Module overview
The overall aim of this module is to ensure that the student begins to gain wider knowledge of investigations undertaken in a Cardiology Department particularly provocative testing including electrocardiography, pacing, imaging and invasive procedures in adults and children. This module will also build on earlier work to develop the themes of public health and epidemiology of cardiovascular disease, risk factors, risk assessment, primary prevention including behavioural change management.
Aims and Objectives
Learning Outcomes
Knowledge and Understanding
Having successfully completed this module, you will be able to demonstrate knowledge and understanding of:
- Appraise the practice and principles of invasive cardiology.
- Demonstrate an understanding of the range of needs of people with disabilities within this care pathway.
- Explain the underpinning principles and practice of invasive pressure measurement and cardiac interventions.
- Evaluate the differences between children and adults with respect to cardiac physiology investigations.
- Engage with research activity by evaluating research outcomes in cardiac physiology and judiciously applying them to professional practice.
- Examine the principles and application of management of bradycardia.
- Demonstrate an understanding and experience of the value of clinical audit in optimising cardiac services.
- Demonstrate an understanding of the importance of patient-centred care.
- Evaluate the physiology, pathophysiology and pharmacology related to invasive testing in electrocardiography, pacing, echocardiography and cardiac catheterisation procedures.
Learning Outcomes
Having successfully completed this module you will be able to:
- Respect and uphold the rights, dignity and privacy of patients.
- Select and apply appropriate analysis or assessment techniques and tools.
- Actively seek accurate and validated information from all available sources with respect to cardiac investigations.
- Appreciate the empathy and sensitivity needed when dealing with the patient experience of long term conditions and terminal illness.
- Critically discuss the problems associated with the care of patients undergoing cardiac investigations or treatments.
- Establish patient-centred rapport.
Syllabus
Indicative Content
In this module students will build on Year 1 learning and begin detailed learning that underpins the routine practical techniques.
Patient Centred Care
- Communication Skills
- Consent
- Confidentiality
- Disability including learning disabilities
- Care Pathways for patients with cardiovascular disease
Physiology, pathophysiology and pharmacology related to electrocardiography, echocardiography, pacing and cardiac catheterisation
- Circulatory control
- Cardiac cycle and potentials
- Cardiac output control
- Heart failure and its effect on the heart and circulation
- Cardiac drugs: affects, functions and application during cardiac procedures
- Changes associated with heart disease to invasive measurement and interventions
- Acquired heart disease and its effect on the heart and circulation
- Basic overview of congenital heart disease
o Embryology
o Circulatory changes at birth
o Common abnormalities which may include
Atrial Septal Defects
Ventricular Septal Defects
Patent DuctusArteriosus
Coarctation of the Aorta
Tetralogy of Fallot
Principles and practice of invasive pressure measurement and cardiac
interventions
- Principles and practice of invasive pressure measurement
- Equipment and set up
- Diagnostic and therapeutic cath lab procedures
- Operation of equipment and safe use
- Catheter use and design (diagnostic and guide catheters)
- Identification and measurement of intracardiac pressures (normal and abnormal)
Principles and application of management of bradycardia
- Indications and contraindications for bradycardia device implantation
- Implantation techniques and asepsis
- Bradycardia pacing modes
- Rhythm management
- Simple ECG troubleshooting
- Introduction to echocardiography
Physics of ultrasound
Standard views and images
This module will also build on earlier work to develop the themes of public
health and epidemiology of cardiovascular disease, risk factors, risk
assessment, primary prevention including behavioural change management.
Learning and Teaching
Teaching and learning methods
Students will learn by exploring material in seminars and laboratory practical’s in conjunction with directed learning. Students will be encouraged to take responsibility for the development of their own learning by utilising a variety of means such as multimedia resources, and the library, and by self-directed development of the study skills necessary to access these resources.
