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Stedman’s Medical Transcription Fundamentals
Lesson Plans
Chapter 13—Cardiology and the Cardiovascular System
Learning Objectives:
The lesson plan for each objective starts on the page shown below.
13-1
Name and describe the anatomic structures of the heart and associated blood vessels.
13-2
Explain cardiac conduction and describe the cardiac cycle.
13-3
Discuss blood pressure measurement and how blood pressure readings are obtained.
13-4
Describe common diseases and disorders related to the heart and their treatments.
13-5
Discuss common laboratory tests and diagnostic studies used to identify heart disease.
13-6
Discuss the Insight relating to cardiology.
13-7
Discuss the soundalike terms regarding cardiology.
13-8
Identify the combining forms used in relation to cardiology and the heart.
13-9
Review the abbreviations used in cardiology.
13-10
Explain the terminology used when transcribing cardiology documents.
You Will Need:
Gather the following materials for the following lessons:
13-1
A segment of a rubber hose, 1 inch in diameter.
13-3
Several manual sphygmometers and/or digital blood pressure machines.
13-5
An EKG machine.
13-4
Stedman’s Medical Dictionary or Physicians' Drug Reference, several copies.
13-8
A set of 3x5 index cards for each combining form listed in the Combining Forms table at the end of Chapter 13.
13-9
A set of 3x5 index cards for each abbreviation listed in the Abbreviations table at the end of Chapter 13.
Page 13-1
Copyright © 2012 Lippincott Williams & Wilkins
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Date:
Objective 13-1: Name and describe the anatomic structures of the heart and associated blood vessels.
Lecture Outline — Objective 13-1
Content
Introduction
 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.
The Cardiovascular System
 Blood vessels—a network of
interconnecting arteries, arterioles,
capillaries, venules, and veins—provide the
pathway in which blood is transported
between the heart and body cells.
 Arteries—carry oxygen-rich 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—carry blood back to the heart
 Venules—Gather blood from capillaries
and drain to larger veins
Page 13-2
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Text
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Figures, Tables,
and Features
In-Class Activity
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289
3
Figure
13.1, The vessels
of the vascular
system, p. 289
289
Resources and
In-Class Activities
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
4
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
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-1
Content
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
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.
Page 13-3
Copyright © 2012 Lippincott Williams & Wilkins
Text
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Figures, Tables,
and Features
Figure
13.2, Anatomy of
the heart, p. 290
289
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291
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Resources and
In-Class Activities
Outside Assignments/
Evaluation
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-1
Content
Text
PPt

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
 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.
 Cardiovascular Circulation
 There are two major pathways of the
vascular circulation of blood in the
body: pulmonary and systemic.
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Figures, Tables,
and Features
Figure
In-Class Activity
13.3, The coronary
arteries and veins,
p. 291
Demonstrate to students
that the aorta is the largest
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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10
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Legend: PPt: PowerPoint; IR: Instructor Resources; SRCD: Student Resource CD-ROM
Page 13-4
Copyright © 2012 Lippincott Williams & Wilkins
Resources and
In-Class Activities
Outside Assignments/
Evaluation
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Date:
Objective 13-2: Explain cardiac conduction and describe the cardiac cycle.
Lecture Outline — Objective 13-2
Content
The Cardiac Cycle
 Cardiac cycle—the sequence of events in
one heartbeat.
 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 which travels to the AV node.
 The AV node delays the impulse in
order 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.
 Lub-dub-sound of valves closing
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Copyright © 2012 Lippincott Williams & Wilkins
Text
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Figures, Tables,
and Features
Figure
13.4, The cardiac
cycle, p. 293
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 by 6, which
will equal the resting heart
rate per minute. Have
students take their pulse
while seated, then stand
up and march in place at a
fast pace for 1 minute,
then take the pulse reading
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 kind of
pacemakers are available?
Have them write a short
paper on their findings.
The next day, have students
discuss their findings with
the class.
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-2
Content
Text
PPt

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.
 Other abnormal sounds:
 A rub is an abnormal sound that is
caused by the friction between the
beating heart and the pericardium
and resembles the sound of
squeaky leather and often is
described as grating, scratching, or
rasping.
 A gallop is a tripling or
quadrupling of heart sounds that
includes three or four sounds that
resemble the cantering of a horse.
 A click, or systolic click, is a short,
high-pitched sound heard when a
valve is not functioning properly
and may be indicative of valvular
disease.
 A thrill is a high-frequency
vibration felt on the chest wall over
the heart, which may be indicative
of a structural defect of the heart.
