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Module Description s 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