ࡱ> _|^k bjbjZ Z IM8cb8cbn XXXXXlll8dTl7\\(___{7}7}7}7}7}7}7$9v<v7X_____7XX7KKK_RXX{7K_{7KKq35 v)4g7707A4\<'<055&<X5__K_____779___7____<_________ B :  GROSSMONT COLLEGEPRIVATE  COURSE OUTLINE OF RECORD Curriculum Committee Approval: 03/22/2022 GCCCD Governing Board Approval: 04/19/2022 CARDIOVASCULAR TECHNOLOGY 251 - DIAGNOSTIC PROCEDURES II, ADULT ECHOCARDIOGRAPHY 1. Course Number Course Title Semester Units CVTE 251 Diagnostic Procedures II, Adult Echocardiograph 5 Semester Hours 3 hours lecture: 48-54 hours 96-108 outside-of-class hours 6 hours laboratory: 96-108 hours 240-270 total hours 2. Course Prerequisites A C grade or higher in CVTE 221. Corequisite None Recommended Preparation None 3. Catalog Description This course is a continuation of Cardiovascular Technology 221. It is an advanced course in the techniques utilized in the diagnosis and serial follow-up of cardiovascular disease using conventional imaging as well as strain, stress echo, and trans-esophageal echocardiography (TEE). Special emphasis is given to incorporating the American Society of Echocardiography (ASE) Guidelines. The classroom laboratory continues advanced instruction in the topics and performance of diagnostics tests in echocardiography. The theory, operation and clinical application of specified diagnostic medical instrumentation will be applied. 4. Course Objectives The student will: a. Examine the heart from the parasternal, apical, subcostal, suprasternal, and right-sternal border imaging windows, following a standardized imaging protocol. b. Modify the imaging protocol to provide off-axis or non-standard images as necessary to fully describe the nature of the disease, including diseases of the aorta and the examination of any therapeutic devices. c. Use image optimization techniques to acquire diagnostic quality images appropriate for the assessment of ischemic and non-ischemic heart disease. d. Describe the indications for using Ultrasound Enhancing Agents (UEAs) and agitated saline. e. Plan for and execute a study using UEAs and agitated saline. f. State the individual TEE views and identify the anatomy within those views. g. Describe the setup and performance of a treadmill stress echo and obtain the standard images within the prescribed time limit. h. Identify and describe segmental wall motion abnormalities and the likely culprit blood vessels responsible. i. Calculate quantitative measures of ventricular systolic and diastolic function, outflow tract gradients, and chamber pressures as they pertain to the description of the type and severity of acquired and congenital heart disease. j. Analyze qualitative and quantitative data to grade the severity of acquired and congenital heart disease. k. Summarize the echocardiographic findings by creating a written preliminary report; support findings with details. 5. Instructional Facilities a. Standard classroom b. Echocardiography laboratories in local hospitals and clinics c. Ultrasound laboratory 6. Special Materials Required of Student None 7. Course Content a. Cardiomyopathies b. Coronary artery disease c. Ventricular assist devices d. Heart transplantation e. Pericardial disease f. Ultrasound Enhancing Agents (UEAs) g. Connective tissue disorders h. Diseases of the aorta i. Shunt lesions j. Newborn screening for congenital heart disease (CHD) k. Adults with CHD l. Stress echo m. Structural heart interventions/devices n. TEE imaging 8. Method of Instruction a. Lecture. b. Class discussion such as instructor-mediated case review with topical real-world cases. c. Lab demonstration. d. Online instruction and practice, such as case review and report writing on "unknown" cases. e. Lab exercises with guided practice and individualized feedback. 9. Methods of Evaluating Student Performance a. Quizzes based on application of course content such as shunt lesions. b. Competency-based performance tests utilizing prescribed protocol. c. Exams focused on course content such as adults with CHD. d. Comprehensive written final examination. 10. Outside Class Assignments a. Assigned reading from texts. b. Attend local echo society meetings and prepare a written summary of the key points of such meeting. c. Prepare an oral presentation covering a chosen or assigned cardiovascular disease, including relevant echo images and a discussion of the role of echo in the diagnosis and treatment. d. Create an online portfolio to showcase work and qualifications suitable for use in seeking employment. 11. Representative Texts a. Representative texts: Anderson, Bonita. A Sonographer's Guide to the Assessment of Heart Disease. MGA Graphics. 2013. b. Supplementary texts and workbooks: 3-semester online subscription to "Echo Test & Teach" Addendum: Student Learning Outcomes Upon completion of this course, our students will be able to do the following: a. Use image-optimization techniques to obtain diagnostic-quality images suitable for the complete assessment of the presence and severity of acquired and congenital heart disease. b. Apply the ASE Guideline recommendations for the echocardiographic assessment of ischemic and non-ischemic heart disease, cardiomyopathies, and common forms of congenital heart disease in its repaired and unrepaired forms. c. Synthesize the imaging and measurement data and prepare a written preliminary report that summarizes the pathology and provides details to support those findings d. Describe the indications for UEA's; Illustrate the proper handling, preparation, and use of commonly available UEA's.   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