 Heart Rates and Rhythm
 Normal heart rate – sinus rhythm.
 Slow heart rate (less than 60 bpm) –
bradycardia.
 Fast heart rate (over 100 bpm) –
tachycardia.
 Abnormal heart rhythm – arrhythmia
Page 13-6
Copyright © 2012 Lippincott Williams & Wilkins
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Figures, Tables,
and Features
Resources and
In-Class Activities
In-Class Activity
Have students research the
Internet for web sites that
contain .wav files of
different heart sounds and
listen to each one. Then
discuss their findings.
How were the sounds
different in each?
Outside Assignments/
Evaluation
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-2
Content






Bradycardia: slow heartbeat, less than
60 bpm
Tachycardia: fast heart rate, greater
than 100 bpm
Atrial flutter: atrial rhythm is regular,
but the rate is
abnormally fast
Fibrillation: uncoordinated, irregular
contraction of the
heart muscle
Atrial fibrillation
Ventricular fibrillation
Text
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Figures, Tables,
and Features
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Legend: PPt: PowerPoint; IR: Instructor Resources; SRCD: Student Resource CD-ROM
Page 13-7
Copyright © 2012 Lippincott Williams & Wilkins
Resources and
In-Class Activities
Outside Assignments/
Evaluation
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Date:
Objective 13-3: Discuss blood pressure measurement and how blood pressure readings are obtained.
Lecture Outline — Objective 13-3
Content
Text
PPt
The Basics of Blood Pressure
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 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.
 Hypotension—A blood pressure reading
of 90/60 mmHg or lower.
 Orthostatic hypotension—the sudden
temporary decrease in systolic blood
Page 13-8
Copyright © 2012 Lippincott Williams & Wilkins
Figures, Tables, and
Features
Resources and
In-Class Activities
Outside Assignments/
Evaluation
In-Class Activity:
Have students experience
taking blood pressure or
having their own blood
pressure taken. This can
be done two ways:
295
(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
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(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.
Outside Assignments
Quick Check 13.1, p. 296
Can be completed in class
or assigned as homework.
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-3
Content
Text
PPt
Figures, Tables, and
Features
pressure that occurs when a person
changes position, resulting in a feeling
of lightheadedness.
Legend: PPt: PowerPoint; IR: Instructor Resources; SRCD: Student Resource CD-ROM
Page 13-9
Copyright © 2012 Lippincott Williams & Wilkins
Resources and
In-Class Activities
Outside Assignments/
Evaluation
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Date:
Objective 13-4: Describe common diseases and disorders related to the heart and their treatments.
Lecture Outline — Objective 13-4
Content
Diseases and Disorders of the Heart
 Hypertension—a condition in which the
pressure of the blood in the arteries is too
high
 Primary hypertension—there is no
identifiable cause
 Secondary hypertension—where
another disease or medication is the
cause.
 Drug therapy for hypertension:
 Diuretics—Promotes 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—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
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Copyright © 2012 Lippincott Williams & Wilkins
Text
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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
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.
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In-Class Activity:
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Figure
13.5, Coronary artery
disease, p. 297
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,
and side effects.
Outside Assignments/
Evaluation
Outside Assignment:
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.
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-4
Content



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.
 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
Page 13-11
Copyright © 2012 Lippincott Williams & Wilkins
Text
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Figures, Tables, and
Features
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Figure
13.6, Vascular stent used
in coronary angioplasty, p.
198
Resources and
In-Class Activities
Outside Assignments/
Evaluation
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-4
Content
at the site of the blockage to
keep the artery from
collapsing.
 Coronary artery bypass graft
surgery (CABG)—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
(stenosis).
 Mitral valve stenosis—mitral valve
flaps do not close completely.
 Treatment: Not usually required.
 Pericarditis - an inflammation of the
pericardium that surrounds the heart.
 Complications:
 Pericardial effusion—
accumulation of fluid in the
pleural sac.
 Cardiac tamponade—when
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Text
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Figures, Tables, and
Features
Resources and
In-Class Activities
Outside Assignments/
Evaluation
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-4
Content
Text
PPt
Congenital heart disorders
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 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 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
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Figures, Tables, and
Features
Resources and
In-Class Activities
Outside Assignments/
Evaluation
excess fluid causes
compression of the heart.
 Treatment—Draining fluid
via catheter.
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Copyright © 2012 Lippincott Williams & Wilkins
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Outside Assignment
Have students research the
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-4
Content
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, call
right ventricular hypertrophy.
