Download syllabus apk 6128 ekg interpretation fall semester, 2012

Dr. Braith: APK 6128, EKG Interpretation, Fall Semester, 2012
College of Health and Human Performance
Department of Applied Physiology & Kinesiology
SYLLABUS
APK 6128 EKG INTERPRETATION
FALL SEMESTER, 2012
Instructor:
Office:
Office Hours:
Phone:
Email:
Textbooks:
Textbooks:
Dr. Randy Braith
Rm. 142 FLG
Thursday 11:00am-12:30pm; Friday 11:00am-12:30pm; and by appointment
294-1722
[email protected]
Required
(1) Fast & Easy ECGs: A Self-Paced Learning Program;
Shade and Wesley, McGraw Hill Publisher
Optional Reference/Supplemental Texts
(1) RAPID INTERPRETATION of EKG’S, Dale Dubin,
6th ed., Cover Publishing
(2) BASIC DYSRHYTHMIAS: INTERPRETATION & MANAGEMENT,
Robert J. Huszar, 2nd Edition, Mosby Lifeline Publishing
(3) ECG INTERPRETATION, Ken Grauer, 2nd Ed., Mosby Publisher
COURSE DESCRIPTION:
Graduate course in Exercise Physiology for students interested in human research, rehabilitative or health
promotion emphasis, or clinical professions. The course offers lecture study of basic and intermediate
electrocardiography, including cardiac function, lead systems, rate, arrhythmias, axis, infarction,
ischemia, hypertrophy, effects of cardiovascular drugs and exercise on the electrocardiogram.
COURSE OBJECTIVES:
Upon completion of the course, the student should be able to achieve the following:
1.
2.
3.
4.
5.
Describe basic principles of cardiac electrical activity.
Describe basic principles of electrocardiography.
Recognize EKG correlates of ischemic heart disease and infarction.
Identify and describe prominent cardiac arrhythmias.
Describe the effects of “first line” cardiovascular drugs on the electrocardiogram.
GRADING PROCEDURES & COURSE REQUIREMENTS:
1.
There will be 3 examinations (200 pts each).
2.
The first exam will include multiple choice, true/false, and short essay questions.
3.
The second exam will include multiple choice, true/false, short essay questions, and EKG strip
interpretation.
4.
The third exam (Final Exam) will include only EKG strip interpretation.
5.
Practice EKG strips will be reviewed on numerous occasions in class prior to lecture.
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Dr. Braith: APK 6128, EKG Interpretation, Fall Semester, 2012
GRADING SCALE
A
=
540-600 points
B+
=
516-539 points
B
=
480-515 points
C+
=
456-479 points
C
=
420-455 points
D+
=
391-419 points
D
=
360-390 points
F
=
less than 360 points
EXAMS
Exam #1
Exam #2
Exam #3
Total Points
=
=
=
=
POINTS
200pts
200pts
200pts
600pts
GRADING NOTE: Although the University Registrar now recognizes minus grades, we will follow the
traditional grading scale unless there are any objections.
http://www.registrar.ufl.edu/catalog/policies/regulationgrades.html
Final course grades will be provided by the University Registrar.
STUDENTS REQUIRING SPECIAL ACCOMODATIONS FOR EXAMS NOTE: “Students
requesting special classroom accommodations must first register with the Dean of Students Office. The
Dean of Students Office will provide documentation to the student who must then provide this
documentation to the instructor when requesting accommodation.”
DISABILITY RESOURCE CENTER NOTE: “For optimal consideration, you must see the Professor
within the first three (3) days of class.”
ACADEMIC HONESTY NOTE: Cheating on exams in any fashion will not be tolerated. This will
result in a “zero” for that exam and possibly for the course and subject to consequences outlined in the
Student Handbook. Students are expected to adhere to UF student honor code: “We, the members of the
University of Florida community, pledge to hold ourselves and our peers to the highest standards of
honesty and integrity.”
EXTRA CREDIT NOTE: Extra credit assignments will not be given to improve grades.
MAKE-UP EXAMS NOTE: There will be no make-up exams without prior approval of instructor.
PRACTICE SESSIONS:
APK 6128 is designed to be primarily a lecture course. However, one or more class periods will be
dedicated to “hands-on” laboratory experience performing standard 12 lead EKGs on classmates.
(1) Each student in APK 6128 will receive a resting 12 lead EKG and each student will prepare a
classmate for a standard 12 lead EKG procedure.
(2) Additionally, all students will have the opportunity throughout the semester to practice EKG
recognition skills in the laboratory using an EKG simulator. The simulator is an excellent tool to assist
students in the ‘real-time’ recognition of potential health-endangering arrhythmia’s.
