Standard

Posted: 10/10/07

R State Standard £ Institutionally Developed College: N/A

CVT 110 – Non-invasive Cardiovascular Fundamentals

Course Description

Introduces the basic principles and applications of physical assessment, of non-invasive cardiovascular procedures. Topics include: introduction to measurements: chamber dimensions, velocities, systole, and diastole; patient and equipment skills related to instrumentation; physical principles: heart sounds, imaging of the cardiovascular system; echocardiography and vascular technology: basic views, terminology, physical principles, and instrumentation; and tomographic anatomy.

Competency Areas	Hours
Introduction to Measurements: Chamber Dimensions, Velocities, Systole, and Diastole	Class	3
Patient and Equipment Skills related to Instrumentation	D. Lab	2
Physical Principles: Heart sounds, Imaging of the Cardiovascular System	P. Lab/O.B.I.	0
Echocardiography and Vascular Technology: Basic Views, Terminology, Physical Principles, and Instrumentation	Credit	4
Tomographic Anatomy

Prerequisite:	Program admission
Corequisite:	None

Course Guide

Competency	After completing this section, the student will be able to:	Hours
		Class	D.Lab	P.Lab/ O.B.I.

Introduction to Measurements: Chamber Dimensions, Velocities, Systole, and Diastole		5	3	0
	Demonstrate and evaluate M-Mode Recordings of appropriate valves, chambers, and wall segments.
	Calculate and identify ventricular systolic and diastolic intracardiac flow patterns.
	Describe and identify the basic principles of Left Ventricular and Right Ventricular systolic and diastolic function.
	Discuss the color Doppler propagation velocity.
	Identify factors that affect Doppler evaluation of LV diastolic function.
	Discuss doppler evaluation of the upper and lower vascular extremity system to include: a. Pulsatility index, acceleration time b. Ankle/brachial index c. Segmental pressures d. Exercise testing e. Reactive hyperemia f. Plethysmography
Patient and Equipment Skills RELATED TO iNSTRUMENTATION		5	3	0
	Define, demonstrate, and recognize the basic principles of ultrasound instruments and imaging modalities including: a. A-Mode/M-Mode. b. Two-Dimensional Echocardiography. c. Doppler Echocardiography. d. Noninvasive vascular testing e. Duplex imaging ((B-mode,Doppler,color doppler)
	Define and recognize various ultrasonic artifacts.
	Recognize various recording devices.
	Demonstrate appropriate ergonomics and patient care techniques for patient transport or positioning.
	State bioeffects and patient safety guidelines.
Physical Principles: HEART SOUNDS AND iMAGING OF THE CARDIOVASCULAR SYSTEM		5	4	0
	Describe the pressure and volume changes that occur during the cardiac cycle and relate the physical principles of ultrasonic imaging of the heart and vascular system.
	Identify standard 2-dimensional echocardiographic/vascular views and label anatomy.
	Relate the timing of heart sounds to ECG and to pressure changes during systole and diastole.
	Define and describe types of heart murmurs.
	Describe the relationship of auscultated heart sounds, pulse rate, and heart rate.
Echocardiography and Vascular Technology: Basic Views, Terminology, Physical Principles, and Instrumentation		10	7	0
	Perform Basic Imaging Principles including: a. Tomography images. b. Nomenclature of standard views. c. Image orientation. d. Technical quality. e. Sonographic image interpretation.
	Demonstrate and identify anatomy in transthoracic image planes as defined by ASE to include: a. Parasternal b. Apical c. Subxyphoid d. Supasternal
Introduce and utilize proper cardiovascular terminology.
	Apply appropriate techniques for the assessment of cardiac and vascular flow patterns.
	Apply the principles of ultrasonic instrumentation to obtain images on phantoms.
Tomographic Anatomy		5	3	0
	Demonstrate and identify transthoracic tomographic views as defined by the ASE including: a. Parasternal Window b. Apical Window c. Subcostal Window d. Suprasternal Notch Window e. Other Acoustic Windows
	Demonstrate and identify : a. Aortic arch b. Upper extremity arterial and venous anatomy c. Lower extremity arterial and venous anatomy d. Intracerebral vessels e. Extracerebral vessels

Suggested Resources

Feigenbaum H. (2004). Feigenbaum’s Echocardiography.  (6^th ed.) Philadelphia: Lippincott. ISBN-13: 978-0-7817-3198-0

Mosby’s Pocket Dictionary of Medicine, Nursing & Health Professions. (5^th ed.) Elsevier. ISBN-13: 978-0-323-03943-7

Netter F. (2006). The Netter Collection of Medical Illustrations - Heart. (Vol. 5). Philadelphia: Elsevier. ISBN-10: 0-914168-85-1

Oh J., Seward, J., Tajik, A. (2006). The Echo Manual. (3^rd ed.) Philadelphia: Lippincott 2006. ISBN-13:978-0-7817-4853-7

Otto C. (2004). Textbook of Clinical Echocardiography. Philadelphia; Elsevier. ISBN-13: 978-0-7216-0789-4

Taber’s Cyclopedic Dictionary. (20^th ed) F. A. Davis. ISBN-13: 978-0-8036-1207-5

Reynolds, Terry (2000) The Echocardiographer’s Pocket Reference (2^nd Ed) Arizona Heart Institute. ISBN- 0-9635767-9-8

Posted: 10/10/07