Course Number and Title:
ECH 213 Echocardiography Techniques III
Prerequisites
Prerequisite: ECH 112
Course Credits and Hours
2 credit(s)
2 lecture hours/week
1 lab hours/week
0 offsite lab hours
Course Description
This course is a continued study of Echocardiography Techniques II. Emphasis is on the performance proficiency of Doppler echocardiography. The study of embryology and congenital heart diseases is also included.
Additional Materials
Sonography Student Manual
Core Course Performance Objectives (CCPOs)
- Discuss normal and abnormal anatomy of embryology, fetal cardiac development, and cardiac chambers of septation. (CCC 1, 2, 5; PGC 1, 3, 5)
- Explain cardiac pathology, pathophysiology, and hemodynamics in congenital heart disease. (CCC 1, 2, 5; PGC 1, 3, 5)
- Discuss clinical preparation and evaluation of echocardiogram. (CCC 1, 2, 5; PGC 1, 3, 5)
- Discuss clinical cardiology for cardiovascular surgery and interventional cardiology. (CCC 1, 2, 5; PGC 1, 3, 4, 5)
- Explain other diagnostic cardiac procedures and related echocardiographic diagnostic procedures. (CCC 1, 2, 5; PGC 1, 3, 4, 5)
- Perform a complete transthoracic echocardiogram with proficiency 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)
- Demonstrate proficiency in advanced Doppler techniques, measurements, and calculations, including the use of CW Pedoff probe. (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:
- Discuss normal and abnormal anatomy of embryology, fetal cardiac development, and cardiac chambers of septation.
- Discuss basic embryology of the heart.
- Describe fetal circulation by tracing a drop of blood from the placenta, through the fetus, and back to the placenta again.
- Describe the cardiovascular changes that occur at birth in the infant.
- Explain cardiac pathology, pathophysiology, and hemodynamics in congenital heart disease.
- Discuss the definitions, prevalence, hemodynamics effects, associated anomalies, and echocardiography findings of common congenital heart diseases.
- Discuss different surgical procedures to correct a congenital heart defect.
- Discuss the appropriate medical management of a patient with congenital heart disease.
- Discuss clinical preparation and evaluation of echocardiogram.
- Discuss indications for echocardiography and the relationship of echocardiography to medical history and physical examination.
- Identify differential diagnosis as it relates to the echocardiographic examination.
- Discuss effect of systemic diseases on cardiovascular anatomy and physiology.
- Discuss clinical cardiology for cardiovascular surgery and interventional cardiology.
- Discuss the different cardiac surgeries and interventional techniques.
- Explain other diagnostic cardiac procedures and related echocardiographic diagnostic procedures.
- Discuss the indications, utility, and limitations of the following diagnostic cardiac procedures:
- Angiography and cardiac catheterization
- Electrocardiography, electrophysiologic studies, Holter monitoring, and stress testing
- Radionuclide studies and other tomographic imaging procedures
- Phonocardiography and external pulse recording
- Discuss the indications, utility, limitations, and technical procedures for stress, transesophageal, intraoperative, and contrast echocardiographic diagnostic procedures as well as echo-guided procedures.
- Discuss clinical pharmacology as it relates to echocardiography and provocative maneuvers including:
- Theory and use of provocative stress agents
- Non-pharmacologic stress
- Potential effects of cardiac medications on echocardiographic findings
- Perform a complete transthoracic echocardiogram with proficiency using Doppler, color flow, velocity measurements, and calculations in the study of cardiac diseases.
- Distinguish accurate technique using standard Doppler measurements and calculations.
- Differentiate normal and abnormal values of Doppler echocardiography.
- Explain and evaluate the severity of valve stenosis and regurgitation by abnormal Doppler wave formation and the principle of color flow.
- Compare and contrast normal and abnormal cardiovascular hemodynamics and flow patterns.
- Calculate data obtained in the performance of a complete transthoracic echocardiogram.
- Perform with proficiency a complete two-dimensional, color flow, and Doppler transthoracic echocardiogram.
- Prepare a preliminary summary of findings.
- Demonstrate proficiency in advanced Doppler techniques, measurements, and calculations, including the use of CW Pedoff probe.
1. Practice and demonstrate proficiency using continuous wave Doppler Pedoff probe to assess aortic valve from multiple acoustic windows.
2. Practice and demonstrate proficiency in obtaining Qp/Qs flow volumes.
3. Practice and demonstrate proficiency in methodology needed for assessing for pulsus paradoxus and cardiac tamponade.
4. Practice and demonstrate proficiency in methodology needed for performing PISA.
Evaluation Criteria/Policies
The grade will be determined using the Delaware Tech grading system:
| 90-100 |
= |
A |
| 80-89 |
= |
B |
| 70-79 |
= |
C |
| 0-69 |
= |
F |
Students should refer to the
Catalog/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 |
Summative Assessments |
| 25% |
Formative Assessments |
- 5 Quizzes (4% each)(formative)
| 20% |
| 25% |
- 3 Competencies (Total 100 points)
| 30% |
TOTAL | 100% |
Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major)
- Perform competently a full range of echocardiography procedures.
- Perform competently a full range of vascular sonographic procedures.
- Utilize professional verbal, nonverbal, and written communication skills in patient care, procedure intervention, and professional relationships.
- Act in a professional and ethical manner and comply with professional scope of practice.
- Integrate critical thinking and problem solving skills as expected of a healthcare professional.
Core Curriculum Competencies (CCCs are the competencies every graduate will develop)
- Apply clear and effective communication skills.
- Use critical thinking to solve problems.
- Collaborate to achieve a common goal.
- Demonstrate professional and ethical conduct.
- Use information literacy for effective vocational and/or academic research.
- Apply quantitative reasoning and/or scientific inquiry to solve practical problems.
Students in Need of Accommodations Due to a Disability
We value all individuals and provide an inclusive environment that fosters equity and student success. 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. The College's policy on accommodations for persons with disabilities can be found in the College's Guide to Requesting Academic Accommodations and/or Auxiliary Aids Students may also access the Guide and contact information for Disabilities Support Counselors through the Student Resources web page under Disabilities Support Services, or visit the campus Advising Center.