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OGEECHEE TECHNICAL COLLEGE
ECH 133 – Echocardiography II
Course Syllabus
Loretta Stanley, RDCS
Full-time
Office Location: 338-Joe Kennedy Building
Phone Number(s): 912.688-6950 (o)
912.235-2063 (p)
[email protected]
Office Hours: By Appointment
COURSE ROOM, DAY AND TIME:
Room 312 Kennedy Building, 6 hour class 1 day/week
COURSE DESCRIPTION:
Utilizes the fundamentals to evaluate acquired disease states. Incorporates all
forms of noninvasive cardiovascular evaluation with emphasis on performance
and interpretation of M-mode, 2-dimensional, and Doppler echocardiography.
Topics include: cardiac chamber studies, hemodynamic correlates, valvular heart
disease, coronary heart disease, cardiomyopathies, pericardial diseases, cardiac
masses, and diseases of the aorta.
COMPETENCY AREAS:
1. Cardiac Chamber Studies
2. Hemodynamic Correlates
3. Valvular Heart Disease
4. Coronary Heart Disease
5. Cardiomyophies
6. Pericardial Diseases
7. Cardiac Masses
8. Diseases of The Aorta
Course Objectives:
1.
CARDIAC CHAMBER STUDIES
a. Discuss and implement the systolic and diastolic function of
the ventricular cardiac chambers.
b. Demonstrate and identify proper applications for chamber
quantification by various calculation techniques including
Teicholtz and Simpson’s methods.
c. Demonstrate proficiency in basic imaging principles including:
i.
Nomenclature of standard views
ii.
Image orientation
iii.
Technical quality
iv.
Standard measurements
d. Define echocardiographic parameters used for normal and
abnormal cardiac studies.
2. Hemodynamic Correlates
a. Define and describe laminar and disturbed flow.
b. Identify normal antegrade and retrograde intracardiac flow
patterns.
c. Discuss hemodynamic correlates of blood flow across
valvular lesions, cardiomyopathic output, and hypertensive
responsiveness.
d. Describe the effects of pressure, loading, and volume as
they relate to cardiac disease and to the Bernoulli principle.
e. Explain the echocardiographic approach to pericardial
tamponade and its limitations.
3. Valvular Heart Disease
a. Discuss the limitations and technical considerations
associated with the diagnosis of valvular disease,
quantitation, and fluid dynamics.
b. Discuss the basic findings and pathophysiologies
associated with valvular regurgitation and stenosis
including etiology.
c. Define and identify intraoperative repair and replacement of
valves including, fluid dynamics and dysfunction of
prosthetic valves.
d. Identify the role of echo in diagnosis of endocarditis
4. Coronary Heart disease
a. Define the basic principles of coronary artery anatomy and
function.
b. Discuss the use of stress echocardiography for the
evaluation of coronary artery disease utilizing analysis of
wall segments pre and post exercise.
c. Identify both normal and abnormal segmental wall motion.
d. Define basic principles of detection, location, and
quantification of myocardial ischemia and infarction
including diastolic functional changes, complications and
follow up.
5. Cardiomyopathies
a. Discuss and define the various types of cardiomyopathies
and the echocardiographic approach for assessment.
b. Define etiology for the various types of cardiomyopathies.
c. Discuss typical 2-D echo and Doppler findings, limitations,
and pitfalls for the various types of cardiomyopathies
including:
i.physiologic features.
ii.anatomic features.
iii.Epidemiology.
d. Identify allograft morphology and functional complications of
cardiac transplantation.
e. Identify Echo-Doppler detection of rejection in cardiac
transplantation.
f. Identify and define systemic and pulmonary hypertensive
disease.
6. Pericardial Diseases
a. Discuss and identify the basic findings and
pathophysiologies associated with pericardial disease.
b. Describe various methods of diagnosing and identifying
pericardial effusion, diffuse effusion, loculated effusion, and
distinguishing from pleural fluid.
c. Describe pericardial constriction.
7. Cardiac Masses
a. Discuss the echocardiographic approach to analyzing the
cardiac masses including technical limitations and the use
of TEE for definitive diagnosis.
b. Discuss and identify basic findings and pathophysiologies
associated with cardiac masses including: endocarditis
infectious masses, thrombi, cardiac tumors, miscellaneous
non-neoplastic intracardiac masses, and extracardiac
masses.
8. Diseases of the Aorta
a. Discuss the echocardiographic approach to analyzing the
great vessels including technical limitations.
b. Define the diseases and the clinical relevance of diseases
of the aorta.
c. Discuss the basic findings and pathophysiologies
associated with diseases of the aorta.
PREREQUISITES/COREQUISITES: ECH 131, Corequisite: ECH 137
CONTACT HOURS:
2 Class hours per week
4 Lab hours per week
CREDIT HOURS: 6
REQUIRED TEXT:
Textbook of Clinical Echocardiography, 3rd Edition, Catherine Otto,
ISBN-13: 978-0-7216-0789-4
The Echocardiographer’s Pocket Reference, 3rd Edition, Terry Reynolds,
ISBN- 0-9635767-9-8
Echocardiography from a Sonographer’s Perspective Notebook, 5th Edition,
Susan K. DeWitt, ISBN
MATERIALS AND SUPPLIES:
Required: 10 Scantrons
CLASSROOM POLICIES AND PROCEDURES:
ATTENDANCE POLICY:
It is essential that educational programs maintain requirements and standards
necessary for successful employment of its graduates in business and industry.
