SYLLABUS APK 6128 EKG INTERPRETATION FALL SEMESTER, 2014
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1 College of Health and Human Performance Department of Applied Physiology & Kinesiology SYLLABUS APK 6128 EKG INTERPRETATION FALL SEMESTER, 2014 Instructor: Dr. Randy Braith Office: Rm. 142 FLG Office Hours: Thursday 11:00am-12:30pm; Friday 11:00am-12:30pm; and by appointment Phone: Classroom: Florida Gym 240 Class Time: Tuesday Period 6-8 (12:50 3:50pm) Textbooks: Required (1) Fast & Easy ECGs: A Self-Paced Learning Program; Shade and Wesley, McGraw Hill Publisher Textbooks: Optional Reference/Supplemental Texts (1) RAPID INTERPRETATION of EKG S, Dale Dubin, 6th ed., Cover Publishing (2) BASIC DYSRHYTHMIAS: INTERPRETATION & MANAGEMENT, Robert J. Huszar, 2nd Edition, Mosby Lifeline Publishing (3) ECG INTERPRETATION, Ken Grauer, 2 nd Ed., Mosby Publisher COURSE DESCRIPTION: Graduate course in Exercise Physiology for students interested in human research, rehabilitative or health promotion emphasis, or clinical professions. The course offers lecture study of basic and intermediate electrocardiography, including cardiac function, lead systems, rate, arrhythmias, axis, infarction, ischemia, hypertrophy, effects of cardiovascular drugs and exercise on the electrocardiogram. COURSE OBJECTIVES: Upon completion of the course, the student should be able to achieve the following: 1. Describe basic principles of cardiac electrical activity. 2. Describe basic principles of electrocardiography. 3. Recognize EKG correlates of ischemic heart disease and infarction. 4. Identify and describe prominent cardiac arrhythmias. 5. Describe the effects of first line cardiovascular drugs on the electrocardiogram. GRADING PROCEDURES & COURSE REQUIREMENTS: 1. There will be 3 examinations (200 pts each). 2. The first exam will include multiple choice, true/false, and short essay questions. 3. The second exam will include multiple choice, true/false, short essay questions, and EKG strip interpretation. 4. The third exam (Final Exam) will include only EKG strip interpretation. 5. Practice EKG strips will be reviewed on numerous occasions in class prior to lecture. 1
2 GRADING SCALE EXAMS POINTS A = points Exam #1 = 200pts B+ = points Exam #2 = 200pts B = points Exam #3 = 200pts C+ = points Total Points = 600pts C = points D+ = points D = points F = less than 360 points GRADING NOTE: Although the University Registrar now recognizes minus grades, we will follow the traditional grading scale unless there are any objections. Final course grades will be provided by the University Registrar. STUDENTS REQUIRING SPECIAL ACCOMODATIONS FOR EXAMS NOTE: Students requesting special classroom accommodations must first register with the Dean of Students Office. The Dean of Students Office will provide documentation to the student who must then provide this documentation to the instructor when requesting accommodation. DISABILITY RESOURCE CENTER NOTE: For optimal consideration, you must see the Professor within the first three (3) days of class. ACADEMIC HONESTY NOTE: Cheating on exams in any fashion will not be tolerated. This will result in a zero for that exam and possibly for the course and subject to consequences outlined in the Student Handbook. Students are expected to adhere to UF student honor code: We, the members of the University of Florida community, pledge to hold ourselves and our peers to the highest standards of honesty and integrity. EXTRA CREDIT NOTE: Extra credit assignments will not be given to improve grades. MAKE-UP EXAMS NOTE: There will be no make-up exams