Detailed Outline (CCT)

  1. Basic Cardiovascular Anatomy and Physiology
    1. Heart
      1. Size
      2. Location
      3. Layers
        1. Pericardium
        2. Epicardium
        3. Myocardium
        4. Endocardium
      4. Chambers
        1. Atrial
        2. Ventricular
      5. Valves
        1. Semilunar
        2. Atrioventricular
    2. Heart and Coronary Circulation
      1. Blood flow
        1. Through the heart
        2. Systemic through the body
        3. Coronary Arterial
          1. Myocardial wall distribution
          2. Ischemihanges
          3. Patterns of injury
          4. Infarction types
        4. Right and left oxygen saturations
      2. Arteries (major)
        1. Systemic
        2. Coronary
      3. Veins
        1. Major systemic
        2. Coronary
      4. Capillaries
      5. Arterioles
      6. Venules
    3. Physiology
      1. Cardiac valve function
      2. Pressures
        1. Determination of mean pressure
        2. Blood pressure
          1. Measurement
          2. Pulse pressure determination
        3. Aortic pulse pressure
        4. Pressure difference in the right and left heart
      3. Cardiac output (relationship to)
        1. Heart rate
        2. Stroke volume
      4. Control Mechanisms
        1. Blood pressure
        2. Cardiac output
        3. Peripheral resistance
        4. Baroreceptors/chemoreceptors
        5. Compliance
        6. Preload
        7. Afterload
        8. Contractility
      5. Cardiaycle
        1. Relationship to the EKG
        2. Relationship to heart sounds
        3. Relationship to valve opening and closure
      6. Normal values
        1. Measurement sites of heart rate
        2. Blood pressure
    4. Conduction System
      1. Nodes
      2. Pathway
      3. Blood supply
      4. Heart rate
        1. Factors affecting heart rate
        2. Blood pressure
    5. Anatomical Terms
      1. Definition and position of:
        1. Anterior -ventral
        2. Posterior -dorsal
        3. Superior
        4. Inferior
        5. Medial
        6. Lateral
        7. External
        8. Internal
        9. Superficial
        10. Distal
        11. Sagittal
        12. Peripheral
        13. Visceral
        14. Parietal
        15. Transverse or horizontal
        16. Proximal
  2. ECG Techniques and Recognition
    1. Define, identify, measure, explain and analyze:
      1. Waveforms
        1. P, Q, R, S and T waves
        2. Baseline values
        3. Normal sinus rhythm
        4. ECG Measurement
          1. Time
          2. Heart rate
          3. Voltage
          4. Axis/hexaxial system
          5. Intervals
          6. Segments
          7. Complexes
          8. Normal and abnormal ST segment
    2. ECG Leads
      1. Bipolar leads
      2. Umpolar leads
      3. Precordial leads
      4. Einthoven's triangle and law
    3. ECG, Holter and Stress Testing Instrumentation
      1. ECG calibration methods
      2. Single channel
      3. Three channel
      4. Troubleshooting
      5. Paper speed
    4. Recognition of Recording Errors
      1. Incorrect standardization
      2. Incorrect paper speed
      3. Lead reversals
      4. Incorrect lead placement
    5. Recognition of Recording Artifacts
      1. Electrical interference
      2. Somatic tremor
      3. Wandering baseline
      4. Other causes
    6. Patient and Electrical Safety Hazards of Electrical Apparatus
      1. Common hazards (broken cords, plugs and sockets)
      2. Subtle hazards (current leakage)
      3. Ground connectors
      4. Pacemaker hazards
      5. Electrical shock
    7. Distinguish, Interpret and Describe:
      1. Recognition of Cardiac Arrhythmias
        1. Sinus arrhythmias
        2. Sinus bradycardia
        3. Sinus tachycardia
        4. Atrial arrhythmias/PSVT
        5. Ventricular arrhythmias
        6. AV disassociation/aberration
        7. SA Blocks/sinus pause
        8. Bundle branch block
        9. Heart blocks
          1. First degree block
          2. Second degree block
            1. Type I
            2. Type II
          3. Third degree block
        10. Cardiac pacemakers
        11. Wolff-Parkinson White
        12. ST segment and T wave alterations
        13. Ambulatory electrocardiography artifacts
      2. Recognition and Interpretation of Normal and Abnormal 12 lead Electrocardiogramc 
        1. Myocardial infarction
          1. Injca. Injury
          2. Ischemia
  3. Basic Cardiovascular Electrophysiology
    Define, Identify, and Explain:
    1. Basic Electrophysiology
      1. Cardiac cycle
      2. Electrical conduction system
      3. Refractory
      4. Transmembrane potential
        1. Polarization
        2. Depolarization
        3. Repolarization
      5. Action potential
        1. Phase 0
        2. Phase I
        3. Phase 2
        4. Phase 3
        5. Phase 4
  4. Stress Test Techniques Indications and Contraindications
    1. Stress Testing
      1. Indications
      2. Contraindications
      3. Protocols
        1. Bruce
        2. Modified Bruce
        3. Naught on
      4. Prep techniques
      5. Test interpretation
      6. Calculation
        1. Double product
        2. METs
      7. Bicycle procedures
      8. Thallium/Muga Stress Test
    2. Interpretation of the Exercise ECG
    3. Ergometers
      1. Arms
      2. Leg
      3. Treadmill
    4. Pharmacologic
      1. Dipyridamole
      2. Dobutamine
      3. Thallium
      4. Cardiolyte
  5. Holter Monitoring
    1. Concepts of Holter Monitoring
      1. Indications
      2. Contraindications
      3. Preparation techniques
      4. Lead placement
      5. Interpretation
        1. Recognition of artifact
        2. Advanced ECO interpretation
  6. Cardiac Medications
    1. Categories
      1. Antihypertensives
      2. Nitrates
      3. Calcium Channel Blockers
      4. Beta Blockers
      5. Cardiac Olycosides
      6. Antiarrhythmics
    2. Indications
      1. Effect on heart rate
      2. Effect on blood pressure
      3. Correlation to arrhythmias
      4. Routes of administration
      5. Emergency Cardiac Medications
        1. Epinephrine
        2. Atropine
        3. Verapamil
        4. Lidocaine
        5. Oxygen
        6. Isuprel
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