In view of the intensive nature of the educational programs, it is necessary for
every student to be present and on time every day for all classes. Therefore,
there are no excused absences from any course. Attendance is counted from
the first scheduled class meeting of each quarter. If the student misses more
than ten (10) percent in any course during a quarter, the student is subject to
being dismissed from the course involved. Three (3) tardies or early departures
equal one (1) absence for the course involved.
The student WILL be dropped for absence greater than 10%. In this course,
one day is 10%; any missed time exceeding this 10% will result in the student
being dropped from the course. THERE IS NO ATTENDANCE APPEAL
PROCEDURE!
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This course requires class participation of at least 2 hours of didactic work
and 4 hours of lab participation is required. Keeping current on homework
assignments and problem solving is essential in this type of class.
Assigned reading should be done prior to class so as to make proper use
of class-time and assigned activities to be completed as directed by the
instructor.
Complete assignments on time. Incomplete assignments will NOT be
accepted.
Late assignments will NOT be accepted. Due dates are on your calendar
and will be adhered to!
To protect the integrity of the course, online quizzes / tests may be
password protected and can be accessed as designated by the instructor.
The student will have a timed access for each test/quiz.
All tests/quizzes MUST be taken without the used of textbook, handouts,
notes, friends, family, etc.
Make-up test will be scheduled by the instructor and must be taken at the
assigned time (after the final exam) or a grade of zero will be given in
place of the test. Make up tests will not be allowed to interfere with class,
lab or clinical time. No make-up quizzes will be given!
SAFETY: Please refer to the Echocardiography Program Handbook and Clinical
Manual.
DISTRIBUTION OF GRADES:
Evaluation of the student’s achievement of the course objectives will be based on
satisfactory completion of all required activities. Grading to be computed as
follows:
 A grade of 85 % or better is required for Scan Lab Test
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Lab tests will be a demonstration in which the student will be required to
perform select tasks as defined by the objectives while the instructor
observes and evaluates the performance. Student will be graded using
the CVT 110 Lab Rubric. A student who fails to master procedures lab
tests will be subject to disciplinary action. A lab test grade of 85 % or
better is required to proceed to the next quarter classes.
o You will have 3 attempts to pass the lab exam with a grade of
85. If unsuccessful, you can not sit for the final and will
receive a WP or WF depending on the grade you have
received in class up to this point. Refer to the OTC student
handbook for policy on readmission to the sonography
program.
LAB TESTS
35%
HOMEWORK/QUIZ 10%
GRADING SCALE
A
90-100
B
80-89
C
70-79
D
60-69
F
59 and below
LECTURE TESTS
FINAL
35%
20%
Code of Conduct
Academic Policies:
“The term "cheating" includes, but is not limited to: (1) use of any unauthorized
assistance in taking quizzes, tests, or examinations; (2) dependence upon the
aid of sources beyond those authorized by the instructor in writing papers,
preparing reports, solving problems, or carrying
out other assignments; or (3) the acquisition, without permission, of tests or other
academic material belonging to a member of the Technical College faculty or
staff.
The term "plagiarism" includes, but is not limited, to, the use, by paraphrase or
direct quotation, of the published or unpublished work of another person without
full and clear acknowledgment. It also includes the unacknowledged use of
materials prepared by another person or agency engaged in the selling of term
papers or other academic materials.”
For further explanations of the above information, please refer to the Ogeechee
Technical College Student Handbook and Planner.
“Academic misconduct is any act that does or could improperly distort students’
grades or other student academic records. A student enrolls at Ogeechee
Technical College to gain technical skills to lead to greater employability.
Academic misconduct is not only “cheating” the student of learning the needed
skills; it is an offense to the academic integrity of the learning environment. All
forms of academic dishonesty will call for discipline.”
Ogeechee Technical College Student Handbook and Planner.
Alteration of any grade sheets through changing scores or filling in of
blank spaces after being graded is considered cheating. A student
dismissed for cheating or plagiarism will not be eligible for re-entry.
DISABILITY STATEMENT
Students with disabilities who believe that they may need accommodations in this
class based on the impact of the disability are encouraged to contact Penny
Hendrix in the Special Services Office, Room 332C, Kennedy Bldg., 912-4867211, to coordinate reasonable accommodations.
WORK ETHICS
Students will receive a work ethics grade each quarter for each fundamental and
specific course in which they enroll. The work ethics grade of 3, 2, 1, or 0 will not
affect the student’s academic grade point average (GPA). Work ethics grades
will appear on the student’s quarterly Student Grade Reports and Transcripts.
Performance factors and indicators include, but are not limited to, quality of work,
ability to follow instructions, productivity, dependability, honesty, reliability,
attendance and punctuality, attitude, integrity, enthusiasm, interpersonal skills,
and initiative. The work ethics grade descriptions are
Exceeds expectations:
3
Meets expectations:
2
Needs improvement:
1
Unacceptable:
0
WARRANTY STATEMENT:
The Department of Technical and Adult Education guarantees employers that
graduate from State Technical Colleges shall possess skills and knowledge as
prescribed by State Curriculum Standards. Should any graduate employee
within two years of graduation be deemed lacking in said skills, that student shall
be retrained in any State Technical College at no charge for instructional costs to
either the student or the employer.
DISCLAIMER
The instructor reserves the right to amend or correct this course syllabus as
necessary. If the instructor amends or corrects this syllabus, students will be
given a revised syllabus or corrections.