ECH 112 Echocardiography Techniques II


Campus Location:
Wilmington
Effective Date:
2018-51
Prerequisite:
ECH 111, SSC 100 or concurrent
Co-Requisites:

none

Course Credits and Hours:
3.00 credits
3.00 lecture hours/week
1.50 lab hours/week
Course Description:

This course is a continued study of Echocardiography Techniques I with emphasis on pericardial and myocardial diseases, cardiac neoplasm and masses, cardiac trauma, and disease of the aorta and great vessels. Topics also include Doppler, color flow echocardiography, and the study of prosthetic heart valves.

Required Text(s):

Obtain current textbook information by viewing the campus bookstore online or visit a campus bookstore. Check your course schedule for the course number and section.

Additional Materials:

Diagnostic Medical Sonography Program Student Manual
CCHS Non-Employee Orientation Manual
Allied Health/Science Department Program Student Policy Manual

Schedule Type:
Classroom Course
Disclaimer:

None

Core Course Performance Objectives (CCPOs):
  1. Differentiate the normal and the abnormal cardiac myocardium. (CCC 1, 2, 5; PGC 1, 3, 5)
  2. Differentiate the normal and the abnormal pericardium. (CCC 1, 2, 5; PGC 1, 3, 5)
  3. Explain the cardiac pathology, pathophysiology, and hemodynamics related to cardiac neoplasms, masses, and cardiac trauma. (CCC 1, 2, 5, 6; PGC 1, 3, 5)
  4. Explain cardiac pathology, pathophysiology, and hemodynamics in the disease of the aorta and great vessels. (CCC 1, 2, 5, 6; PGC 1, 3, 5)
  5. Perform the echocardiogram using Doppler, color flow, velocity measurements, and calculations in the study of cardiac diseases. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 3, 4, 5)
  6. Explain prosthetic heart valve function, including the evaluation of the need for cardiac valve replacement, recognition of replacements, and evaluation of structural and hemodynamic effects of the prosthesis. (CCC 1, 2, 5, 6; PGC 1, 3, 4, 5)
  7. Explain cardiac pathology, pathophysiology, and hemodynamics in the evaluation of atrioventricular and semilunar valvular heart disease. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 3, 4, 5)
  8. Explain the cardiac pathology, pathophysiology, and hemodynamics in the evaluation of coronary heart disease, ischemic heart disease, left ventricular function, hypertensive heart disease, and pulmonary hypertension. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 3, 4, 5)

See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.

Measurable Performance Objectives (MPOs):

Upon completion of this course, the student will:

