course.
Page 11-13
Copyright © 2009 Lippincott Williams & Wilkins
Outside Assignments/
Evaluation
Have students research the
Internet for a heart disorder
or condition not discussed
in the chapter and have
them write a one-page
paper about the condition,
including the origin of the
name of the disorder,
symptoms, causes, and
treatments.
Outside Assignment
Skills Quick Check 11.2, p.
283
Can be completed in class
or assigned as homework.
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Date:
Objective 11-5: Discuss common laboratory tests and diagnostic studies used to identify heart disease.
Lecture Outline—Objective 11-5
Content
Diagnostic Studies and Procedures
 Blood Tests—evaluate the patient’s risk of
acquiring vascular disease, heart attack, or
stroke:
 C-reactive protein (CRP) test. A
substance in the blood that occurs with
inflammation, such as fatty buildup in
artery walls.
 Homocysteine—an amino acid that is
normally found in small amounts in the
blood; higher levels are associated with
increased risk of heart attack and other
vascular diseases.
 Lipoprotein (a) or Lp(a): A biochemical
in the body; higher concentrations are
associated with premature coronary
disease.
 Cholesterol particle test. Measures the
size of the LDL particles to determine
risk of atherosclerosis and heart disease.
 Lipid profile. This test evaluates the risk
of coronary heart disease in a patient.
 It measures total cholesterol, bad
cholesterol (LDL), good cholesterol
(HDL), and triglycerides.
 Blood sugar (glucose). Tests for
diabetes and glucose intolerance, both
of which indicate a significant cardiac
risk.
 B-type natriuretic peptide (BNP). A
hormone made by the heart. Elevated
Page 11-14
Copyright © 2009 Lippincott Williams & Wilkins
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Figures, Tables, and
Features
Resources and
In-Class Activities
In-Class Activity
Choose one student to
select one of the terms
related to a diagnostic test
or study relating to the
heart. Have students play
a “To Tell The Truth”
type game, taking turns
asking the student “yes”
or “no” questions based
on the information learned
to determine the term
chosen by the student. The
winner gets to select the
next term and the game is
played again.
Outside Assignments/
Evaluation
OLC: Explain the
differences in
electrocardiogram and
echocardiogram.
OLC: Research "cardiac
catheterization" on the
internet or in a medical
journal/textbook of your
choice. List the indications
for this procedure as well as
outcome.
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-5
Content
values mean the heart is working
harder, indicative of heart failure.
 Cardiac enzyme studies. Measure the
levels of the cardiac enzymes troponin,
creatine kinase (CK), creatine
phosphokinase (CPK), and myocardial
banding of creatine phosphokinase (CKMB) in the blood. Elevated levels may
indicate damage to the heart muscle, as
such as from a heart attack.
 Electrocardiogram (EKG)
 Analyzes the electrical activity of the
heart
 Produces a graphic representation or
tracing of the electrical activity of the
heart
 Can detect abnormal heartbeats, some
areas of damage, inadequate blood flow,
and heart enlargement.
 Impulses detected by the leads are
recorded as waveforms. Deviation in the
shape or interval of the waveform is
indicative of a possible heart disorder.
 Echocardiogram
 Uses ultrasound to examine the heart
anatomy.
 Sound waves echo off cardiac
structures, providing a 2-D image of the
beating heart on a computer screen.
 Cardiac Stress Test
 Also called a treadmill stress test
 An exercise test to evaluate the heart for
problems that show up only when the
heart is working hard.
 The patient’s heart rate and rhythm are
observed while patient exercises at
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Figures, Tables, and
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Resources and
In-Class Activities
Figure
In-Class Activity
11.6,
Electrocardiographic
wave form, p. 285
If you have access to an
EKG machine, bring one
to the class to show the
students how the leads are
connected to the patient
and how the machine
works. Alternatively, you
can ask an EKG
technician to speak to the
class about the procedure
of the EKG, the
terminology used, and to
show tracings of normal
and abnormal heart
rhythms.
Outside Assignments/
Evaluation
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-5
Content
different levels.
Nuclear scan or thallium stress test uses
thallium injected into a vein during the
test. A camera records whether the
thallium is taken up by the heart muscle
(healthy areas) or not (damaged areas).
 Cardiac Catheterization and Coronary
Angiography
 Used extensively for the diagnosis and
treatment of heart disorders not due to
abnormalities in the coronary arteries.
 A radiopaque dye is inserted through a
catheter into the coronary arteries in
order to view clear images of the blood
vessels as the heart pumps.
 MUGA (multiple-gated acquisition) scan
 Used to determine if the heart's left and
right ventricles are functioning properly
and to diagnose abnormalities in the
heart wall.
 A small amount of technetium is
injected into an arm vein, and a special
camera is used to follow the movement
of the technetium through the blood
circulating in the heart.
Text
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30
286
31
Figures, Tables, and
Features
Resources and
In-Class Activities
Outside Assignments/
Evaluation

Legend: PPt, PowerPoint; IRCD, Instructor Resource CD-ROM; SRCD, Student Resource CD-ROM, OLC, Online Course.