Type | Hours |
---|---|
Lecture | 85 |
Tutorial | 20 |
Practical classes and workshops | 50 |
Preparation for scheduled sessions | 30 |
Revision | 30 |
Wider reading or practice | 130 |
Completion of assessment task | 40 |
Total study time | 385 |
Resources & Reading list
Textbooks
Anderson, B. (2007). Echocardiography: The normal examination and echocardiographic measurements. MGA Graphics..
Guyton, A. & Hall, J. (2009). Textbook of Medical Physiology. Philadelphia: Elsevier.
Huszar, R (2007). Basic Dysrhythmias: Interpretation & management. Philadelphia: Elsevier.
Johnson, W. (2008). Pediatric Cardiology : The essential pocket guide. Wiley-Blackwell.
Wasserman, K., Hansen, J. & Darryl, S. (2005). Principles of exercise testing and interpretation: including pathophysiology and clinical application. Philadelphia: Lippincott Williams & Wilkins.
Otto, C. (2009). Textbook of Clinical Echocardiography. Philadelphia: Elsevier.
Connelly, D. (2006). Implantable Cardiac Pacemakers and Defibrillators: all you wanted to know. BMJ Publishing Group..
Aaronson, P., Ward J & Connolly, M. (2012). The Cardiovascular System at a Glance. Wiley.
Opie,l. (2004). Heart Physiology: From Cell to Circulation. Philadelphia: Lippincott Williams & Wilkins.
Ellenbogen, K. (2008). Cardiac Pacing and ICDs. Wiley-Blackwell.
Conover, M. (2002). Understanding Electrocardiography. Philadelphia: Elsevier.
Feigenbaum, H. (2004). Feigenbaum’s Echocardiography. Philadelphia: Lippincott Williams & Wilkins.
Klabunde, R (2005). Cardiovascular Physiology Concepts. Philadelphia: Lippincott Williams & Wilkins.
Bono, R. (2011). Brauwald’s Heart Disease. Philadelphia: Elsevier.
Verghese, A. (2003). Stress Testing: Principles and Practice. Oxford University Press.
Morris, F. (2008). The ABC of Clinical Electrocardiography. BMJ Books.
Fogoros, R. (2006). Electrophysiologic Testing. John Wiley and Sons Ltd.
Brown, H. (1997). Physiology and Pharmacology of the Heart. John Wiley and Sons Ltd.
Morton, K (2011). The Cardiac Catheterization Handbook. Philadelphia: Elsevier.
Barold, S. (2010). Cardiac Pacemakers and Resynchronisation. Step by step. Wiley-Blackwell.
Gunning, M. (2007). Essential Cardiac Catheterization. Hodder Arnold.
Bennett, D. (2006). Cardiac Arrhythmias: Practical Notes on Interpretation and Treatment. Hodder Education.
Ellestad, M. (2003). Stress testing: principles and practice. Oxford University Press.
Bennett, P. (1993). Counselling for Heart Disease. John Wiley and Sons Ltd.
Hung-Chi, L. (2006). ECG in the Child and Adolescent. Wiley-Blackwell.
Froelicher, V. (2006). Exercise and the Heart. Philadelphia: Elsevier Health Sciences.
Sunthareswaran, R. (2004). Cardiovascular System. Mosby’s.
Chambers, J. & Rimmington, H. (2007). Echocardiography. A practical Guide to Reporting. Informa.
Phillips, J. & Feeney, M. (1980). The Cardiac Rhythms. Saunders.
Marieb, E. (2004). Human Anatomy & Physiology. Pearson.
Wagner, G. (2007). Marriott’s Practical Electrocardiography. Philadelphia: Lippincott Williams & Wilkins.
Kumar, P. & Clark, M. (2009). Clinical Medicine. Philadelphia: Elsevier.
Tortora, G. (2009). Principles of Anatomy and Physiology. Wiley.
Assessment
Summative
This is how we’ll formally assess what you have learned in this module.
Method | Percentage contribution |
---|---|
Written exam | 50% |
Written essay | 50% |
Repeat Information
Repeat type: Internal & External