  1. Differentiate the normal and the abnormal cardiac myocardium.
    1. Describe the pathology of hypertrophic obstructive cardiomyopathy (HOCM) and asymmetric septal hypertrophy (ASH).
    2. Analyze and evaluate HOCM using the two dimensional (2D), color flow, and Doppler techniques.
    3. Describe the pathology of dilated, infiltrative, and restrictive cardiomyopathy.
    4. Identify the 2D and Doppler evidence for each of the cardiomyopathies.
    5. Explain the treatments and the interventions used for myocardial disease.
  2. Differentiate the normal and the abnormal pericardium.
    1. Identify the normal layers and the diseases of the pericardium.
    2. Apply the principles of anatomy and pathophysiology to the findings as they relate to the diseased pericardium.
    3. Identify the 2D and Doppler evidence for pericarditis, pericardial effusion, tamponade, and pleural effusion.
    4. Explain treatments and interventions used for pericardial disease.
  3. Explain the cardiac pathology, pathophysiology, and hemodynamics related to the cardiac neoplasms, masses, and cardiac trauma.
    1. Discuss various tumors and masses, including the etiology (primary, metastatic, and thrombus formation); definitions; and echocardiographic findings.
    2. Explain and discuss the most commonly seen mass, the myxoma, including the echocardiography findings, complications, and treatments.
    3. Discuss specific echocardiography methods in order to rule out a thrombus at the apex.
  4. Explain the cardiac pathology, pathophysiology, and hemodynamics in the disease of the aorta and great vessels.
    1. Discuss aortic dissection, including the definition, etiology, signs and symptoms, and complications.
    2. Discuss the different types of aortic dissection.
    3. List the 2D, M-mode, and Doppler findings of aortic dissection.
    4. Discuss the etiology, definition, and echocardiography findings of diseases of the aorta, including the sinus of Valsalva aneurysm, coarctation of the aorta, Marfan’s syndrome, and aortic aneurysm.
    5. Describe and discuss the pulmonary artery abnormalities, including the definitions and the etiology and echocardiography findings.
  5. Perform the echocardiogram using the Doppler, color flow, velocity measurements, and calculations in the study of cardiac diseases.
    1. Use the standard Doppler measurements and calculations.
    2. Recognize the normal and abnormal values of Doppler echocardiography.
    3. Explain and evaluate the severity of valve stenosis and regurgitation by abnormal Doppler wave formation and the principle of color flow.
    4. Explain normal and abnormal cardiovascular hemodynamics and flow patterns.
    5. Perform with competency 2D, color flow, and Doppler echocardiogram.
  6. Explain the prosthetic heart valve function, including the evaluation of the need for cardiac valve replacement, recognition of replacements and evaluation of structural and hemodynamic effects of the prosthesis.
    1. Describe the various types of prosthetic heart valves.
    2. Differentiate mechanical and bioprosthetic heart valves.
    3. Explain the potential complications and valvular dysfunctions associated with prosthetic heart valves.
    4. Describe the 2D, M-mode, and color flow/Doppler findings associated with prosthetic heart valves, including the normal flow pattern, the hemodynamic effect, and the color flow/ Doppler application as they apply to the prosthesis and its effect on cardiac function.
    5. Discuss the appropriate medical management of a patient who has received a heart valve replacement.
  7. Explain cardiac pathology, pathophysiology, and hemodynamics in the evaluation of atrioventricular and semilunar valvular heart disease.
    1. Differentiate normal and abnormal semilunar and atrioventricular valves.
    2. Describe the pathology and disease state of valvular heart diseases.
    3. Evaluate valves with color flow, Doppler, and calculations as needed.
  8. Explain cardiac pathology, pathophysiology, and hemodynamics in the evaluation of coronary heart disease, ischemic heart disease, left ventricular function, hypertensive heart disease, and pulmonary hypertension.
    1. Describe the pathology and disease state of coronary heart disease, ischemic heart disease, left ventricular function, hypertensive heart disease, and pulmonary hypertension.
    2. Investigate and interpret the disease state with color flow, Doppler, and calculations as needed.
Evaluation Criteria/Policies:

Students must demonstrate proficiency on all CCPOs at a minimal 75 percent level to successfully complete the course. The grade will be determined using the Delaware Tech grading system:

92 100 = A
83 91 = B
75 82 = C
0 74 = F

Students should refer to the Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.

Final Course Grade:

Calculated using the following weighted average

Evaluation Measure

Percentage of final grade

6 Quizzes (3.33% each)

20%

Mid-Term Exam

25%

Final Exam

25%

5 Lab Competencies (100 total points)

30%

TOTAL

100%

Core Curriculum Competencies (CCCs are the competencies every graduate will develop):
  1. Apply clear and effective communication skills.
  2. Use critical thinking to solve problems.
  3. Collaborate to achieve a common goal.
  4. Demonstrate professional and ethical conduct.
  5. Use information literacy for effective vocational and/or academic research.
  6. Apply quantitative reasoning and/or scientific inquiry to solve practical problems.
Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major):
  1. Perform competently a full range of echocardiography procedures.
  2. Perform competently a full range of vascular sonographic procedures.
  3. Utilize professional verbal, nonverbal, and written communication skills in patient care, procedure intervention, and professional relationships.
  4. Act in a professional and ethical manner and comply with professional scope of practice.
  5. Integrate critical thinking and problem solving skills as expected of a healthcare professional.
Disabilities Support Statement:

The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. A listing of campus Disabilities Support Counselors and contact information can be found at the disabilities services web page or visit the campus Advising Center.

Minimum Technology Requirements:
Minimum technology requirements for online, hybrid, video conferencing and web conferencing courses.