without prior approval of instructor. PRACTICE SESSIONS: APK 6128 is designed to be primarily a lecture course. However, one or more class periods will be dedicated to hands-on laboratory experience performing standard 12 lead EKGs on classmates. (1) Each student in APK 6128 will receive a resting 12 lead EKG and each student will prepare a classmate for a standard 12 lead EKG procedure. (2) Additionally, all students will have the opportunity throughout the semester to practice EKG recognition skills in the laboratory using an EKG simulator. The simulator is an excellent tool to assist students in the real-time recognition of potential health-endangering arrhythmia s. 2
3 (3) Practice interpreting EKG strips is also available online at Practice EKG Strips COURSE OUTLINE APK 6128 EKG INTERPRETATION TOPIC TEXT CHAPTER ELECTRICAL ACTIVATION OF THE HEART Fast/Easy Chap. 1 - Depolarization p Repolarization - Sodium-Potassium ATP Pump - Automaticity - Action Potential Phases - Calcium Channels PACEMAKER AND CONDUCTION SYSTEM OF THE HEART Fast/Easy Chap. 1 - Sinus Node p SinoArtrial Pathways - Atrioventricular Node - Atrioventricular Nodal Pathway - Bundle Branch Pathways - Purkinji Fibers - Escape Rhythms - Overdrive Suppression THE ELECTROCARDIOGRAM LEADS Fast/Easy Chap. 2 - History of Lead Names p Einthoven s Triangle Placement Handout - Limb Leads - Bipolar Limb Leads - Unipolar Limb Leads - Precordial Leads - Placement of Electrodes for Multichannel Monitoring COMPONENTS OF THE NORMAL ELECTROCARDIOGRAM Fast/Easy Chap. 2 - EKG Paper p P Wave - PR Interval - QRS Complex - ST Segment - T Wave - QT Interval - U Wave MEASUREMENT OF HEART RATE Fast/Easy Chap. 2 - Calculation of Heart Rate p
4 MECHANISMS OF ELECTRICAL ARRHYTHMIAS - Altered Automaticity - Triggered Activity - Reentry SINUS NODE ARRHYTHMIAS Fast/Easy Chap. 8 - Normal Sinus Rhythm p Sinus Tachycardia - Sinus Bradycardia - Sinus Arrhythmia ATRIAL ARRHYTHMIAS Fast/Easy Chap. 9 - Premature Atrial Complexes p Atrial Tachycardia - Atrial Fibrillation - Risk & Treatment of Atrial Fibrillation - Atrial Flutter JUNCTIONAL ARRHYTHMIAS Fast/Easy Chap Premature Junctional Complex p Junction Escape Beat - Junction Rhythm - Junction Reentry Rhythm - Wolff-Parkinson-White and Preexcitation Syndromes Fast/Easy Chap Radiofrequency Ablation p ATRIOVENTRICULAR BLOCK Fast/Easy Chap First Degree AV Block p Second Degree AV Block (Type I and Type II) - Third Degree AV Block - Atrioventricular Dissociation VENTRICULAR BUNDLE BRANCH BLOCK Fast/Easy Chap Left Bundle Branch Block p Right Bundle Branch Block - Hemiblock PREMATURE VENTRICULAR COMPLEXES Fast/Easy Chap Premature Ventricular Complexes p Full Compensatory Pause - Overdrive Suppression - Unifocal vs Multifocal PVCs - Bigeminy, Trigeminy, Quadrigeminy 4
5 - Couplets, Triplets - R-on-T Phenomenon - Aberration vs Ectopy VENTRICULAR TACHYCARDIA & FIBRILLATION Fast/Easy Chap Mechanism p Defibrillation - Pharmacological Management - Torsades de Pointes ELECTROPHYSIOLOGY STUDY (EP) Lecture Notes ISCHEMIA & MYOCARDIAL INFARCTION Fast/Easy Chap ST Segment Changes of Ischemia ST Segment Changes of Acute Infarction - T-Wave Inversion - Abnormal (Significant) Q Waves - Locating The Infarct - Left Bundle Branch Block and Myocardial Infarction DETERMINATION OF ELECTRICAL AXIS Fast/Easy Chap Vectors and Axis of the Normal Heart p Axis at a Glance - The Quadrant Method - Exercises for Axis Determination - Left Axis Deviation - Right Axis Deviation - Extreme Right Axis Deviation CARDIAC ANTI-ARRHYTHMIC DRUGS Lecture Notes 5
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