(3) Practice interpreting EKG strips is also available online at “Practice EKG Strips”
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Dr. Braith: APK 6128, EKG Interpretation, Fall Semester, 2012
COURSE OUTLINE
APK 6128 EKG INTERPRETATION
TOPIC
TEXT
ELECTRICAL ACTIVATION OF THE HEART
- Depolarization
- Repolarization
- Sodium-Potassium ATP Pump
- Automaticity
- Action Potential Phases
- Calcium Channels
Fast/Easy
Chap. 1
p.19-31
PACEMAKER AND CONDUCTION SYSTEM OF THE HEART
- Sinus Node
- SinoArtrial Pathways
- Atrioventricular Node
- Atrioventricular Nodal Pathway
- Bundle Branch Pathways
- Purkinji Fibers
- Escape Rhythms
- Overdrive Suppression
Fast/Easy
Chap. 1
p. 32-38
THE ELECTROCARDIOGRAM LEADS
- History of Lead Names
- Einthoven’s Triangle
- Limb Leads
- Bipolar Limb Leads
- Unipolar Limb Leads
- Precordial Leads
- Placement of Electrodes for Multichannel Monitoring
Fast/Easy
COMPONENTS OF THE NORMAL ELECTROCARDIOGRAM
- EKG Paper
- P Wave
- PR Interval
- QRS Complex
- ST Segment
- T Wave
- QT Interval
- U Wave
Fast/Easy
Chap. 2
p. 47-54
MEASUREMENT OF HEART RATE
- Calculation of Heart Rate
Fast/Easy
Chap. 2
p. 80-98
3
CHAPTER
Chap. 2
p. 56-70
Placement Handout
Dr. Braith: APK 6128, EKG Interpretation, Fall Semester, 2012
MECHANISMS OF ELECTRICAL ARRHYTHMIAS
- Altered Automaticity
- Triggered Activity
- Reentry
SINUS NODE ARRHYTHMIAS
- Normal Sinus Rhythm
- Sinus Tachycardia
- Sinus Bradycardia
- Sinus Arrhythmia
Fast/Easy
Chap. 8
p. 244-256
ATRIAL ARRHYTHMIAS
- Premature Atrial Complexes
- Atrial Tachycardia
- Atrial Fibrillation
- Risk & Treatment of Atrial Fibrillation
- Atrial Flutter
Fast/Easy
Chap. 9
p.267-285
JUNCTIONAL ARRHYTHMIAS
- Premature Junctional Complex
- Junction Escape Beat
- Junction Rhythm
- Junction Reentry Rhythm
- Wolff-Parkinson-White and Preexcitation Syndromes
- Radiofrequency Ablation
Fast/Easy
Chap. 10
p. 299-310
Fast/Easy
Chap. 14
p. 445-447
ATRIOVENTRICULAR BLOCK
- First Degree AV Block
- Second Degree AV Block (Type I and Type II)
- Third Degree AV Block
- Atrioventricular Dissociation
Fast/Easy
Chap. 12
p. 364-376
VENTRICULAR BUNDLE BRANCH BLOCK
- Left Bundle Branch Block
- Right Bundle Branch Block
- Hemiblock
Fast/Easy
Chap. 14
p. 435-444
PREMATURE VENTRICULAR COMPLEXES
- Premature Ventricular Complexes
- Full Compensatory Pause
- Overdrive Suppression
- Unifocal vs Multifocal PVCs
- Bigeminy, Trigeminy, Quadrigeminy
- Couplets, Triplets
- R-on-T Phenomenon
Fast/Easy
Chap. 11
p. 327-338
4
Dr. Braith: APK 6128, EKG Interpretation, Fall Semester, 2012
-
Aberration vs Ectopy
VENTRICULAR TACHYCARDIA & FIBRILLATION
- Mechanism
- Defibrillation
- Pharmacological Management
- Torsades de Pointes
Fast/Easy
ELECTROPHYSIOLOGY STUDY (EP)
Lecture Notes
ISCHEMIA & MYOCARDIAL INFARCTION
- ST Segment Changes of Ischemia
- ST Segment Changes of Acute Infarction
- T-Wave Inversion
- Abnormal (Significant) Q Waves
- Locating The Infarct
- Left Bundle Branch Block and Myocardial Infarction
Fast/Easy
Chap. 15
460-486
DETERMINATION OF ELECTRICAL AXIS
- Vectors and Axis of the Normal Heart
- Axis at a Glance
- The Quadrant Method
- Exercises for Axis Determination
- Left Axis Deviation
- Right Axis Deviation
- Extreme Right Axis Deviation
Fast/Easy
Chap. 13
p. 394-407
CARDIAC ANTI-ARRHYTHMIC DRUGS
Lecture Notes
5
Chap. 11
p. 340-346