Page 11-16
Copyright © 2009 Lippincott Williams & Wilkins
Outside Assignments
Skills Quick Check 11.3, p.
286
Can be completed in class
or assigned as homework.
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Date:
Objective 11-6: Discuss the Insight relating to cardiology.
Lecture Outline—Objective 11-6
Content
Discuss the Insight:
“The Heart Brain”
Text
PPt
287’’
32
Figures, Tables, and
Features
Resources and
In-Class Activities
Outside Assignments/
Evaluation
In-Class Activity
Outside Assignment
Read aloud the Insight
article. Discuss the
concept of the “heart
brain.” Do students
believe it is possible for
the heart to convey
emotion to the brain?
Have students research the
Internet on the “heart
brain” theory and the
history of its pioneer
research, J. Andrew
Armour, and write a short
paper on their findings.
OLC: Research the Internet
on the “heart brain” theory
and the history of its
pioneer research, J. Andrew
Armour and write a short
paper on the findings.
Legend: PPt, PowerPoint; IRCD, Instructor Resource CD-ROM; SRCD, Student Resource CD-ROM, OLC, Online Course.
Page 11-17
Copyright © 2009 Lippincott Williams & Wilkins
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Date:
Objective 11-7: Review the soundalike terms regarding cardiology.
Lecture Outline—Objective 11-7
Content
Review the common soundalike words in the
textbook (table).
Text
288
PPt
Figures, Tables, and
Features
Table
Common soundalike
words, p. 288
Legend: PPt, PowerPoint; IRCD, Instructor Resource CD-ROM; SRCD, Student Resource CD-ROM.
Page 11-18
Copyright © 2009 Lippincott Williams & Wilkins
Resources and
In-Class Activities
Outside Assignments/
Evaluation
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Date:
Objective 11-8: Identify the combining forms used in relation to cardiology and the heart.
Lecture Outline—Objective 11-8
Content
Review the combining forms list in the textbook
(table).
Text
289
PPt
Figures, Tables, and
Features
Table
Combining forms, p.
289
Legend: PPt, PowerPoint; IRCD, Instructor Resource CD-ROM; SRCD, Student Resource CD-ROM.
Page 11-19
Copyright © 2009 Lippincott Williams & Wilkins
Resources and
In-Class Activities
Outside Assignments/
Evaluation
Outside Assignment
Have students create flash
cards using 3x5 index cards
of the combining forms
found in the table of
combining forms in this
chapter, p. 289, by placing
the combining form on one
side of the card and its
meaning on the other side,
to study in class and at
home.
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Date:
Objective 11-9: Review the abbreviations commonly used in cardiology.
Lecture Outline—Objective 11-9
Content
Review abbreviations list in textbook (table).
Text
289
PPt
Figures, Tables, and
Features
Copyright © 2009 Lippincott Williams & Wilkins
Outside Assignments/
Evaluation
Table
Outside Assignment
Abbreviations, p. 289
Have students create flash
cards using 3x5 index cards
of the abbreviations found
in the table of abbreviations
in this chapter, p. 289 , by
placing the abbreviation on
one side of the card and its
meaning on the other side,
to study in class and at
home.
Legend: PPt, PowerPoint; IRCD, Instructor Resource CD-ROM; SRCD, Student Resource CD-ROM.
Page 11-20
Resources and
In-Class Activities
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Date:
Objective 11-10: Correctly define, spell, and pronounce the chapter’s medical terms.
Lecture Outline—Objective 11-10
Content
The chapter’s medical terms, with their correct
pronunciation and definitions, appear throughout
the chapter and at the end of the chapter (table).
Text
PPt
290
Figures, Tables, and
Features
Table
Terminology, p. 290
Resources and
In-Class Activities
Remind students to add
new terms learned from
the activities in this
chapter to the list of terms
and definitions located at
the end of the chapter.
Outside Assignments/
Evaluation
Outside Assignment
Assign for homework the
end-of-chapter review
questions and chapter
activities.
Outside Assignment
In-Class Activity:
Have student transcribe
the medical reports
contained in the end-ofchapter transcription
activities.
Page 11-21
Copyright © 2009 Lippincott Williams & Wilkins
As an optional extra credit
assignment, you may ask
students to watch a medical
program on television. The
program must be a true life
type documentary about the
daily work routine in a
hospital or emergency room
(not a sitcom or fictional
drama program). Have the
students write down every
medical term they hear
while watching the
program. Then ask them to
locate the definition of the
term using their medical
resources or the Internet.
Have them hand in their
papers with the name of the
program viewed, the date,
and the list of terms with
their definitions in order to
receive extra credit for the
assignment.
Instructor’s Notes
Medical Transcription Fundamentals
Chapter11 — Cardiology
Lecture Outline—Objective 11-10
Content
Text
PPt
Figures, Tables, and
Features
Resources and
In-Class Activities
Outside Assignments/
Evaluation
Evaluation
Create an exam for Chapter
11 using the Brownstone
Test Generator on the
IRCD.
Legend: PPt, PowerPoint; IRCD, Instructor Resource CD-ROM; SRCD, Student Resource CD-ROM.
Page 11-22
Copyright © 2009 Lippincott Williams & Wilkins
Instructor’s Notes