 Treatment: Surgery to increase blood
flow and correct the defects.
Text
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Figures, Tables, and
Features
34
Resources and
In-Class Activities
Outside Assignments/
Evaluation
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
Quick Check 13.2, p. 301
Can be completed in class
or assigned as homework.
Legend: PPt: PowerPoint; IR: Instructor Resources; SRCD: Student Resource CD-ROM
Page 13-14
Copyright © 2012 Lippincott Williams & Wilkins
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Date:
Objective 1-5: Discuss common laboratory tests and diagnostic studies used to identify heart disease.
Lecture Outline — Objective 13-5
Content
Diagnostic Studies and Procedures
 Blood Tests—evaluate the patient’s risk of
acquiring vascular disease, heart attack, or
stroke:
 C-reactive protein test (CRP). A
substance in the blood that occurs with
inflammation, such as fatty buildup in
artery walls, occurs.
 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
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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.
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Outside Assignments/
Evaluation
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-5
Content
hormone made by the heart. Elevated
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
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Figures, Tables, and
Features
In-Class Activity
Figure
13.7, Electrocardiographic wave form, p. 302
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Resources and
In-Class Activities
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
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-5
Content
observed while patient exercises at
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
PPt
303
40
304
41
Figures, Tables, and
Features
Legend: PPt: PowerPoint; IR: Instructor Resources; SRCD: Student Resource CD-ROM
Page 13-17
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Resources and
In-Class Activities
Outside Assignments/
Evaluation
Outside Assignments
Quick Check 13.3, p. 304
Can be completed in class
or assigned as homework.
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Date:
Objective 13-6: Discuss the Insight relating to cardiology.
Lecture Outline — Objective 13-6
Content
Discuss the Insight:
Text
PPt
304
42
Figures, Tables, and
Features
“The Heart Brain”
Legend: PPt: PowerPoint; IR: Instructor Resources; SRCD: Student Resource CD-ROM
Page 13-18
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Resources and
In-Class Activities
Outside Assignments/
Evaluation
In-Class Activity
Outside Assignment
Read aloud the Insight
article, p. 304. 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.
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Date:
Objective 13-7: Review the soundalike terms regarding cardiology.
Lecture Outline — Objective 13-7
Content
Review the common soundalike words in the
textbook (table).
Text
305
PPt
Figures, Tables, and
Features
Table
Common Soundalike
Words, p. 305
Legend: PPt: PowerPoint; IR: Instructor Resources; SRCD: Student Resource CD-ROM
Page 13-19
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Resources and
In-Class Activities
Outside Assignments/
Evaluation
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Date:
Objective 13-8: Identify the combining forms used in relation to cardiology and the heart.
Lecture Outline — Objective 13-8
Content
Review the combining forms list in the textbook
(table).
Text
306
PPt
Figures, Tables, and
Features
Table
Combining Forms, p. 306
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Page 13-20
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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. 306, 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
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Date:
Objective 13-9: Review the abbreviations commonly used in cardiology.
Lecture Outline — Objective 13-9
Content
Review abbreviations list in textbook (table).
Text
307
PPt
Figures, Tables, and
Features
Copyright © 2012 Lippincott Williams & Wilkins
Outside Assignments/
Evaluation
Table
Outside Assignment
Abbreviations, p. 307
Have students create flash
cards using 3x5 index cards
of the abbreviations found
in the table of abbreviations
in this chapter, p. 307, 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; IR: Instructor Resources; SRCD: Student Resource CD-ROM
Page 13-21
Resources and
In-Class Activities
Instructor’s Notes
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Date:
Objective 13-10: Correctly define, spell, and pronounce the chapter’s medical terms.
Lecture Outline — Objective 13-10
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
308
PPt
Figures, Tables, and
Features
Table
Terminology, p. 308
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 13-22
Copyright © 2012 Lippincott Williams & Wilkins
As an optional extra credit
assignment, you may ask
students to watch a medical
program on television. The
program can be a fictional
network drama or true life
type documentary about the
daily work routine in a
hospital or emergency
room. 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
Stedman’s Medical Transcription Fundamentals
Chapter13—Cardiology and the Cardiovascular System
Lecture Outline — Objective 13-10
Content
Text
PPt
Figures, Tables, and
Features
Resources and
In-Class Activities
Outside Assignments/
Evaluation
Evaluation
Create an exam for Chapter
13 using the Brownstone
Test Generator in the IR.
Legend: PPt: PowerPoint; IR: Instructor Resources; SRCD: Student Resource CD-ROM
Page 13-23
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Instructor’s Notes